title: Epidemiologic determinants affecting cigarette smoking cessation: a retrospective study in a National Health System (SSN) treatment service in Rome (Italy).
abstract: This retrospective study aims to evaluate epidemiologic characteristics of patients attending stop smoking courses, based on group therapy, testing their influence on smoking cessation in univariate and multivariate model. A total of 123 patients were included in this study. Mean age was 53 (+/-11). Sixty-seven percent were women. At the end of the courses 66% of patients stopped smoking, after 12 months only 39% remained abstinent. Patients younger than 50 years statistically tended to continue smoking 6 months (P = .02-R.R. = 1.49, C.I. 95%: 1.06-2.44) and 12 months (P = .03-R.R. = 1.37, C.I. 95%: 1.02-2.52) after the end of the courses. A low self-confidence in quitting smoking was significantly related to continuing tobacco consumption after 6 months (P = .016-R.R. = 1.84, C.I. 95%: 1.14-2.99). Low adherence to therapeutic program was statistically associated to maintenance of tobacco use at 6 months (P = .006-R.R. = 1.76, C.I. 95%: 1.32-2.35) and 12 months (P = .050-R.R. = 1.45, C.I. 95%: 1.11-1.88). This association was confirmed at 6 months in the analysis performed on logistic regression model (P = .013).
authors.affiliation: Department of Public Health, University of Roma Tor Vergata, via Montpellier 1, 00133 Roma, Italy. m.marino@med.uniroma2.it
authors.forename: Maria Giulia
authors.initials: MG
authors.lastname: Marino
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Fusconi
authors.forename: Rosanna
authors.initials: R
authors.lastname: Magnatta
authors.forename: Augusto
authors.initials: A
authors.lastname: Panà
authors.forename: Massimo
authors.initials: M
authors.lastname: Maurici
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009313:National Health Programs; D010349:Patient Compliance / Q000706:statistics & numerical data; D011615:Psychotherapy, Group; D012189:Retrospective Studies; D012307:Risk Factors; D012384:Rome / Q000453:epidemiology; D020377:Self Efficacy; D012907:Smoking / Q000453:epidemiology* / Q000523:psychology; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology / Q000706:statistics & numerical data*
references.citation: J Clin Psychol. 1998 Feb;54(2):223-35
references.pmid: 9467767
references.citation: Cancer Epidemiol Biomarkers Prev. 2007 Mar;16(3):617-9
references.pmid: 17337647
references.citation: Health Educ Res. 2009 Feb;24(1):54-63
references.pmid: 18212132
references.citation: Addiction. 2004 Jun;99(6):778-84
references.pmid: 15139876
references.citation: Swiss Med Wkly. 2003 Jan 25;133(3-4):39-43
references.pmid: 12596085
references.citation: Nicotine Tob Res. 2007 Aug;9(8):801-10
references.pmid: 17654293
references.citation: Conn Med. 1964 Dec;28:885-90
references.pmid: 14216227
references.citation: Nicotine Tob Res. 2006 Feb;8(1):29-36
references.pmid: 16497597
references.citation: Nicotine Tob Res. 2004 Dec;6 Suppl 3:S363-9
references.pmid: 15799599
references.citation: Addiction. 2003 Aug;98(8):1101-10
references.pmid: 12873244
references.citation: Heart Lung. 2008 Nov-Dec;37(6):455-65
references.pmid: 18992629
references.citation: Am J Public Health. 2007 Aug;97(8):1503-9
references.pmid: 17600268
references.citation: Epidemiol Prev. 1998 Jul-Sep;22(3):165-70
references.pmid: 9842127
references.citation: Cochrane Database Syst Rev. 2005 Apr 18;(2):CD001007
references.pmid: 15846610
references.citation: Tob Control. 2006 Jun;15 Suppl 3:iii83-94
references.pmid: 16754952
references.citation: J Gen Intern Med. 2006 Jun;21(6):590-5
references.pmid: 16808741
references.citation: J Bras Pneumol. 2008 Sep;34(9):695-701
references.pmid: 18982207
references.citation: Am J Health Behav. 2009 Mar-Apr;33(2):125-34
references.pmid: 18844507
references.citation: Addict Behav. 2003 Sep;28(7):1203-18
references.pmid: 12915164
references.citation: Am J Public Health. 2009 Feb;99(2):231-3
references.pmid: 19059846
references.citation: Drug Alcohol Depend. 2009 Mar 1;100(3):214-20
references.pmid: 19056188
references.citation: Br J Gen Pract. 2003 Feb;53(487):101-7
references.pmid: 12817354
references.citation: Am J Public Health. 2002 Jun;92(6):990-6
references.pmid: 12036794
references.citation: Epidemiol Prev. 2001 May-Jun;25(3):113-7
references.pmid: 11697175
references.citation: Am J Health Promot. 2005 May-Jun;19(5):346-54
references.pmid: 15895537
references.citation: Br J Addict. 1991 Sep;86(9):1119-27
references.pmid: 1932883
references.citation: Health Educ Res. 1993 Dec;8(4):537-46
references.pmid: 10146562
references.citation: Respir Med. 2008 Aug;102(8):1182-92
references.pmid: 18586479
references.citation: Tob Control. 1997;6 Suppl 2:S57-62
references.pmid: 9583654
references.citation: Addict Behav. 2008 Jun;33(6):821-30
references.pmid: 18261859
references.citation: Addict Behav. 2007 Jul;32(7):1486-93
references.pmid: 17097816
references.citation: BMC Public Health. 2008 Aug 04;8:274
references.pmid: 18680600
references.citation: Circulation. 2005 Jul 26;112(4):489-97
references.pmid: 16027251
references.citation: Am J Public Health. 2007 Aug;97(8):1470-5
references.pmid: 17600248
references.citation: Epidemiol Prev. 2007 Mar-Jun;31(2-3):148-57
references.pmid: 18677864
references.citation: J Gen Intern Med. 1992 Jul-Aug;7(4):398-404
references.pmid: 1506945
references.citation: J Aging Health. 2006 Aug;18(4):552-64
references.pmid: 16835389
references.citation: Eur Addict Res. 2002 Jun;8(3):109-17
references.pmid: 12065959
references.citation: Addict Behav. 1994 Jan-Feb;19(1):1-12
references.pmid: 8197887
references.citation: N Z Med J. 2003 May 02;116(1173):U417
references.pmid: 12740611
references.citation: Epidemiol Prev. 2002 Jan-Feb;26(1):18-29
references.pmid: 11942141
references.citation: Addict Behav. 2009 Apr;34(4):365-73
references.pmid: 19097706
references.citation: Psychol Addict Behav. 2002 Mar;16(1):22-7
references.pmid: 11934082