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What Factors Influence Non-Adherence to the Smoking Cessation Program?
Nagihan Durmuş Koçak1, Ülkü Aka Aktürk1
1Clinic of Pulmonary Diseases, Health Sciences University, Süreyyapaşa Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Turkey.
Turkish Thoracic Journal
|April 16, 2019
Summary
Non-adherence to smoking cessation programs is 24.6%, linked to early smoking initiation and lack of pharmacotherapy. Early intervention for young smokers and tailored pharmacotherapy are crucial for adherence.
Area of Science:
- Public Health
- Behavioral Science
- Clinical Medicine
Background:
- Smoking cessation programs aim to reduce tobacco use.
- Understanding non-adherence is key to improving program effectiveness.
- Identifying factors influencing adherence is crucial for patient outcomes.
Purpose of the Study:
- To determine the rate of non-adherence in a smoking cessation clinic.
- To identify sociodemographic, clinical, and smoking habit factors associated with non-adherence.
- To improve strategies for managing non-adherence in smoking cessation support.
Main Methods:
- A case-control study of 550 subjects from a smoking cessation clinic.
- One-year follow-up to categorize subjects into adherent (controls) and non-adherent (cases) groups.
- Evaluation of sociodemographic, clinical parameters, and smoking habits.
Main Results:
- The non-adherence rate was 24.6% (135 subjects).
- Younger age at smoking initiation (p=0.026) and lack of pharmacotherapy (p<0.0001) were associated with non-adherence.
- Nicotine patch monotherapy increased non-adherence (p=0.022).
- Multivariable analysis identified early smoking age (OR: 1.05) and no pharmacotherapy (OR: 5.00) as independent predictors of non-adherence.
Conclusions:
- Subjects starting smoking at a young age require careful follow-up.
- Lack of pharmacotherapy is a significant predictor of non-adherence.
- Tailored interventions considering age of smoking initiation and pharmacotherapy are recommended.
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