Keywords
smoking cessation clinic
primary care
Abstract
Objective: This study aimed to conduct a retrospective data analysis of a smoking cessation clinic in a Family Health Center, which is rare in Turkey in terms of being defined and operating simultaneously, and to evaluate it from a primary care perspective.
Method: The study was cross-sectional. The data of the smoking cessation clinic between July 2016 and September 2019 were scanned through the automation system. Demographic characteristics, addiction scores, carbon monoxide levels, number of visits, treatments, and success rates of all individuals aged 18 years and older who applied to the clinic were investigated.
Results: A total of 191 individuals were interviewed 503 times. The mean age of the individuals was 39.4 ± 12.8 years, and 83.3% (n=159) were male. The one-year smoking cessation rate was 69.8%. The number of interviews increased smoking cessation. There was a weak and positive correlation between the number of interviews and carbon monoxide levels (r=0.17, p=0.02) and a weak correlation between age and carbon monoxide levels (r=0.35, p<0.001).
Conclusion: The respective smoking cessation clinic achieved a high success rate. Combination therapies are more successful than other treatments. Increasing the number of smoking cessation clinics in family health centers, often the first point of application due to ease of access, may increase smoking cessation rates.
References
Unal M, Yalcin BM, Ozturk O. A patient having recurrent aphtous stomatitis after three years of smoking cessation; a case report and review of literature. J Addict Res Ther 2014; 5(4): 2-5.
Çelik M, Erdoğan A. Tütün kullanımının epidemiyolojisi. Turkiye Klinikleri J Fam Med-Special Topics 2016; 7(5): 6-12.
Ozturk O, Fidanci I. The relationship between smoking and cancer: mini review. Cancer Surg 2016; 1(2): 2-3.
Sağlık Bakanlığı. GATS (Global Adult Tobacco Survey) Fact Sheet, Turkey 2016. Ankara, Sağlık Bakanlığı, 2019.
Öztürk O, Selçuk MY, Yalçın BM, Ünal M. Self-control, everything for smoking cessation? Turkish Journal of Family Medicine and Primary Care. 2016; 10(1): 4-5.
T.C. Sağlık Bakanlığı Alo 171 Sigara Bırakma Danışma Hattı. Tedavi Merkezleri. https://hsgm.saglik.gov.tr/tr/alo171/alo-171/alo-171-sigara-birakma-danisma-hatti-2.html. Accessed: 29.04.2021.
Anadolu Ajansı. Sigarayı bırakma polikliniklerinden 2,5 milyon kişi hizmet aldı. https://www.aa.com.tr/tr/saglik/sigarayi-birakma-polikliniklerinden-2-5-milyon-kisi-hizmet-aldi/1533870. Accessed: 22.02.2021.
McIvor A, Kayser J, Assaad JM, et al. Best practices for smoking cessation interventions in primary care. Can Respir J 2009; 16(4): 129-134.
Fırat M, Kanbay Y, Ayran G. Sigara, alkol ve madde kullanımı tarama testinin Türkçe geçerlilik ve güvenilirliği. Addicta: The Turkish Journal on Addictions 2019; 6(4): 244-256.
Benli A.R. Tütün ürünleri ve sigara denetimlerine yönelik farklı bir bakış. Bağımlılık Dergisi 2023; 24(3): 402-405.
Sağlık Bakanlığı. Tütün kontrolü çalışmalarında kullanılan 2009/44 sayılı genelge ekindeki değişiklikler. https://www.saglik.gov.tr/TR,11157/tutun-kontrolu-calismalarinda-kullanilan-200944-sayili-genelge-ekindeki degisiklikler. Accessed: 22.02.2021.
Abakay A, Işık R. Sigara bırakmada farmakolojik tedavi: nikotin replasman tedavileri. Güncel Göğüs Hastalıkları Serisi 2016; 4 (1): 104-107.
McDonough M. Update on medicines for smoking cessation. Aust Prescr 2015; 38(4): 106–111.
Koç EM, Başer DA, Döner P, et al. Hastane çalışanlarının sigara içme düzeylerinin belirlenmesi ve dumansız hava sahası uygulamasının değerlendirilmesi. J Clin Exp Invest 2015; 6 (1): 33-39.
Asarcık Belediyesi. http://asarcik.bel.tr/sayfa.aspx?s=ilcemiz Accessed:22.02.2021.
Öztürk O. Bir aile sağlığı merkezinde kurulan sigara bıraktırma kliniği ve çalışma disiplini. Turk J Public Health 2019; 17(1): 100-101.
Heatherton TF, Kozlowski LT, Frecker RC, et al. The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. British journal of addiction. 1991; 86(9): 1119-1127.
Sandberg A, Sköld CM, Grunewald J, et al. Assessing recent smoking status by measuring exhaled carbon monoxide levels. PLoS One 2011; 6(12): e28864.
Kaçan B, Erkuş UU, Fındık G, et al. Riskli sürücü davranışlarının transteorik model temelinde incelenmesi: bir grup karşılaştırması çalışması. Trafik ve Ulaşım Araştırmaları Dergisi 2018; 1(2): 33–47.
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977; 33(1): 159-174.
Salepçi B, Fidan A, Oruç Ö, et al. Sigara bırakma polikliniğimizde başarı oranları ve başarıda etkili faktörler. Toraks Derg 2005; 6(2):151-158.
Argüder E, Karalezli A, Hezer H, et al. Sigara bırakma başarısını etkileyen faktörler. Turk Toraks Derg 2013; 14(1): 81-87.
Resmi Gazete. Karar Sayısı 2017/10063. https://www.resmigazete.gov.tr/eskiler/2017/05/20170506-13.pdf. Accessed: 29.04.2021.
Issa JS, Abe TO, Moura S, et al. Effectiveness of coadministration of varenicline, bupropion, and serotonin reuptake inhibitors in a smoking cessation program in the real-life setting. Nicotine Tob Res 2013; 15(6): 11461150.
Metintaş M, Süerdem M. Sigara Bırakma Tedavisi. Ankara, Toraks Derneği, 2005.
Ozturk O, Ozturk G, Yazicioglu B, et al. Smoking frequency, cessation knowledge; attitudes and beliefs among internal and surgery residents. J Exp Clin Med 2015; 32(4): 171-175.
Zwar NA, Mendelson CP, Richmond RL. Tobacco smoking: Options for helping smokers to quit. Aust Fam Physician 2014; 43(6): 348-354.
Chatkin G, Chatkin J. Learning about smoking during medical school: Are we still missing opportunities’? Int J Tuberc Lung Dis 2009; 13(4): 429-437.
Chai W, Zou G, Shi J, et al. Evaluation of the effectiveness of a WHO-5A model based comprehensive tobacco control program among migrant workers in Guangdong, China: a pilot study. BMC Public Health 2018; 18(1): 296.
Cohen DJ, Clark EC, Lawson PJ, et al. Identifying teachable moments for health behavior counseling in primary care. Patient Educ Couns 2011; 85(2): 8-15.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2025 Journal of Dependence