title: Predictors of smoking cessation in smokers with chronic periodontitis: a 24-month study.
abstract: The purpose of this 24-month study was to identify predictors of smoking cessation in a cohort of smokers with chronic periodontitis, attending a multidisciplinary smoking cessation program. Of the 286 subjects screened, 116 were included and received non-surgical periodontal treatment and smoking cessation therapy, which consisted of lectures, cognitive behavioral therapy, and pharmacotherapy, according to their individual needs. During initial periodontal treatment, dentists actively motivated the study subjects to stop smoking, using motivational interviewing techniques. Further smoking cessation counseling and support were also provided by the dentists, during periodontal maintenance sessions at 3, 6, 12 and 24 months of follow-up. Smoking status was assessed by means of a structured questionnaire, and was validated by exhaled carbon monoxide (CO) measurements. The Fagerström Test for Cigarette Dependence was used to assess smoking dependence. Of the 61 individuals that remained up to the 24-month examination, 31, 21 and 18 declared that they were not smoking at 3, 12 and 24 months, respectively. Smoking cessation after 24 months was associated with the male gender (OR = 3.77, 95%CI = 1.16-12.30), baseline CO levels less than 10ppm (OR = 5.81, 95%CI 1.76-19.23), not living or working with another smoker (OR = 7.38, 95%CI 1.76-30.98) and a lower mean Fagerström test score (OR = 5.63, 95%CI 1.55-20.43). We concluded that smoking cessation was associated with demographic, smoking history and cigarette dependence variables.
authors.affiliation: Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil.
authors.forename: Gislene
authors.initials: G
authors.lastname: Inoue
authors.affiliation: Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil.
authors.forename: Ecinele Francisca
authors.initials: EF
authors.lastname: Rosa
authors.affiliation: Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil.
authors.forename: Elaine Fueta
authors.initials: EF
authors.lastname: Gomes
authors.affiliation: Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil.
authors.forename: Mariana Rocha
authors.initials: MR
authors.lastname: Guglielmetti
authors.affiliation: Aarhus University, Department of Clinical Epidemiology, Aarhus, Denmark.
authors.forename: Priscila
authors.initials: P
authors.lastname: Corraini
authors.affiliation: Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil.
authors.forename: Ricardo Koji
authors.initials: RK
authors.lastname: Takano
authors.affiliation: Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil.
authors.forename: Viviane Lé
authors.initials: VL
authors.lastname: Ferreira
authors.affiliation: Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil.
authors.forename: Giuseppe Alexandre
authors.initials: GA
authors.lastname: Romito
authors.affiliation: Universidade de São Paulo - USP, University Hospital, São Paulo, SP, Brazil.
authors.forename: João Paulo Becker
authors.initials: JP
authors.lastname: Lotufo
authors.affiliation: Universidade de São Paulo - USP, University Hospital, São Paulo, SP, Brazil.
authors.forename: Edinalva Tanajura Cruz
authors.initials: ET
authors.lastname: Souza
authors.affiliation: Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil.
authors.forename: Cláudio Mendes
authors.initials: CM
authors.lastname: Pannuti
mesh_terms: D000328:Adult; D000367:Age Factors; D001938:Brazil; D002248:Carbon Monoxide / Q000032:analysis; D055113:Chronic Periodontitis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects* / Q000628:therapy*; D016540:Smoking Cessation / Q000523:psychology / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D002248:Carbon Monoxide