Nationwide Smoking Cessation Treatment Support Program--Turkey project
| Autor: | Deniz Yuce, Turan Buzgan, Nihat Tosun, Murat Tuncer, Mutlu Hayran, Mustafa Erman, Ismail Celik, Hasan Irmak, Recep Akdağ, Saadettin Kilickap |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Turkey medicine.medical_treatment Pulmonary disease Primary care Coronary artery disease chemistry.chemical_compound Diabetes mellitus medicine Humans Varenicline Bupropion business.industry Health Policy Middle Aged medicine.disease Tobacco Use Cessation Devices chemistry Family medicine Physical therapy Smoking cessation Christian ministry Female Smoking Cessation business medicine.drug Program Evaluation |
| Zdroj: | Health policy (Amsterdam, Netherlands). 119(1) |
| ISSN: | 1872-6054 |
| Popis: | Background In 2011, Turkish Ministry of Health (MoH) initiated a nation-wide “Smoking Cessation Treatment Support Program” (SCTSP), to provide smoking cessation drugs free of charge. Methods SCTSP was conducted in all 81 cities of Turkey, at 228 smoking cessation clinics, and by over 400 physicians. In total, 164,733 participants took advantage of the program between January and November 2011. Varenicline (Champix ® , Pfizer) and Bupropion (Zyban ® , GlaxoSmithKline) were used in the program at a ratio of 0.7 and 0.3 respectively. Post-program data were obtained by phone interviews from randomly selected participants, who had completed a 1-year follow-up after enrollment in the program. Findings Quit rates were 29.6% for those given Varenicline and 25.1% for those given Bupropion. The quit rates for participants with hypertension (35.0%), diabetes mellitus (36.9%), coronary artery disease (32.1%) and cerebrovascular events (34.0%) were higher than those without. Increased age, female gender, longer duration of cessation drug use, low Fagerstrom score, the presence of hypertension, the absence of chronic obstructive pulmonary disease, and the absence of cancer were found to be associated with higher success rates. Interpretation SCTSP is the first successful report of a nation-wide community-based smoking cessation intervention. The real-life quit rates obtained herein are comparable to those of clinical evidence to date. The centralization of smoking cessation clinics, standardization of treatment guidelines, application of a specific drug assignment algoritm, and provision of primary care support and follow-ups by trained physicians, appeared to be key elements for success. |
| Databáze: | OpenAIRE |
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