Sigarayı Bırakmak için Başvuranlarda Nikotin Bağımlılık Düzeyi ve Sosyodemografik Özelliklerin Değerlendirilmesi

Amaç: Çalışmamızda amaç sigara bırakma polikliniğimize başvuran kişilerde nikotin bağımlılıkdüzeyleri ile solunum havasında karbonmonoksit düzeyleri, günlük içilen sigara sayısı, sigara içmeyebaşlama yaşı, sigara içme yılı gibi değişkenlerin ve bazı demografik özelliklerin ilişkisini araştırmaktır.Materyal ve Metot: Çalışma 2015 Ocak ve Nisan ayları arasında polikliniğimize başvuran 415 vakayıkapsamaktadır. İstatistiksel analiz SPSS 15.0 software versiyonu ile yapıldı. Tanımlayıcı analiz ve Ki‐karetesti kullanıldı. Parametrik verilerde Pearson korelasyon analizi ve non–parametrik verilerde Spearmankorelasyon analizi yapıldı.Bulgular: Çalışmamızda toplam 415 vakanın 243’ü erkek, 172’si kadındı. Vakaların 214’ü sigara içicileriyleaynı evde yaşıyordu. Kadınlarda sigaraya başlama yaş ortalaması 18,56±5,4, ve erkeklerde sigarayabaşlama yaş ortalaması 16±5.08 olup arasındaki fark t‐testi ile istatistiksel olarak anlamlıydı (p

The Evaluation of Nicotine Dependence Levels and Sociodemographic Characteristics Among Applicants Admitted for Smoking Cessation

Objectives: The aim of this study is to investigate the relationship between nicotine addiction levels and some variables like; exhaled carbon monoxide level, the number of cigarettes smoked daily, the age to start smoking, years of smoking and some demographic characteristics in patients applied to our smoking cessation unit. Materials and Methods: The study included 415 cases admitted between January and April 2015. SPSS software version 15.0 was used for statistical analysis. Descriptive analyses and Chi‐square test were performed. Pearson correlation analysis and Spearman correlation analysis were performed in parametric and non‐parametric data, respectively. Results: Of the 243 male and 172 female cases, 214 were living in the same house with smokers. The mean ages of beginning to smoke were; 18.56±5.4 in female, 16±5.08 in male the difference being significant (p

PDF

___

1. 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.
2. A Clinical Practice Guideline for Treating Tobacco Use and Dependence: A US Public Health Service Report. JAMA 2000;283(24):3244‐542000.
3. Treating Tobacco Use and Dependence: 2008 Update. Tobacco Use and Dependence Guideline Panel. Rockville (MD): US Department of Health and Human Services; 2008 May. Available from: https://www.ncbi.nlm.nih.gov/books/NBK63952/, Date of access: 10th Dec, 2017.
4. Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO. The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. Br J Addict 1991;86:1119‐27.
5. De Leon J, Diaz FJ, Becona E, Gurpegui M, Jurado D, Gonzalez‐Pinto A. Exploring brief measures of nicotine dependence for epidemiological surveys. Addict Behav 2003;28:1481‐6.
6. Peterson JE, Stewart RD. Absorption and elimination of carbon monoxide by inactive young men. Arch Environ Health 1970; 21: 165‐71.
7. Joumard R, Chiron M, Vidon R, Rouzioux JM. Mathematical models of the uptake of carbon monoxide on hemoglobin at low carbon monoxide levels. Environmental Health Perspectives 1981;41:277‐89.
8. Colletti G, Supnick JA, Abueg FR. Assessment of the relationship between self‐reported smoking rate and Ecolyzer measurement. Addict Behav 1982;7:183‐8.
9. Crowley TJ, Andrews AE, Cheney J, Zerbe G, Petty TL. Carbon monoxide assessment of smoking in chronic obstructive pulmonary disease. Addict Behav 1989;14:493‐502.
10. Deller A, Stenz R, Forstner K, Konrad F. The elimination of carboxyhaemoglobin: gender specific and circadian effects. Infusionsther Transfusionsmed 1992;19:121‐6.
11. Middleton ET, Morice AH. Breath carbon monoxide as indicator of smoking habit. Chest 2000;117:758‐63.
12. Guan NC, Ann AY. Exhaled carbon monoxide levels among Malaysian male smokers with nicotine dependence. Asian Pac J Cancer Prev 2012;13:343‐6.
13. Babaoğlu E, Karalezli A, Er M, Hasanoğlu HC, Öztuna D. Exhaled carbon monoxide is a marker of heavy nicotine dependence. Turk J Med Sci 2016;46:1677‐81.
14. Bozkurt N, Bozkurt Aİ, Nikotin bağımlılığını belirlemede Fagerström Nikotin Bağımlılık Testinin (FBNT) değerlendirilmesi ve nikotin bağımlılığı için yeni bir test Oluşturulması. Pamukkale Medical Journal, 2016;9(1):45‐51.
15. Uysal MA, Kadakal F, Karşidağ C, Bayram NG, Uysal O, Yilmaz V. Fagerström test for nicotine dependence: reliability in a Turkish sample and factor analysis. Tuberk Toraks 2004;52:115‐21.
16. Shafey O, Erikson M, Ross H, Mackay J. The Tobacco Atlas. 3rd edition. Atlanta: American Cancer Society; 2009.
17. Roberts B, Gilmore A, Stickley A et al. Prevalence and psychosocial determinants of nicotine dependence in nine countries of the former Soviet Union. Nicotine Tob Res 2013;15:271–6.
18. Manimunda SP, Benegal V, Sugunan AP et al. Tobacco use and nicotine dependency in a crosssectional representative sample of 18,018 individuals in Andaman and Nicobar Islands, India. BMC Public Health 2012;12:515.
19. Kapusta ND, Pietschnig J, Plener PL, Blüml V, Lesch OM, Walter H. Does breath carbon monoxide measure nicotine dependence? J Addict Dis 2010;29(4):493‐9.
20. Deveci SE, Deveci F, Acik Y, Ozan AT. The measurement of exhaled carbon monoxide in healthy smokers and nonsmokers. Resp Med 2004; 98:551‐6.
21. Cai L, Cui W, You D, He J, Zhao K. Socioeconomic variations in nicotine dependence in rural southwest China. BMC Public Health 2015;15:1158.
22. Benegal V, Sugunan AP, Jeemon P, et al. Tobacco use and nicotine dependency in a crosssectional representative sample of 18,018 individuals in Andaman and Nicobar Islands, India. BMC Public Health 2012;12:515.
23. Ma Y, Wen L, Cui W et al. Prevalence of Cigarette Smoking and Nicotine Dependence in Men and Women Residing in Two Provinces in China. Frontiers in Psychiatry 2017;8:254. (doi:10.3389/fpsyt.2017.00254).