Article: Smoking-cessation and adherence intervention among Chinese patients with erectile dysfunction
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- Publisher Website: 10.1016/j.amepre.2010.05.006
- Scopus: eid_2-s2.0-77955909534
- PMID: 20709257
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| Title | Smoking-cessation and adherence intervention among Chinese patients with erectile dysfunction | ||||||
|---|---|---|---|---|---|---|---|
| Authors | Chan, SSC2 Leung, DYP2 Abdullah, ASM3 Lo, SST4 Yip, AWC1 Kok, WM4 Ho, SY2 Lam, TH2 | ||||||
| Issue Date | 2010 | ||||||
| Publisher | Elsevier 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?] DOI: http://dx.doi.org/10.1016/j.amepre.2010.05.006 | ||||||
| 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. | ||||||
| ISSN | 0749-3797 2011 Impact Factor: 4.044 2011 SCImago Journal Rankings: 0.237 | ||||||
| DOI | http://dx.doi.org/10.1016/j.amepre.2010.05.006 | ||||||
| ISI Accession Number ID | WOS:000281221900008
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 | References in Scopus |
| dc.contributor.author | Chan, SSC | ||||||
|---|---|---|---|---|---|---|---|
| dc.contributor.author | Leung, DYP | ||||||
| dc.contributor.author | Abdullah, ASM | ||||||
| dc.contributor.author | Lo, SST | ||||||
| dc.contributor.author | Yip, AWC | ||||||
| dc.contributor.author | Kok, WM | ||||||
| dc.contributor.author | Ho, SY | ||||||
| dc.contributor.author | Lam, TH | ||||||
| dc.date.accessioned | 2010-10-31T12:31:48Z | ||||||
| dc.date.available | 2010-10-31T12:31:48Z | ||||||
| dc.date.issued | 2010 | ||||||
| dc.description.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. | ||||||
| dc.description.nature | Link_to_subscribed_fulltext | ||||||
| dc.identifier.citation | American Journal Of Preventive Medicine, 2010, v. 39 n. 3, p. 251-258 [How to Cite?] DOI: http://dx.doi.org/10.1016/j.amepre.2010.05.006 | ||||||
| dc.identifier.citeulike | 7817658 | ||||||
| dc.identifier.doi | http://dx.doi.org/10.1016/j.amepre.2010.05.006 | ||||||
| dc.identifier.epage | 258 | ||||||
| dc.identifier.hkuros | 178700 | ||||||
| dc.identifier.isi | WOS:000281221900008
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. | ||||||
| dc.identifier.issn | 0749-3797 2011 Impact Factor: 4.044 2011 SCImago Journal Rankings: 0.237 | ||||||
| dc.identifier.issue | 3 | ||||||
| dc.identifier.openurl | | ||||||
| dc.identifier.pmid | 20709257 | ||||||
| dc.identifier.scopus | eid_2-s2.0-77955909534 | ||||||
| dc.identifier.spage | 251 | ||||||
| dc.identifier.uri | http://hdl.handle.net/10722/126492 | ||||||
| dc.identifier.volume | 39 | ||||||
| dc.language | eng | ||||||
| dc.publisher | Elsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amepre | ||||||
| dc.publisher.place | United States | ||||||
| dc.relation.ispartof | American Journal of Preventive Medicine | ||||||
| dc.relation.references | References in Scopus | ||||||
| dc.subject.mesh | Asian Continental Ancestry Group | ||||||
| dc.subject.mesh | Directive Counseling - methods | ||||||
| dc.subject.mesh | Erectile Dysfunction - etiology | ||||||
| dc.subject.mesh | Smoking - adverse effects - prevention and control | ||||||
| dc.subject.mesh | Smoking Cessation - methods | ||||||
| dc.title | Smoking-cessation and adherence intervention among Chinese patients with erectile dysfunction | ||||||
| dc.type | Article |
Author Affiliations
- Kwong Wah Hospital
- The University of Hong Kong
- Boston University
- null