哮喘联盟

   摘要
   背景：电话戒烟服务（戒烟热线）可提供对无尼古丁替代疗法的戒烟咨询，可能成为低中收入国家控制尼古丁使用的重要方法，但是目前尚缺乏戒烟热线在这类资源有限地区的评估。研究旨在评估台湾戒烟热线（TNQ）的使用、有效性和成本。
   方法：对2009年-2012年TNQ咨询者的数据进行回顾性分析，并对1161名随机挑选的咨询者进行随访。
   结果：2009年-2012年共有116862位TNQ咨询者；36927位接受电话咨询，并至少接受一次电话随访。与所有吸烟者相比，咨询者多更年轻、受教育程度更高,多为学生，且主要使用香烟而不是自制卷烟。接受咨询后1、3、6个月的连续戒烟率分别为49.9%、38.0%、33.1%。12个月时的预测戒烟率为19.54% (95%可信区间 14.55 - 26.24)。每完成一次咨询的成本是$31，每位戒烟成功者的平均花费为$253。假如所有（或2/3）成功戒烟的TNQ咨询者没有TNQ的帮助将无法成功戒烟，4年累积挽救生命年(LYS)是57 238 (36 733)，每个LYS的花费为$32 (50)（大约每位戒烟者7.93 LYS），那么预计4年的投资回报超过9.01（5.78）。
   结论：无尼古丁替代治疗的低成本戒烟热线是有前途的戒烟服务模型，在台湾可能会获得很高的性价比。

 

（刘国梁 审校）
TobControl.2014Jun11.pii:tobaccocontrol-2013-051520.doi:10.1136/tobaccocontrol-2013-051520. [Epub ahead of print]

 

An evaluation of usage patterns, effectiveness and cost of the national smoking cessation quitline in Thailand.
 

Meeyai A1, Yunibhand J2, Punkrajang P3, Pitayarangsarit S4.
 

ABSTRACT
BACKGROUND:Telephone-based smoking cessation services (quitlines) offering counselling for smoking cessation without nicotine replacement therapy may be important components of tobacco control efforts in low and middle income countries, but evaluations in such resource-limited settings are lacking. We aimed to evaluate the usage, effectiveness and cost of the Thailand National Quitline (TNQ).
METHODS: Analysis of retrospective data for callers to the TNQ between 2009 and 2012 and a follow-up survey in 1161 randomly selected callers.
RESULTS: Between 2009 and 2012 there were 116 862 callers to the TNQ; 36 927 received counselling and at least one follow-up call. Compared with smokers in the general population, callers were younger, more highly educated, more likely to be students, and more likely to smoke cigarettes rather than roll-your-own tobacco. Continuous abstinence rates at 1, 3 and 6 months after calling were 49.9%, 38.0% and 33.1%. The predicted rate at 12 months was 19.54% (95% CI 14.55 to 26.24). Average cost per completed counselling was $31 and the average cost per quitter was $253. Assuming all (and two-thirds) TNQ callers who succeed in quitting would have failed to quit without the assistance of the TNQ, cumulative life years saved (LYS) for the 4-year period were 57 238 (36 733) giving a cost per LYS of $32 (50) (about 7.93 LYS per quitter) and an estimated return on investment over 4 years of 9.01 (5.78).
CONCLUSIONS: A low-cost quitline without nicotine replacement therapy is a promising model for smoking cessation services and likely to offer good value for money in Thailand.
 

TobControl.2014Jun11.pii:tobaccocontrol-2013-051520.doi:10.1136/tobaccocontrol-2013-051520. [Epub ahead of print]