Government’s subsidisation policy and utilisation of smoking cessation treatments: a population-based cross-sectional study in Taiwan
Autor: | Wan-Chun Chen, Yu-Lung Chiu, Hui-Wan Chuang, Chung-Yu Lai, Chien-Chih Yeh, Sheng-Kuang Wang, Yi-Kai Tseng, Chi-Wen Kao, Li-Chen Yen |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Adult
medicine.medical_specialty Multivariate analysis Adolescent Cross-sectional study medicine.medical_treatment health services administration & management Taiwan lcsh:Medicine Pharmacy 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Health policy Smoking and Tobacco 030505 public health business.industry Public health lcsh:R public health health policy General Medicine Cross-Sectional Studies Policy Government Marital status Smoking cessation Household income Smoking Cessation 0305 other medical science business Demography |
Zdroj: | BMJ Open BMJ Open, Vol 11, Iss 1 (2021) |
ISSN: | 2044-6055 |
Popis: | ObjectivesThis study examined the associations between the Second-Generation Cessation Payment Scheme (SCPS) and the use of smoking cessation treatments. Furthermore, these associations were compared between light and heavy smokers in Taiwan.DesignThis study had a cross-sectional design.SettingData were obtained from the Taiwan Adult Smoking Behaviour Surveillance System 2010–2011 and 2013–2014; data for each year consisted of a nationally representative sample of adults aged 18 years and older.ParticipantsCurrent smokers who had either quit or made a serious attempt to quit smoking were selected for the analysis.Primary outcome measureThe primary outcome measure was the use of a smoking cessation clinic or pharmacy in a twice daily to quit smoking.ResultsAccording to multivariate analysis, the SCPS was positively associated with the combined use of a smoking cessation clinic and a pharmacy (OR=3.947; 95% CI: 1.359 to 11.463) when individual-level predictors (gender, age, education level, marital status, monthly household income, daily cigarette consumption, smoking status and self-reported health) were controlled. Heavy smokers showed a significant increase in the sole use of a pharmacy (OR=1.676; 95% CI: 1.094 to 2.569) and combined use of a smoking cessation clinic and pharmacy (OR=8.984; 95% CI: 1.914 to 42.173) after the SCPS was introduced. In addition, when related factors were controlled, the use of smoking cessation services was more frequent among heavy smokers than light smokers, including any treatment (OR=1.594; 95% CI: 1.308 to 1.942), a smoking cessation clinic (OR=1.539; 95% CI: 1.232 to 1.922), a pharmacy (OR=1.632; 95% CI: 1.157 to 2.302) and the combination of a smoking cessation clinic and pharmacy (OR=4.608; 95% CI: 1.331 to 15.949) .ConclusionsThe SCPS subsidisation policy increased the use of smoking cessation treatments, particularly among heavy smokers. |
Databáze: | OpenAIRE |
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