Motivation for smoking cessation among drug-using smokers under methadone maintenance treatment in Vietnam.

Abstract:

BACKGROUND: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. METHODS: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. RESULTS: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. CONCLUSIONS: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.

journal_name

Harm Reduct J

journal_title

Harm reduction journal

authors

Tran BX,Nguyen LH,Do HP,Nguyen NP,Phan HT,Dunne M,Latkin C

doi

10.1186/s12954-015-0085-7

subject

Has Abstract

pub_date

2015-10-30 00:00:00

pages

50

issn

1477-7517

pii

10.1186/s12954-015-0085-7

journal_volume

12

pub_type

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