Smoking cessation attempts, aids used, and maintenance of smoking abstinence: a retrospective analysis of data from the 2017 Santé publique France Barometer
Introduction - Each year, about a quarter of smokers attempt to quit for at least one week, but in most cases these attempts end in failure and a return to smoking. To help maintain abstinence from smoking, certain medication-based aids have been shown to be effective. Nevertheless, some smokers turn to other cessation aids, particularly e-cigarettes, whose effectiveness remains a subject of debate to this day. The objective of this article is to document the profiles of users of smoking cessation aids and to examine the maintenance of smoking abstinence based on socioeconomic characteristics and cessation methods, in the French context, over the 2015–2016 period. Methods - The analysis is based on data from the 2017 Santé publique France Health Barometer. The population of interest for this study consists of daily smokers who made an attempt to quit for at least seven days in the past two years (N=1,422). Variables associated in bivariate analysis with the type of support used were included in robust variance Poisson regressions aimed at explaining smoking abstinence for at least six months at the time of the survey, according to the type of support used, and separately by sex. Results - During their last quit attempt in the two years preceding the survey, 14.8% [95% CI: 12.7–17.2] of smokers or former smokers reported using an e-cigarette without nicotine replacement therapy (NRT), 11.7% [9.8–14.0] used NRT without an e-cigarette, 2.8% [1.9–4.1] used an e-cigarette in combination with NRT, and 1.6% [0.9–2.6] used a medication (other than NRT) prescribed by a doctor. 69.1% [66.1–71.9] reported not having used any of the aids mentioned. Among women, smoking abstinence for at least six months in 2017 was associated with a high income level, obesity, a cold-turkey cessation method, and never having previously attempted to quit smoking. Among men, smoking abstinence was associated with older age, being overweight and obesity, a cold-turkey cessation method, and never having previously attempted to quit smoking. Among men who had previously attempted to quit smoking, smoking abstinence was also associated with the use of e-cigarettes (whether or not combined with NRT). Conclusion - Without prejudging a cause-and-effect relationship between the aids used and the outcome of the quit attempt, the results presented here contribute to the characterization of profiles and the monitoring of users of various smoking cessation aids in real-world conditions.
Author(s): Guignard Romain, Verrier Florian, Quatremère Guillemette, Andler Raphaël, El Khoury Fabienne, El Aarbaoui Tarik, Richard Jean-Baptiste, Melchior Maria, Nguyen Thanh Viêt
Publishing year: 2021
Pages: 2-11
Weekly Epidemiological Bulletin, 2021, n° 1, p. 2-11
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