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A prospective cohort study challenging the effectiveness of population-based medical intervention for smoking cessation.
- Source :
- Tobacco Control; Jan2013, Vol. 22 Issue 1, p32-37, 6p, 4 Charts, 1 Graph
- Publication Year :
- 2013
-
Abstract
- Objective: To examine the population effectiveness of nicotine replacement therapies (NRTs), either with or without professional counselling, and provide evidence needed to better inform healthcare coverage decisions.Methods: A prospective cohort study was conducted in three waves on a probability sample of 787Massachusetts adult smokers who had recently quit smoking. The baseline response rate was 46%; follow-up was completed with 56% of the designated cohort at wave 2 and 68% at wave 3. The relationship between relapse to smoking at follow-up interviews and assistance used, including NRT with or without professional help, was examined.Results: About one-fourth of recent quitters at each wave reported to have relapsed by the subsequent interview. Odds of relapse were unaffected by use of NRT for >6 weeks either with (p¼0.117) or without(p¼0.159) professional counselling and were highest among prior heavily dependent persons who reported NRT use for any length of time without professionalcounselling (OR 2.68).Conclusions: This study finds that persons who have quit smoking relapsed at equivalent rates, whether or not they used NRT to help them in their quit attempts.Cessation medication policy should be made in the larger context of public health, and increasing individual treatment coverage should not be at the expense of population evidence-based programmes and policies. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHI-squared test
CONFIDENCE intervals
EPIDEMIOLOGY
INTERVIEWING
LONGITUDINAL method
HEALTH outcome assessment
PATIENT education
RESEARCH funding
STATISTICAL sampling
SMOKING cessation
DISEASE relapse
HEALTH insurance reimbursement
DATA analysis
MULTIPLE regression analysis
TREATMENT effectiveness
TREATMENT duration
DESCRIPTIVE statistics
NICOTINE replacement therapy
Subjects
Details
- Language :
- English
- ISSN :
- 09644563
- Volume :
- 22
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Tobacco Control
- Publication Type :
- Academic Journal
- Accession number :
- 84760972
- Full Text :
- https://doi.org/10.1136/tobaccocontrol-2011-050129