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Journal of Environmental and Public Health
Volume 2010, Article ID 183206, 9 pages
http://dx.doi.org/10.1155/2010/183206
Clinical Study

Epidemiologic Determinants Affecting Cigarette Smoking Cessation: A Retrospective Study in a National Health System (SSN) Treatment Service in Rome (Italy)

1Department of Public Health, University of Roma Tor Vergata, via Montpellier 1, 00133 Roma, Italy
2Smoking Treatment Service, Local Health District 9 Roma C via Monza 2, 00182 Roma , Italy

Received 12 August 2009; Accepted 19 January 2010

Academic Editor: Jill Pell

Copyright © 2010 Maria Giulia Marino et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 ( ± 1 1 ). 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 = . 0 2 - R . R . = 1.49, C.I. 95%: 1.06–2.44) and 12 months ( 𝑃 = . 0 3 - 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 = . 0 1 6 - 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 = . 0 0 6 - R . R . = 1.76, C.I. 95%: 1.32–2.35) and 12 months ( 𝑃 = . 0 5 0 - 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 = . 0 1 3 ).