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Adherence to nicotine replacement therapy among Chinese smokers who had no intention to quit smoking

By ZSF Wan, SSC Chan, DYP Leung, AJ Hedley, TH Lam and ASM Abdullah

Abstract

Session - Publication only: Global health: SP4-22This journal supplement contains ptogramme and abstracts of the IEA World Congress of Epidemiology 2011INTRODUCTION: Evidence had shown that nicotine replacement therapy (NRT) is effective to help smokers quit. Many studies reported a positive linear relationship between adherence and cessation rates however, adherence to NRT among unmotivated smokers is uncertain. METHODS: Chinese smokers who aged $18, had no intention to quit within 4-week and had no contraindication to NRT were recruited and randomly allocated to Group A1, A2 and B in a RCT. Only Group A1 and A2 were provided 8-week free NRT. We reported 8-week adherence rate to NRT at 3-month and reasons for noncompliance among subjects in Group A1 and A2. RESULTS: From October 2004 to April 2007, 1154 smokers were recruited (Group A1¼479; A2¼449; B¼226). Subjects in Group A1 and A2 (n¼928) were 42.0610.3 year-old and smoked 19.669.4 cigarettes daily on average. We contacted 797 subjects (85.9%) for 3-month follow-up, but those who did not receive 8-week free NRT (n¼115; 14.4%) were removed from the analysis. 55.4% (378/682) used NRT as the recommended regime, 41.6% (284/682) did not fully comply with the prescription and 3.0% (20/682) even did not use it. Among 304 (n¼284+20) who did not comply, “Forget to use” (24.0%) and “Side effects” (14.5%) are the two most cited reasons for non-compliance. CONCLUSION: The adherence rate in this study is more encouraging compared to a local study (20%) which only provided 1-week free NRT. Thus, providing the entire course of free NRTseems to yield an improved NRT adherence among unmotivated Chinese smokers.The 19th IEA World Congress of Epidemiology, Edinburgh, Scotland, 7-11 August 2011. In Journal of Epidemiology & Community Health, 2011, v. 65 suppl. 1, p. A439-A440, abstract no. SP4-2

Topics: Medical sciences public health and safety
Publisher: 'BMJ'
Year: 2011
DOI identifier: 10.1136/jech.2011.142976p.16
OAI identifier: oai:hub.hku.hk:10722/146992
Provided by: HKU Scholars Hub
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