Objective To examine the use of different cessation aids among current South African smokers who have ever tried to quit smoking.Design Cross-sectional design.Setting South Africa has progressively passed several poli...Objective To examine the use of different cessation aids among current South African smokers who have ever tried to quit smoking.Design Cross-sectional design.Setting South Africa has progressively passed several policies over the past few decades to encourage smoking cessation.Data on cessation behaviours are needed to inform policymaking.We investigated utilisation of evidence-based cessation aids and e-cigarettes among current combustible smokers.Current tobacco use,past quit attempts and use of evidence-based cessation aids(counselling,nicotine replacement therapy or prescription medication)were self-reported.Data were weighted and analysed using descriptive and multivariable approaches(p<0.05).Participants Online participants were recruited from the national consumer database for News24-South Africa’s largest digital publisher.Of the 18208 participants aged 18 years or older,there were 5657 current smokers of any combustible tobacco product(cigarettes,cigars,pipes or roll-your-own cigarettes),including 4309 who had ever attempted to quit during their lifetime.Results Current combustible tobacco smoking prevalence was 22.4%(95%CI:21.2%to 23.5%),and 98.7%of all current smokers of any combustible tobacco were current cigarette smokers.Awareness of cessation aids was as follows among current combustible tobacco smokers:smoking cessation counselling programmes,50.8%(95%CI:48.1%to 53.6%);nicotine replacement therapy,92.1%(95%CI:90.5%to 93.6%);prescription cessation medication,68.2%(95%CI:65.2%to 70.6%).Awareness of cessation aids was lowest among Black Africans,men,and persons with little or no income.Of all current combustible tobacco smokers,74.6%(95%CI:72.2%to 76.7%)had ever attempted to quit and 42.8%(95%CI:40.0%to 45.4%)of these quit attempters had ever used any cessation aid.Among current combustible smokers who attempted to quit in the past,ever e-cigarette users were more likely than never e-cigarette users to have ever used any cessation aid(50.6%vs 35.9%,p<0.05).Of current combustible smokers intending to quit,66.7%(95%CI:64.2%to 68.9%)indicated interest in using a cessation aid for future quitting.By specific aids,24.7%(95%CI:21.3%to 28.1%)of those planning to use any cessation aid were interested in getting help from a pharmacist,44.6%(95%CI:40.9%to 48.4%)from a doctor,49.8%(95%CI:46.0%to 53.6%)from someone who had successfully quit,30.0%(95%CI:26.7%to 33.4%)from a family member and 26.5%(95%CI:23.0%to 30.0%)from web resources.Conclusion Only two in five past quit attempters had ever used counselling/pharmacotherapy.Any putative benefits of e-cigarettes on cessation may be partly attributable to pharmacotherapy/counselling given concurrent use patterns among past quit attempters using e-cigarettes.Comprehensive tobacco control and prevention strategies can help reduce aggregate tobacco consumption.展开更多
基金The study was approved by the University of Pretoria’s Faculty of Health Sciences’Ethics Review(no.39/2019).
文摘Objective To examine the use of different cessation aids among current South African smokers who have ever tried to quit smoking.Design Cross-sectional design.Setting South Africa has progressively passed several policies over the past few decades to encourage smoking cessation.Data on cessation behaviours are needed to inform policymaking.We investigated utilisation of evidence-based cessation aids and e-cigarettes among current combustible smokers.Current tobacco use,past quit attempts and use of evidence-based cessation aids(counselling,nicotine replacement therapy or prescription medication)were self-reported.Data were weighted and analysed using descriptive and multivariable approaches(p<0.05).Participants Online participants were recruited from the national consumer database for News24-South Africa’s largest digital publisher.Of the 18208 participants aged 18 years or older,there were 5657 current smokers of any combustible tobacco product(cigarettes,cigars,pipes or roll-your-own cigarettes),including 4309 who had ever attempted to quit during their lifetime.Results Current combustible tobacco smoking prevalence was 22.4%(95%CI:21.2%to 23.5%),and 98.7%of all current smokers of any combustible tobacco were current cigarette smokers.Awareness of cessation aids was as follows among current combustible tobacco smokers:smoking cessation counselling programmes,50.8%(95%CI:48.1%to 53.6%);nicotine replacement therapy,92.1%(95%CI:90.5%to 93.6%);prescription cessation medication,68.2%(95%CI:65.2%to 70.6%).Awareness of cessation aids was lowest among Black Africans,men,and persons with little or no income.Of all current combustible tobacco smokers,74.6%(95%CI:72.2%to 76.7%)had ever attempted to quit and 42.8%(95%CI:40.0%to 45.4%)of these quit attempters had ever used any cessation aid.Among current combustible smokers who attempted to quit in the past,ever e-cigarette users were more likely than never e-cigarette users to have ever used any cessation aid(50.6%vs 35.9%,p<0.05).Of current combustible smokers intending to quit,66.7%(95%CI:64.2%to 68.9%)indicated interest in using a cessation aid for future quitting.By specific aids,24.7%(95%CI:21.3%to 28.1%)of those planning to use any cessation aid were interested in getting help from a pharmacist,44.6%(95%CI:40.9%to 48.4%)from a doctor,49.8%(95%CI:46.0%to 53.6%)from someone who had successfully quit,30.0%(95%CI:26.7%to 33.4%)from a family member and 26.5%(95%CI:23.0%to 30.0%)from web resources.Conclusion Only two in five past quit attempters had ever used counselling/pharmacotherapy.Any putative benefits of e-cigarettes on cessation may be partly attributable to pharmacotherapy/counselling given concurrent use patterns among past quit attempters using e-cigarettes.Comprehensive tobacco control and prevention strategies can help reduce aggregate tobacco consumption.
