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Article: Smoking-cessation and adherence intervention among Chinese patients with erectile dysfunction

TitleSmoking-cessation and adherence intervention among Chinese patients with erectile dysfunction
Authors
Issue Date2010
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amepre
Citation
American Journal Of Preventive Medicine, 2010, v. 39 n. 3, p. 251-258 How to Cite?
Abstract
Background: Whether the association between smoking and erectile dysfunction is causal is uncertain. No RCTs have been previously conducted on cessation counseling and additional nicotine replacement therapy (NRT) adherence counseling among smokers with erectile dysfunction. Purpose: The aim of the study was to determine if smoking-cessation counseling in conjunction with NRT increases quitting and NRT adherence compared to usual care, and if stopping smoking would improve erectile function among Chinese erectile dysfunction patients who smoke. Design: An RCT was conducted. Data were collected in 20042007 and analyzed in 2008. Setting/participants: The sample included 719 Chinese adult erectile dysfunction patients who smoked at least 1 cigarette per day, intended to quit smoking within the next 7 days, and would use NRT. Interventions: Group A1 received 15-minute smoking-cessation and 3-minute NRT adherence counseling at baseline, 1 week, and 4 weeks with free NRT for 2 weeks. Group A2 received the same treatment, except for the adherence counseling. Group B received 10 minutes of quitting advice. All subjects received a self-help quitting booklet at first contact. Main outcome measures: Self-reported 7-day tobacco abstinence at 6 months, 4-week NRT adherence at 1 month, and improvement in erectile dysfunction condition at 6 months. Results: The intervention groups (A1+A2) achieved higher rates of abstinence, both self-reported (23% vs 12.8%, RR=1.79, 95% CI=1.22, 2.62) and biochemically validated (11.4% vs 5.5%, RR=2.07, 95% CI=1.13, 3.77), than the control group. The NRT adherence rate did not differ between Groups A1 and A2 (13.7% vs 12.7%, RR=1.08, 95% CI=0.69, 1.69). An improvement in erectile dysfunction status from baseline to 6 months was associated with self-reported quitting at 6 months but not with intervention status. Conclusions: Although quitting smoking was associated with improvement in erectile dysfunction, this study found significant outcome differences among the means used to achieve smoking cessation. Trial registration: ISRCTN13070778. © 2010 American Journal of Preventive Medicine.
Persistent Identifierhttp://hdl.handle.net/10722/126492
ISSN
2013 Impact Factor: 4.281
ISI Accession Number ID
Funding AgencyGrant Number
Research Grants Council (RGC), Hong KongHKU7428/03M
Pfizer
Funding Information:

This study was funded by the Competitive Earmarked Research Grant (HKU7428/03M), from the Research Grants Council (RGC), Hong Kong (Principal investigator: TH Lam). Nicotine patches/gums provided free of charge to the subjects were provided free from Pfizer.

References

 

DC FieldValueLanguage
dc.contributor.authorChan, SSCen_HK
dc.contributor.authorLeung, DYPen_HK
dc.contributor.authorAbdullah, ASMen_HK
dc.contributor.authorLo, SSTen_HK
dc.contributor.authorYip, AWCen_HK
dc.contributor.authorKok, WMen_HK
dc.contributor.authorHo, SYen_HK
dc.contributor.authorLam, THen_HK
dc.date.accessioned2010-10-31T12:31:48Z-
dc.date.available2010-10-31T12:31:48Z-
dc.date.issued2010en_HK
dc.identifier.citationAmerican Journal Of Preventive Medicine, 2010, v. 39 n. 3, p. 251-258en_HK
dc.identifier.issn0749-3797en_HK
dc.identifier.urihttp://hdl.handle.net/10722/126492-
dc.description.abstractBackground: Whether the association between smoking and erectile dysfunction is causal is uncertain. No RCTs have been previously conducted on cessation counseling and additional nicotine replacement therapy (NRT) adherence counseling among smokers with erectile dysfunction. Purpose: The aim of the study was to determine if smoking-cessation counseling in conjunction with NRT increases quitting and NRT adherence compared to usual care, and if stopping smoking would improve erectile function among Chinese erectile dysfunction patients who smoke. Design: An RCT was conducted. Data were collected in 20042007 and analyzed in 2008. Setting/participants: The sample included 719 Chinese adult erectile dysfunction patients who smoked at least 1 cigarette per day, intended to quit smoking within the next 7 days, and would use NRT. Interventions: Group A1 received 15-minute smoking-cessation and 3-minute NRT adherence counseling at baseline, 1 week, and 4 weeks with free NRT for 2 weeks. Group A2 received the same treatment, except for the adherence counseling. Group B received 10 minutes of quitting advice. All subjects received a self-help quitting booklet at first contact. Main outcome measures: Self-reported 7-day tobacco abstinence at 6 months, 4-week NRT adherence at 1 month, and improvement in erectile dysfunction condition at 6 months. Results: The intervention groups (A1+A2) achieved higher rates of abstinence, both self-reported (23% vs 12.8%, RR=1.79, 95% CI=1.22, 2.62) and biochemically validated (11.4% vs 5.5%, RR=2.07, 95% CI=1.13, 3.77), than the control group. The NRT adherence rate did not differ between Groups A1 and A2 (13.7% vs 12.7%, RR=1.08, 95% CI=0.69, 1.69). An improvement in erectile dysfunction status from baseline to 6 months was associated with self-reported quitting at 6 months but not with intervention status. Conclusions: Although quitting smoking was associated with improvement in erectile dysfunction, this study found significant outcome differences among the means used to achieve smoking cessation. Trial registration: ISRCTN13070778. © 2010 American Journal of Preventive Medicine.en_HK
dc.languageengen_HK
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amepreen_HK
dc.relation.ispartofAmerican Journal of Preventive Medicineen_HK
dc.subject.meshAsian Continental Ancestry Group-
dc.subject.meshDirective Counseling - methods-
dc.subject.meshErectile Dysfunction - etiology-
dc.subject.meshSmoking - adverse effects - prevention and control-
dc.subject.meshSmoking Cessation - methods-
dc.titleSmoking-cessation and adherence intervention among Chinese patients with erectile dysfunctionen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0749-3797&volume=39&issue=3&spage=251&epage=258&date=2010&atitle=Smoking-Cessation+and+Adherence+Intervention+Among+Chinese+Patients+with+Erectile+Dysfunctionen_HK
dc.identifier.emailChan, SSC: scsophia@hku.hken_HK
dc.identifier.emailLeung, DYP: dorisl@hkucc.hku.hken_HK
dc.identifier.emailHo, SY: syho@hku.hken_HK
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityChan, SSC=rp00423en_HK
dc.identifier.authorityLeung, DYP=rp00465en_HK
dc.identifier.authorityHo, SY=rp00427en_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.amepre.2010.05.006en_HK
dc.identifier.pmid20709257en_HK
dc.identifier.scopuseid_2-s2.0-77955909534en_HK
dc.identifier.hkuros178700en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77955909534&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume39en_HK
dc.identifier.issue3en_HK
dc.identifier.spage251en_HK
dc.identifier.epage258en_HK
dc.identifier.isiWOS:000281221900008-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChan, SSC=7404255378en_HK
dc.identifier.scopusauthoridLeung, DYP=16304486500en_HK
dc.identifier.scopusauthoridAbdullah, ASM=7102085860en_HK
dc.identifier.scopusauthoridLo, SST=8718876900en_HK
dc.identifier.scopusauthoridYip, AWC=7004871369en_HK
dc.identifier.scopusauthoridKok, WM=36878766500en_HK
dc.identifier.scopusauthoridHo, SY=7403716884en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.citeulike7817658-

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