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Predictors of smoking treatment outcome in a population of older adults in the Valencian Community

abstract

Tobacco consumption is one of the most important risk factors for disease and death in Spain.
Therefore, the aim of this study was to investigate the epidemiological characteristics of 239 smoking
patients over 50 years of age in a hospital smoking cessation unit, as well as to analyse the main
predictors that may influence their cessation attempts at 12 months. It is a cross-sectional analytical
study with multicomponent treatment combining psychological therapy and pharmacological intervention.
A multivariate and binary logistic regression analysis was carried out to compare patients’
cessation success and to identify possible predictors. Of all patients, 49.7% established D-day and
the final quit rate was 41.4%. Significant predictors of quit attempts were: pack-year index between
30 and 60, cooximetry value ≤ 10ppm, with one or more times of previous attempts, maximum
cessation time greater than three months and high grade on the Richmond test. The Minnesota
scale with a value of less than 5 points was the only predictor of timely abstinence at 12 months. Patients
who used less tobacco and reported previous attempts and high motivation were more likely
to make a successful decision to quit smoking. In addition, controlling the withdrawal syndrome was
the most important aspect to treat and reduce the relapse rate.

Keywords:

Smoking; addictions; abstinence; predictors; smoking cessation.

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Authors

  • Yang Wang - Departamento de Medicina Preventiva y Salud Pública, Ciencias de la Alimentación, Toxicología y Medicina Legal, Facultad de Medicina, Universidad de Valencia, Valencia, España.

  • Andrea Álvarez-Sala - Departamento de Medicina Preventiva y Salud Pública, Ciencias de la Alimentación, Toxicología y Medicina Legal, Facultad de Medicina, Universidad de Valencia, Valencia, España.

  • Javier Guillem Saiz - Departamento de Medicina Preventiva y Salud Pública, Ciencias de la Alimentación, Toxicología y Medicina Legal, Facultad de Medicina, Universidad de Valencia, Valencia, España.

  • Carmen Saiz Sánchez - Departamento de Medicina Preventiva y Salud Pública, Ciencias de la Alimentación, Toxicología y Medicina Legal, Facultad de Medicina, Universidad de Valencia, Valencia, España.

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