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See Latest ArticlesA smoking ban in public places increases the efficacy of bupropion and counseling on cessation outcomes at 1 year
Nicotine & Tobacco Research, 08/07/09
Grassi MC et al. – The introduction of an indoor smoking ban improved the efficacy of smoking cessation treatments by possibly providing a setting that increased the level of motivation to stop smoking.
Methods- Before and after the introduction of the ban (2001–2006), 550 smokers were enrolled in the smoking cessation program in Rome and were asked to choose between a 6–week group counseling therapy (GCT) given alone or in combination with 7 weeks of daily bupropion.
- Follow–up was completed 12, 26, and 52 weeks after the quit day.
- Due to the observational nature of the study, we used propensity scores to match 138 and 290 subjects (pre–/postban) in the bupropion– and GCT–only groups, respectively.
- Covariate balance in the two matched samples was adequate for all variables except "coffee consumption" in the GCT–only group.
- The regression adjusted odds ratios indicated that the introduction of the ban resulted in 52% reduced odds of continued smoking at 12 months among the GCT + bupropion group and 41% reduced odds in the GCT–only group.
- We observed that the ban was associated with both increased 12–month abstinence rates and motivation to quit.
- In a mediation analysis, we determined that the total effect of the smoking ban on the abstinence rate was reduced after controlling for motivation, which confirmed that motivation was a partial mediator.
M. Caterina Grassi, 08/08/09
| Setting can deeply influence motivation to quit smoking,in our study the introduction of the ban increased the level of motivation to quit smoking among smokers who chose to enroll in our program. Recent findings show that whole groups of people can quit smoking in concert through formation of social networks maintained bu emulation and self-reinforcing norms. Our data suggest that the introduction of an indoor smoking ban may have improved the efficacy of smoking cessation treatments by providing a setting that acted by improving motivation to stop smoking. |
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