OBJECTIVES: This study aims to assess the frequency of smoking cessation and to identify the factors affecting smoking cessation success among individuals seeking assistance at a smoking cessation centre. METHODS: This cross-sectional study included 1,570 individuals who applied to the smoking cessation centre in Izmir, Turkey, between 2009 and 2018, and completed three follow-ups. Data were obtained from the centre's records. Factors affecting smoking cessation success were analysed using logistic regression in multivariate analysis. RESULTS: The median age to start smoking was 19 (17-22), and the median number of cigarettes consumed per day was 20 (20-30). Among the participants, 59.9% exhibited a high/very high level of nicotine dependence, and 79.6% had attempted to quit smoking previously. The median number of patient follow-ups was 7 (5-10). Of the patients, 34.0% successfully quit smoking for one year. According to the multivariate analysis results, smoking cessation success increased with being married by 2.26 times (95% CI: 1.51-3.38, p < 0.001), the absence of other smokers in the household by 1.38 times (95% CI: 1.01-1.88, p = 0.04), having a low level of nicotine dependence by 1.75 times (95% CI: 1.23-2.48, p = 0.002), and more patient follow-ups by 1.61 times (95% CI: 1.52-1.72, p < 0.001). CONCLUSIONS: Smoking cessation success is increased by the support and follow-up provided by healthcare professionals, the absence of other smokers in the household, and a low level of nicotine dependency.

Department of Chest Diseases Faculty of Medicine Dokuz Eylul University Izmir Turkey

Department of Public Health Faculty of Medicine Dokuz Eylul University Izmir Turkey

Department of Public Health Faculty of Medicine Ege University Izmir Turkey

Department of Social Work Faculty of Health Sciences Manisa Celal Bayar University Manisa Turkey

Dr Ersin Arslan Training and Research Hospital Gaziantep Turkey

Izmir Provincial Health Directorate Izmir Turkey

Uzunmehmet Chest and Occupational Diseases Hospital Zonguldak Turkey

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World Health Organization. WHO report on the global tobacco epidemic, 2019. Geneva: WHO; 2019.

World Health Organization. World health statistics 2020: monitoring health for the SDGs, sustainable development goals. Geneva: WHO; 2020.

Ergüder T; Turkish Ministry of Health, General Directorate of Primary Health Services. [The WHO framework convention on tobacco control]. Ankara: Klasmat Matbaacilik; 2008. Turkish.

Global Adult Tobacco Survey. Comparison fact sheet: Turkey 2008 & 2012 [Internet]. WHO; 2013 [cited 2024 Oct 11]. Available from: https://extranet.who.int/ncdsmicrodata/index.php/catalog/841/download/5857.

Global Adult Tobacco Survey. Fact sheet, Turkey 2016 [Internet]. WHO; 2019 [cited 2024 Oct 11]. Available from: https://extranet.who.int/ncdsmicrodata/index.php/catalog/872/download/6190.

Krist AH, Davidson KW, Mangione CM, Barry MJ, Cabana M, Caughey AB, et al. Interventions for tobacco smoking cessation in adults, including pregnant persons: US preventive services task force recommendation statement. JAMA. 2021;325(3):265-79.

Uysal MA, Kadakal F, Karşidağ Ç, Bayram NG, Uysal Ö, Yilmaz V. Fagerstrom test for nicotine dependence: reliability in a Turkish sample and factor analysis. Tuberk Toraks. 2004;52(2):115-21.

Yazici MK, Demir B, Tanriverdi N, Karaaǧaoǧlu E, Yolaç P. [Hamilton anxiety rating scale: interrater reliability and validity study]. Turk Psikiyatri Derg. 1998;9(2):114-7. Turkish.

World Health Organization. Tobacco [Internet]. Geneva: WHO [cited 2024 Oct 11]. Available from: https://www.who.int/health-topics/tobacco.

Esen AD, Soylem Y, Arica S, Belgin G, Gonultas N. Factors affecting success and abstinence within a smoking cessation clinic: a one-year follow-up study in Turkey. Tob Prev Cessat. 2020;6:71. doi: 10.18332/tpc/130471. DOI

Arslan Y, Ocal N, Çagin A, Dogan D, Tasci C. The success of smoking cessation treatments: the Gulhane experience. Addicta Turk J Addict. 2021;8(1):8-15.

Yaşar Z, Kar Kurt Ö, Talay F, Kargi A. One-year follow-up results of smoking cessation outpatient clinic: factors affecting the cessation of smoking. Eurasian J Pulmonol. 2014;16(2):99-104.

Holm M, Schiöler L, Andersson E, Forsberg B, Gislason T, Janson C, et al. Predictors of smoking cessation: a longitudinal study in a large cohort of smokers. Respir Med. 2017;132:164-9.

Huang WH, Hsu HY, Chang BCC, Chang FC. Factors correlated with success rate of outpatient smoking cessation services in Taiwan. Int J Environ Res Public Health. 2018;15(6):1218. doi: 10.3390/ijerph15061218. DOI

Wang R, Jiang Y, Yao C, Zhu M, Zhao Q, Huang L, et al. Prevalence of tobacco related chronic diseases and its role in smoking cessation among smokers in a rural area of Shanghai, China: a cross sectional study. BMC Public Health. 2019;19(1):753. doi: 10.1186/s12889-019-7110-9. DOI

Sağlam L. Investigation of the results of a smoking cessation clinic and the factors associated with success. Turk J Med Sci. 2012;42(3):515-22.

Van den Brand FA, Nagtzaam P, Nagelhout GE, Winkens B, van Schayck CP. The association of peer smoking behavior and social support with quit success in employees who participated in a smoking cessation intervention at the workplace. Int J Environ Res Public Health. 2019;16(16):2831. doi: 10.3390/ijerph16162831. DOI

West R, Evins AE, Benowitz NL, Russ C, McRae T, Lawrence D, et al. Factors associated with the efficacy of smoking cessation treatments and predictors of smoking abstinence in EAGLES. Addiction. 2018;113(8):1507-16.