Effect of a smoking cessation program on inpatients in the largest hospital in Southern Iran

Background: There is evidence that cessation programs can be effective for hospital inpatients. Hence, the aim of this study was to investigate the effects of such programs and factors that may affect success. Methods: This study was carried out on in-patient users of tobacco in Shiraz Hospital, Ira...

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Main Authors: Fatemeh Tabatabai Shoorijeh, Charles John Palenik, Mehrdad Askarian
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2019;volume=10;issue=1;spage=54;epage=54;aulast=Shoorijeh
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author Fatemeh Tabatabai Shoorijeh
Charles John Palenik
Mehrdad Askarian
author_facet Fatemeh Tabatabai Shoorijeh
Charles John Palenik
Mehrdad Askarian
author_sort Fatemeh Tabatabai Shoorijeh
collection DOAJ
description Background: There is evidence that cessation programs can be effective for hospital inpatients. Hence, the aim of this study was to investigate the effects of such programs and factors that may affect success. Methods: This study was carried out on in-patient users of tobacco in Shiraz Hospital, Iran in 2015. After implementing the inclusion criteria, a study population was selected using a convenience sampling method. Participants were contacted monthly by study personnel concerning certain aspects of their tobacco cessation program. The study lasted 6 months. Data analyses involved survival analysis using Kaplan–Meier analysis, log-rank test, and multivariate Cox regression modeling. Results: The study included 425 in-patient smokers of which 328 (77.2%) were male. Median follow-up time was 96 days (interquartile range: 20–150). Cessation survival rates were 76% at 1 month, 63% at 2 months, and 61% at 3 months. From the 4th month onward rates remained unchanged at 60%. Univariate analyses with variables such as time since last smoking, consumption type, interval between wake-up and consumption, the severity of dependence and interest in smoking cessation were statistically significant as to cessation survival rate (P < 0.05). After adjusting the confounding variables based on multivariable analyses, results indicated that consumption type, the severity of dependence and interest in smoking cessation were the most important predictors of cessation survival rates among in-patient smokers. Conclusions: Findings indicated that application of the cessation program among our group of inpatients appears to have been an effective intervention that produced an extended period of no smoking.
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spelling doaj.art-38dde26f07dc4b338818e8f30c5d0ee22022-12-21T18:24:15ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132019-01-01101545410.4103/ijpvm.IJPVM_57_17Effect of a smoking cessation program on inpatients in the largest hospital in Southern IranFatemeh Tabatabai ShoorijehCharles John PalenikMehrdad AskarianBackground: There is evidence that cessation programs can be effective for hospital inpatients. Hence, the aim of this study was to investigate the effects of such programs and factors that may affect success. Methods: This study was carried out on in-patient users of tobacco in Shiraz Hospital, Iran in 2015. After implementing the inclusion criteria, a study population was selected using a convenience sampling method. Participants were contacted monthly by study personnel concerning certain aspects of their tobacco cessation program. The study lasted 6 months. Data analyses involved survival analysis using Kaplan–Meier analysis, log-rank test, and multivariate Cox regression modeling. Results: The study included 425 in-patient smokers of which 328 (77.2%) were male. Median follow-up time was 96 days (interquartile range: 20–150). Cessation survival rates were 76% at 1 month, 63% at 2 months, and 61% at 3 months. From the 4th month onward rates remained unchanged at 60%. Univariate analyses with variables such as time since last smoking, consumption type, interval between wake-up and consumption, the severity of dependence and interest in smoking cessation were statistically significant as to cessation survival rate (P < 0.05). After adjusting the confounding variables based on multivariable analyses, results indicated that consumption type, the severity of dependence and interest in smoking cessation were the most important predictors of cessation survival rates among in-patient smokers. Conclusions: Findings indicated that application of the cessation program among our group of inpatients appears to have been an effective intervention that produced an extended period of no smoking.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2019;volume=10;issue=1;spage=54;epage=54;aulast=Shoorijehinpatientssmoking cessationtobacco use
spellingShingle Fatemeh Tabatabai Shoorijeh
Charles John Palenik
Mehrdad Askarian
Effect of a smoking cessation program on inpatients in the largest hospital in Southern Iran
International Journal of Preventive Medicine
inpatients
smoking cessation
tobacco use
title Effect of a smoking cessation program on inpatients in the largest hospital in Southern Iran
title_full Effect of a smoking cessation program on inpatients in the largest hospital in Southern Iran
title_fullStr Effect of a smoking cessation program on inpatients in the largest hospital in Southern Iran
title_full_unstemmed Effect of a smoking cessation program on inpatients in the largest hospital in Southern Iran
title_short Effect of a smoking cessation program on inpatients in the largest hospital in Southern Iran
title_sort effect of a smoking cessation program on inpatients in the largest hospital in southern iran
topic inpatients
smoking cessation
tobacco use
url http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2019;volume=10;issue=1;spage=54;epage=54;aulast=Shoorijeh
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