Risk of smoking cessation treatment dropout: a cohort to help (re)think care

Rev Bras Enferm. 2024 Aug 30;77Suppl 2(Suppl 2):e20230537. doi: 10.1590/0034-7167-2023-0537. eCollection 2024.
[Article in English, Portuguese]

Abstract

Objectives: to evaluate the relative risk of smoking cessation treatment dropout during its intensive phase.

Methods: a retrospective and quantitative cohort study was developed from the electronic medical records of individuals who started smoking cessation treatment between 2015 and 2019 at a specialty clinic in a city in the interior of São Paulo, Brazil. The relative risk of dropping out of treatment was calculated using the Poisson regression model.

Results: it was observed that out of the 396 (100.0%) individuals who started the treatment, 109 (27.5%) abandoned it before the end of the intensive phase. For each one-year increase in age, the risk of dropping out of smoking cessation treatment decreased by an average of 2%.

Conclusions: the risk of dropping out of smoking cessation treatment is higher among younger individuals. It is necessary to rethink the care offered to younger adults to promote the continuity of treatment.

Objetivos:: evaluar el riesgo relativo de abandono del tratamiento para dejar de fumar durante su fase intensiva.

Métodos:: un estudio de cohorte retrospectivo y cuantitativo se desarrolló a partir de los registros médicos electrónicos de individuos que comenzaron el tratamiento para dejar de fumar entre 2015 y 2019 en una clínica de especialidades en una ciudad del interior de São Paulo, Brasil. El riesgo relativo de abandonar el tratamiento se calculó utilizando el modelo de regresión de Poisson.

Resultados:: se observó que, de los 396 (100.0%) individuos que iniciaron el tratamiento, 109 (27.5%) lo abandonaron antes del final de la fase intensiva. Por cada aumento de un año en la edad, el riesgo de abandonar el tratamiento para dejar de fumar disminuyó en un promedio del 2%.

Conclusiones:: el riesgo de abandonar el tratamiento para dejar de fumar es mayor entre los individuos más jóvenes. Es necesario repensar el cuidado ofrecido a los adultos más jóvenes para promover la continuidad del tratamiento.

MeSH terms

  • Adult
  • Brazil
  • Cohort Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Dropouts* / psychology
  • Patient Dropouts* / statistics & numerical data
  • Retrospective Studies
  • Smoking Cessation* / methods
  • Smoking Cessation* / psychology
  • Smoking Cessation* / statistics & numerical data