Factors Correlated with Smoking Cessation Success in Older Adults: A Retrospective Cohort Study in Taiwan

International Journal of Environmental Research and Public Health

Chih-Po Chang¹  Wei-Hsin Huang¹  Hsin-Lung Chan¹  Lee-Ching Hwang¹  Ching-Hui You²  I-Jung Lu³ 

[1] Department of Family Medicine, Mackay Memorial Hospital, Taipei 106, Taiwan;Department of Family Medicine, Taipei Municipal Wanfang Hospital, Taipei Medical University, Taipei 116, Taiwan;Department of Leisure and Recreation Management, Chihlee University of Technology, New Taipei City 252, Taiwan;

关键词: nicotine replacement therapy;    smoke cessation;    predictor;    varenicline;    older smoker;   

DOI  :  10.3390/ijerph16183462

来源: DOAJ

【 摘 要 】

Smoking cessation in the elderly is very important. This study aims to explore the success rate of smoking cessation in the elderly and the factors that predict the success of smoking cessation. We collected data from smokers ≥60 years who visited a medical center in Taiwan during 2017. All patients were prescribed either varenicline or nicotine replacement therapy (NRT) for smoking cessation. The participants were asked about their smoking status after treatment. In total, 129 participants were enrolled. The three- or six-month point abstinence rate was 48.1%. No significant difference was found among baseline characteristics (including age, gender, underlying diseases, smoking duration, daily consumption amount of cigarette, carbon monoxide concentration, Fagerström test for nicotine dependence scores, and treatment method) between quitters and non-quitters, except for the type of medication used. The proportion of quitters using varenicline was significantly higher than that of non-quitters. Multivariate regression analyses showed that the patients who received varenicline were 3.22 times more likely to quit smoking than those who received NRT. Therefore, we suggest that varenicline use may help in smoking cessation in older adults, compared to NRT. Other baseline characteristics may not affect the success rate of smoking cessation in this population.

【 授权许可】

Unknown