Factors associated with previous quit attempts and motivation to quit, amongst primary care patients who are current smokers in Macedonia: a Breathe Well study

Date Issued
2021-05
Author(s)
Stanoevski, Gjorgji
Jordan, Rachel
Adab, Peymanne
Enocson, Alexandra
Ristovska, Radmila
Gjorgjievski, Dragan
Krstevska, Emilija
Adams, Rachel
Dickens, Andrew
Sitch, Alice
Rai, Kiran
Farley, Amanda
Abstract
Aim
To explore the association between level of nicotine dependence and previous quit attempts
and motivation to quit smoking amongst primary care patients.
Method
We analysed baseline questionnaire data from a randomized controlled trial of a smoking
cessation intervention in 31 primary care practices in North Macedonia. Participants were aged
≥35 years and smoked >10 cigarettes/day. Regression models assessed associations between
nicotine dependence (Fagerstrom) and intention to quit and previous attempts to quit,
adjusting for sociodemographic variables.
Results
Data was available for 1328 patients. Participants had a mean age of 51,2 (SD 10,3) years,
reported a mean smoking history of 39,3 (SD 22,7) pack years and 51% (n=679) were female.
83% (n=1100) of participants were of Macedonian ethnicity. 702 participants (52.9%) reported
either moderate or high nicotine dependence. Approximately half of the participants
(707/1328, 53.2%, reported previous serious quit attempts, with the majority of these
(565/707, 79.9%) reporting 1-3 attempts. Regarding current motivation for quitting, the
majority (69.2%) wanted to quit, and 78 (6%) intended to quit in the next 1-3 months.
Participants with high nicotine dependence were less likely to have made previous quit
attempts (OR=0.90; 95%CI 0.85 to 0.95). Nicotine dependency showed no significant
association with current intention to quit (OR=1.00; 95% CI 0.90 to 1.12).
Conclusion
We found that the majority of smokers want to quit, but those with higher nicotine
dependency were less likely to have made previous quit attempts.
Declaration of Interest (including funding source and trial registration as appropriate)
The authors declare no conflicts of interest. The NIHR Global Health Research (GHR)
Programme is funded through UK Official Development Assistance (ODA) via the Department of
Health and Social Care (DHSC). The views expressed in this publication are those of the author(s)
and not necessarily those of the NIHR or the Department of Health and Social Care. We
gratefully acknowledge IPCRG for introducing us to the primary care networks involved in this
study and for its continued facilitation of clinical engagement. The study is registered at
http://www.isrctn.com(ISRCTN54228638)
Subjects

BreatheWell

Exhaled CO

lung age

primary care

smoking cessation

VBA

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