Predictors for smoking cessation: a study of compliance of cigarette smokers treated with acupuncture in Hong Kong*
2016, 39 (1):
Objective To explore the predictors for the compliance of cigarette smokers who were acupunctured for stopping smoking in Hong Kong. Methods Motivated daily smoking quitters were recruited from the project of Plot Study of Acupuncture for Smoking Cessation conducted by Institute of Acupuncture and Moxibustion of China Academy of Chinese Medical Sciences and Hong Kong Pok Oi Hospital from August, 2010 to June, 2015. After comparing the subjects dropped out of the study with the ones completed it, the data of demography, smoking background, desire of smoking cessation were obtained. Then the compliance data at the 8th week and the 52nd week were taken as independent variable, and the predictors were screened by using Logistic regression analysis. Results Altogether 4 480 volunteers were eligible, with the compliance rate at the 8th week, 26th week and 52nd week of 68.86%, 58.24% and 49.51% respectively. The participants were primary males (62.25%), the age was 43.50±12.04 years, and 62.46% had a secondary education. The smoking background was listed as the following: smoking history was (25.09±11.61) years, number of smoked cigarettes per day (CPD) was 17.68±7.90, Fagerstrom Test For Nicotine Dependence (FTND) score was 5.35±2.29, the percentage of previous quit attempts was 81.12% and 80.96% quit attempts concerned about health. The participants received 5.40±3.25 sessions of acupuncture. The Results of Logistic regression analysis indicated that the predictors for smoke cessation with acupuncture treatment were some different for eight weeks and for 52 weeks. At the eight-week-treatment, the predictors were “FTND score”(OR＝1.048,95% CI[1.007,1.092]), “due to persuasion” (OR＝0.795, 95%CI[0.708,0.892]), “reasons to select acupuncture” (OR＝1.101,95%CI[1.031,1.176]), “total cessations of acupuncture received” (OR＝”1.346, 95%CI[1.290, 1.404]), and “whether finished six cessations of acupuncture in the first month” (OR＝2.975,95%CI[2.424,3.652]). At the 52-week-treatment, the predictors were “gender” (OR＝1.406,95%CI[1.207,1.637]), “total cessations of acupuncture received” (OR＝1.134,95%CI[1.097,1.173]), and “whether received six cessations of acupuncture in the first month” (OR＝5.128,95%CI[4.242,6.220]). Conclusion The compliance of the smoking quitters treated with acupuncture was high, and the predominant predictor in increasing the compliance was high-quality acupuncture received.
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