Smoking cessation treatment service is concerned to be a
critical element in methadone maintenance treatment (MMT) in order to diminish
the effect of smoke on health outcomes. To implement the smoking cessation
services in Vietnam, we examined the stages of change to quit and determined
associated factors among MMT patients.
We conducted a cross-sectional survey with 1016 MMT patients
in five clinics in Hanoi and Nam Dinh province, of those, 932 (91.7 %)
were ever-smokers. Patients were classified into four groups:
“pre-contemplation,” “contemplation,” “preparation,” and “action and
maintenance” by using the transtheoretical model. Multivariate logistic
regression was applied to determine the associated factor for intention and
action to quit smoking.
Overall, 96 % were not actively trying to quit or
maintain abstinence. Age older than 45, HIV-positive status, and residence in
Hanoi were negatively associated with intention to quit. Meanwhile, higher
levels of nicotine dependence and number of years of smoking negatively
associated with quitting and abstinence.
The study indicated the high rate of MMT smokers being in
pre-contemplation stage but low proportion of quitting and maintaining
abstinence. It emphasizes the importance of availability and accessibility of
information about smoking cessation therapies and services. Integrating
cessation programs into health-care services should be considered to provide
tailored interventions for different patient groups.
Full article
at:
By:
1Institute for Preventive Medicine and
Public Health, Hanoi Medical University, Hanoi, Vietnam
2Johns Hopkins Bloomberg School of Public
Health, Baltimore, MD, USA
3School of Medicine and Pharmacy, Vietnam
National University, Hanoi, Vietnam
4School of Public Health and Social Work,
The Queensland University of Technology, Brisbane, Australia
5Hanoi University of Pharmacy, Hanoi,
Vietnam
6Authority of HIV/AIDS Control, Ministry of
Health, Hanoi, Vietnam
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