Tim Brunson DCH

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High expectation in non-evidence-based smoking cessation interventions among smokers-

Full title: High expectation in non-evidence-based smoking cessation interventions among smokers-The Colaus study.

OBJECTIVE: To assess the preferred methods to quit smoking among current smokers. METHOD: Cross-sectional, population-based study conducted in Lausanne between 2003 and 2006 including 988 current smokers. Preference was assessed by questionnaire. Evidence-based (EB) methods were nicotine replacement, bupropion, physician or group consultations; non-EB-based methods were acupuncture, hypnosis and autogenic training.

RESULTS: EB methods were frequently (physician consultation: 48%, 95% confidence interval (45-51); nicotine replacement therapy: 35% (32-38)) or rarely (bupropion and group consultations: 13% (11-15)) preferred by the participants. Non-EB methods were preferred by a third (acupuncture: 33% (30-36)), a quarter (hypnosis: 26% (23-29)) or a seventh (autogenic training: 13% (11-15)) of responders. On multivariate analysis, women preferred both EB and non-EB methods more frequently than men (odds ratio and 95% confidence interval: 1.46 (1.10-1.93) and 2.26 (1.72-2.96) for any EB and non-EB method, respectively). Preference for non-EB methods was higher among highly educated participants, while no such relationship was found for EB methods.

DISCUSSION: Many smokers are unaware of the full variety of methods to quit smoking. Better information regarding these methods is necessary.

Prev Med. 2011 Mar-Apr;52(3-4):258-61. Epub 2011 Feb 17. Marques-Vidal P, Melich-Cerveira J, Paccaud F, Waeber G, Vollenweider P, Cornuz J. Institute of Social and Preventive Medicine (IUMSP), University Hospital Center and Faculty of Biology and Medicine, Lausanne, 17 rue du Bugnon, 1005 Lausanne, Switzerland.

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