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Article: Adherence to nicotine replacement therapy versus quitting smoking among Chinese smokers: A preliminary investigation

TitleAdherence to nicotine replacement therapy versus quitting smoking among Chinese smokers: A preliminary investigation
Authors
KeywordsAdherence
Chinese
Predictors
Quitting smoking
Issue Date2005
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00213/index.htm
Citation
Psychopharmacology, 2005, v. 177 n. 4, p. 400-408 How to Cite?
AbstractRationale: There are over 300 million Chinese smokers, but use of nicotine replacement therapy (NRT) is rare. On the other hand, data on the factors associated with quitting and adherence to NRT use are scarce in the East. Objectives: To describe adherence and other predictors of quitting smoking at the 12-month follow-up amongst Chinese smokers in Hong Kong. Methods: Chinese smokers (1186) who attended the Smoking Cessation Health Centre from August 2000 through January 2002 were studied. Trained counsellors provided individual counselling and carried out follow-up interviews. We used structured questionnaires at baseline and at 1, 3 and 12 months and an intention-to-treat approach for analysis. Results: Among those who received NRT (1051/1186), the prevalence of adherence (self-reported NRT use for at least 4 weeks) was 16% (95% confidence interval 14-18%). The 7-day point prevalence quit rate at 12 months (not smoking any cigarette during the past 7 days at the 12 month follow-up) was 27% (95% CI, CI 24-29%). Stepwise logistic regression model showed that adherence to NRT use, a higher income, good perceived health and having more confidence in quitting were significant predictors of quitting. The quit rate in the adherent group (40%) was greater than that of the non-adherent group (25%) (P<0.001). Older age, male, higher education, experience of NRT use, perceiving quitting as more difficult and willingness to pay were significant predictors of adherence. Conclusions: Clinically significant smoking cessation rates can be achieved among Chinese smokers in a clinic-based smoking cessation service. The NRT adherence was low and low adherence was associated with a lower quit rate. Trials of interventions to improve adherence and increase quit rates are needed. © Springer-Verlag 2004.
Persistent Identifierhttp://hdl.handle.net/10722/86634
ISSN
2015 Impact Factor: 3.54
2015 SCImago Journal Rankings: 1.687
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, THen_HK
dc.contributor.authorAbdullah, ASMen_HK
dc.contributor.authorChan, SSCen_HK
dc.contributor.authorHedley, AJen_HK
dc.date.accessioned2010-09-06T09:19:27Z-
dc.date.available2010-09-06T09:19:27Z-
dc.date.issued2005en_HK
dc.identifier.citationPsychopharmacology, 2005, v. 177 n. 4, p. 400-408en_HK
dc.identifier.issn0033-3158en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86634-
dc.description.abstractRationale: There are over 300 million Chinese smokers, but use of nicotine replacement therapy (NRT) is rare. On the other hand, data on the factors associated with quitting and adherence to NRT use are scarce in the East. Objectives: To describe adherence and other predictors of quitting smoking at the 12-month follow-up amongst Chinese smokers in Hong Kong. Methods: Chinese smokers (1186) who attended the Smoking Cessation Health Centre from August 2000 through January 2002 were studied. Trained counsellors provided individual counselling and carried out follow-up interviews. We used structured questionnaires at baseline and at 1, 3 and 12 months and an intention-to-treat approach for analysis. Results: Among those who received NRT (1051/1186), the prevalence of adherence (self-reported NRT use for at least 4 weeks) was 16% (95% confidence interval 14-18%). The 7-day point prevalence quit rate at 12 months (not smoking any cigarette during the past 7 days at the 12 month follow-up) was 27% (95% CI, CI 24-29%). Stepwise logistic regression model showed that adherence to NRT use, a higher income, good perceived health and having more confidence in quitting were significant predictors of quitting. The quit rate in the adherent group (40%) was greater than that of the non-adherent group (25%) (P<0.001). Older age, male, higher education, experience of NRT use, perceiving quitting as more difficult and willingness to pay were significant predictors of adherence. Conclusions: Clinically significant smoking cessation rates can be achieved among Chinese smokers in a clinic-based smoking cessation service. The NRT adherence was low and low adherence was associated with a lower quit rate. Trials of interventions to improve adherence and increase quit rates are needed. © Springer-Verlag 2004.en_HK
dc.languageengen_HK
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00213/index.htmen_HK
dc.relation.ispartofPsychopharmacologyen_HK
dc.subjectAdherenceen_HK
dc.subjectChineseen_HK
dc.subjectPredictorsen_HK
dc.subjectQuitting smokingen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAge Factorsen_HK
dc.subject.meshEducationen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshFollow-Up Studiesen_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshNicotine - administration & dosage - therapeutic useen_HK
dc.subject.meshNicotinic Agonists - administration & dosage - therapeutic useen_HK
dc.subject.meshPatient Complianceen_HK
dc.subject.meshQuestionnairesen_HK
dc.subject.meshRegression Analysisen_HK
dc.subject.meshRisk Factorsen_HK
dc.subject.meshSmoking - epidemiologyen_HK
dc.subject.meshSmoking Cessationen_HK
dc.subject.meshSocioeconomic Factorsen_HK
dc.titleAdherence to nicotine replacement therapy versus quitting smoking among Chinese smokers: A preliminary investigationen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0033-3158&volume=177&spage=400&epage=408&date=2005&atitle=Adherence+to+nicotine+replacement+therapy+versus+quitting+smoking+among+Chinese+smokers:+A+preliminary+investigationen_HK
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hken_HK
dc.identifier.emailChan, SSC: scsophia@hku.hken_HK
dc.identifier.emailHedley, AJ: hrmrajh@hkucc.hku.hken_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.identifier.authorityChan, SSC=rp00423en_HK
dc.identifier.authorityHedley, AJ=rp00357en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00213-004-1971-yen_HK
dc.identifier.pmid15289997-
dc.identifier.scopuseid_2-s2.0-13644266946en_HK
dc.identifier.hkuros96682en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-13644266946&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume177en_HK
dc.identifier.issue4en_HK
dc.identifier.spage400en_HK
dc.identifier.epage408en_HK
dc.identifier.isiWOS:000226104500006-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridAbdullah, ASM=7102085860en_HK
dc.identifier.scopusauthoridChan, SSC=7404255378en_HK
dc.identifier.scopusauthoridHedley, AJ=7102584095en_HK

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