Factors Associated with Successful Smoking Cessation in Tunisian Smokers: Findings from the Smoking Cessation Clinic in the University Hospital of Sahloul, Sousse, Tunisia
Jihene Sahli *
Department of Prevention and Safety of Care, University Hospital Sahloul, Route Ceinture Sahloul, 4002 Sousse, Tunisia.
Salwa Khefacha Aissa
Department of Prevention and Safety of Care, University Hospital Sahloul, Route Ceinture Sahloul, 4002 Sousse, Tunisia.
Latifa Merzougui
Department of Prevention and Safety of Care, University Hospital Sahloul, Route Ceinture Sahloul, 4002 Sousse, Tunisia.
Mohamed Ben Rejeb
Department of Prevention and Safety of Care, University Hospital Sahloul, Route Ceinture Sahloul, 4002 Sousse, Tunisia.
Ons Ghali
Department of Prevention and Safety of Care, University Hospital Sahloul, Route Ceinture Sahloul, 4002 Sousse, Tunisia.
Hela Ghali
Department of Prevention and Safety of Care, University Hospital Sahloul, Route Ceinture Sahloul, 4002 Sousse, Tunisia.
Lamine Dhidah
Department of Prevention and Safety of Care, University Hospital Sahloul, Route Ceinture Sahloul, 4002 Sousse, Tunisia.
Houyem Said Latiri
Department of Prevention and Safety of Care, University Hospital Sahloul, Route Ceinture Sahloul, 4002 Sousse, Tunisia.
*Author to whom correspondence should be addressed.
Abstract
Aims: To identify the determinants of successful smoking cessation among the attendees of the smoking cessation clinic of the University Hospital of Sahloul.
Place and Duration of the Study: The smoking cessation clinic of the University Hospital of Sahloul and the the Department of prevention and safety of care, University Hospital Sahloul, Sousse, Tunisia.
Type of the Study: Retrospective study.
Methodology: This study included all the attendees of the smoking cessation clinic of the University Hospital of Sahloul (n=423) from 2009 to 2014. The monitoring of the attendees was performed until October 2015 in order to verify their smoking cessation status at one year.
Results: The participants were predominantly male (n=394, 93.4%). Their mean age was 41.5 ± 13.6 years. The mean number of daily smoked cigarettes is 27.18 ± 14.50 cigarettes. The mean score of the Fagerström test was 6.13 ± 2.39.The smoking cessation rates were 30.70%, 23.40%, 15.10%, 12.8% and 10.4% respectively at one week, one month, three months, six months and at twelve months. In the multivariate analysis, being married, being a smoker for less than 10 years, having an exhaled CO<10 ppm, being confident in quitting and attending the clinic three visits and more were independent factors associated with smoking cessation at 12 months.
Conclusion: Management of smoking cessation consultation needs to take an integrative approach focusing on the identified factors in order to improve current success rates.
Keywords: Tobacco use, smoking, tobacco use cessation, prevention, clinic activities