Success Rate of Smoking Quitting in those who Attends Smoking Cessation Clinic: A Cross Sectional Study
Abdulhakam Falemban and Mostafa Kofi*
Family and Community Medicine Department, Prince Sultan Medical City, Riyadh, Saudi Arabia
*Corresponding Author: Mostafa Kofi, Professor, Family and Community Medicine Department, Prince Sultan Medical City, Riyadh, Saudi Arabia.
April 13, 2022; Published: May 19, 2022
Background: Different cessation rates have been reported from various smoking cessation clinics. There is limited and contradicting available data about smoking cessation rate in Saudi Arabia.
Objectives: To objectively and accurately measure the cessation rate, and subsequently the effectiveness, of smoking cessation clinics.
Subjects and Methods: Cross-sectional observational study was carried out at the smoking cessation clinic, Ministry of Health, Makkah city. It included a sample of smokers enrolled in the national Saudi tobacco control program and followed regularly with an anti-smoking clinic at least for 3 months despite the form of treatment (either cognitive behavioral therapy or pharmaceutical). A self-administered Arabic validated questionnaire was used in this study. It includes two main sections: the demographic data of the participants, and the factors and the determinants that faced the participants in the smoking cessation process.
Results: A total of 340 smokers were included in this study. Most of them (77.4%) were males. Their age ranged between 18 and 66 years with an arithmetic mean of 37.9 and standard deviation of 12.1 years. Almost one-quarter of the participants (27.4%) had succeeded to quit smoking. Determination and purposefulness was the main reason for successful smoking cessation (53.8%), followed by following anti-smoking program (21.5%) and using anti-smoking therapy (10.8%). Starting smoking after age of 20 years (p = 0.001), smoking 10 cigarettes or less per day (p<0.001) and frequent trying to quit smoking (p<0.001) were significant determinants for successful smoking cessation.
Conclusion: The smoking cessation success rate among smokers attending the smoking cessation clinic, Ministry of Health in Makkah is quite acceptable; however can be improved.
Keywords: Smoking Cessation; Success; Anti-smoking Clinics
- Mathers CD and Loncar D. “Projections of global mortality and burden of disease from 2002 to 2030”. PLoS Medicine11 (2006): e442.
- GBD 2015 Tobacco Collaborators. “Smoking prevalence and attributable disease burden in 195 countries and territories, 1990-2015: a systematic analysis from the Global Burden of Disease Study 2015”. Lancet 10082 (2017): 1885-1906.
- Bonita R., et al. “Country actions to meet UN commitments on non-communicable diseases: a stepwise approach”. Lancet9866 (2013): 575-584.
- Abuse S., et al. “The Health Benefits of Smoking Cessation. Smoking Cessation: A Report of the Surgeon General”. US Department of Health and Human Services (2020).
- Yano EM., et al. “Targeting Primary Care Referrals to Smoking Cessation Clinics Does Not Improve Quit Rates: Implementing Evidence‐Based Interventions into Practice”. Health services research5 (2008): 1637-1661.
- Kennedy DT., et al. “Results of a smoking cessation clinic in community pharmacy practice”. Journal of the American Pharmaceutical Association (1996) 42.1 (2002): 51-56.
- Rasmussen M., et al. “Effectiveness of the Gold Standard Programme compared with other smoking cessation interventions in Denmark: a cohort study”. BMJ open2 (2017): e013553.
- Fung PR., et al. “Effectiveness of hospital-based smoking cessation”. Chest1 (2005): 216-223.
- Ezat W., et al. “Pattern and predictors of smoking cessation among smokers attending smoking cessation clinics in Peninsular Malaysia”. Journal of Community Health1 (2008): 17-23.
- Zhu WH., et al. “Characteristics of smokers and predictors of quitting in a smoking cessation clinic in Guangzhou, China”. Journal of Public Health2 (2010): 267-276.
- Abdullah ASM., et al. “Establishment and evaluation of a smoking cessation clinic in Hong Kong: a model for the future service provider”. Journal of Public Health3 (2004): 239-244.
- Jaghbir M., et al. “Quitting smoking and utilization of smoking cessation services in Jordan: a population-based survey”. EMHJ-Eastern Mediterranean Health Journal9 (2014): 538-546.
- Al-Doghether MH. “Do we need national guidelines for smoking cessation?” King Faisal Specialist Hospital and Research Centre (2001).
- Mackay J., et al. “The tobacco atlas: World Health Organization” (2002).
- Moradi-Lakeh MTobacco consumption in the Kingdom of Saudi Arabia, 2013: findings from a national survey”. BMC Public Health1 (2015): 611.
- Bassiony MM. “Smoking in Saudi Arabia”. Saudi Medical Journal7 (2009): 876-881.
- Salih MA and Farghaly AAB. “Determinants of outcome among smoker in a smoking cessation program”. Journal of Family and Community Medicine2 (1996): 22.
- Juma MA., et al. “Success rate and determinants of smoking cessation among patients attending Ministry of Health smoking cessation clinics program in Jeddah, Saudi Arabia 2018”. Indo American Journal of Pharmaceutical Sciences 12 (2019): 17680-17694.
- World Health Organization. “WHO Global Report On Trends in Prevalence of Tobacco Smoking 2015”. (2015).
- West R., et al. “Performance of English stop smoking services in first 10 years: analysis of service monitoring data”. BMJ 347 (2013): f4921.
- West R., et al. “Can we trust national smoking prevalence figures? Discrepancies between biochemically assessed and self-reported smoking rates in three countries”. Cancer Epidemiology, Biomarkers and Prevention 4 (2007): 820-822.
- Bacha ZA., et al. “Factors associated with smoking cessation success in Lebanon”. Pharmacy Practice1 (2018): 1111.
- Joly B., et al. “Success rates in smoking cessation: Psychological preparation plays a critical role and interacts with other factors such as psychoactive substances”. Pershouse MA, editor. PLoS One10 (2020): e0184800.
- Creamer MR., et al. “Tobacco Product Use and Cessation Indicators Among Adults — United States, 2018”. Morbidity and Mortality Weekly Report 68 (2019): 1013-1019.
- Hughes JR., et al. “Shape of the relapse curve and long-term abstinence among untreated smokers”. Addiction 99 (2004): 29-38.
- Abdelwahab SI., et al. “Patterns of Use, Cessation Behavior and Socio-Demographic Factors Associated with Smoking in Saudi Arabia: a Cross- Sectional Multi-Step Study”. Asian Pacific Journal of Cancer Prevention 2 (2016): 655-660.
- Nicotine et troubles neuropsychiatriquesÐHenri-Jean Aubin, Collectif (2016).
- “Arrêt du tabac chez les patients atteints d'affections psychiatriques”. ConfeÂrence d'experts. Paris: OFT (2009).
- Gillet C. “Quelle deÂmarche de soins et d'accompagnement?” Tabac, alcool et cannabis. Alcoologie Addictologie. DeÂcembre (2007): 390-7.
- TraiteÂ d'addictologie (2ÊEÂ d.) REYNAUD Michel, KARILA Laurent, AUBIN Henri-Jean, BENYAMINA Amine. Librairie Lavoisier (2016).
- Hall SM., et al. “Smoking cessation abstinence goal in treatment-seeking smokers”. Addict Behaviour 42 (2015): 148-153.
- Abdullah AS., et al. “Predictors of smoking cessation behavior among Bangladeshi adults: findings from ITC Bangladesh survey”. Tobacco Induced Diseases1 (2015): 23.
- Stolz D., et al. “Predictors of success for smoking cessation at the workplace: a longitudinal study”. Respiration 1 (2014): 18-25.
- World Health Organization. “Adherence to long-term therapies” (2017).
- Catz SL., et al. “Adherence to varenicline in the COMPASS smoking cessation intervention trial”. Nicotine and Tobacco Research5 (2011): 361-368.
- Nayan S., et al. “Smoking cessation interventions and cessation rates in the oncology population: an updated systematic review and meta-analysis”. Otolaryngology–Head and Neck Surgery2 (2013): 200-211.
- Karam-Hage M., et al. “Tobacco use and cessation for cancer survivors: an overview for clinicians”. CA Cancer Journal of Clinics4 (2014): 272-290.
- Azevedo RCS de and Fernandes RF. “Factors relating to failure to quit smoking: a prospective cohort study”. São Paulo Medical Journal/. Revista Paulista de Medicina 6 (2011): 380-386.
- Gritz ER., et al. “Smoking behavior following diagnosis in patients with stage I non-small cell lung cancer”. Cancer Causes Control CCC2 (1991): 105-112.
- Ostroff JS., et al. “Prevalence and predictors of continued tobacco use after treatment of patients with head and neck cancer”. Cancer2 (1995): 569-576.
- Ostroff J., et al. “Cigarette smoking patterns in patients after treatment of bladder cancer”. Journal of Cancer Education2 (2000): 86-90.
- Sanderson Cox L., et al. “Tobacco use outcomes among patients with lung cancer treated for nicotine dependence”. Journal of Clinical Oncology16 (2002): 3461-3469.