Ismail, Muhammad Ikhwan
(2020)
Unsuccessful quitters among smokers in stop smoking services in Perlis : the proportion and its associated factors.
Masters thesis, Universiti Sains Malaysia.
Abstract
Background: Tobacco smoking is one of the modifiable factor that contribute to
non-communicable disease worldwide. Thus as a preventive strategy, one of the
WHO Framework Convention on Tobacco Control (FCTC) recommendation is to
provide stop smoking services in health facility especially in primary health care.
Stop Smoking Services was introduced in Malaysia in 2004. However, the success
rate has been mixed and not much has been known about the associated factors.
Therefore it is important to identify risk group to improve the outcome of the
treatment in the Stop Smoking Services.
Objectives: This study aimed to measures the proportion of, and identifies the
factors associated with, unsuccessful quitters among smokers in Stop Smoking
Services in government health clinics in Perlis.
Methodology: This was a retrospective record review study using data from the Stop
Smoking Services registry and patient file card between January 2017 and Jun 2019.
The registry system started from 2004 aiming to standardize the management of stop
smoking clients and to monitor the outcome of the services. It included 427 data that
fulfil criteria. All clients who registered with stop smoking services in Perlis health
clinics were included. Multiple logistic regression was used to assess for factors
associated with unsuccessful quitters. Factor that included were age, gender,
ethnicity, marital status, education level, hypertension disease, number of clinic
session, previous attempt to quit, duration of smoking and type of treatment. At
univariate level, factors with p-value <0.25 was chosen for multiple logistic
regression. Multiple logistic regression was presented as adjusted odd ratio (AdjOR),
95% CI and Wald statistic. Unsuccessful quitters define as clients who fail to quit
smoking within 6 months of follow up.
Results: Prevalence of unsuccessful quitters among smokers who attended stop
smoking clinics in Perlis from January 2017 to Jun 2019 was 63%. Multiple logistic
regression showed that those who attended at least four times the clinic session
(AdjOR 0.15; 95% CI: 0.10, 0.24) and being married (AdjOR: 0.36; 95%CI: 0.14,
0.93) contributed to unsuccessful quitters among smokers. They predicted the
likelihood of being successful instead of unsuccessful.
Conclusion: The proportion of unsuccessful quitters among smoker in Stop Smoking
Services in Perlis health clinic was high. The number of clinic session attended and
marital status were factors associated with unsuccessful quitters among smoker in
Perlis.
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