The Impact of Family and Social Support during the First Six Months after Attempt for Smoking Cessation

Objective: The aim of the present study was to investigate the effect of family and social support on smoking cessation during the first six months after the cessation attempt. Methods: The files of 312 patients who were admitted to the Smoking Cessation Outpatient Clinic of Family Medicine Department, Ondokuz Mayis University Faculty of Medicine between January 2011 and January 2012 were reviewed and their socio-demographic data, smoking characteristics, Fagerstrom Nicotine Dependence Test (FNDT) score and treatment methods were recorded. Participants were called in a five-minute structured interview and their quit rate was investigated. They were also evaluated for the support they received from the family and social environment during the cessation period with a ten-point Likeert Scale (0 = Never, 10= Excellent) Findings : Of the cases, 190 (61%) were male and 122 (39%) were female. While the mean FNBT score of the group was 5.1 ± 1.7 , the package / year value was 22.3 ± 18.7. Forty four out of 209 participants (21%) who were started medication (Varenicline or Bupropion) and 23 out of 127 participants (%18%) who were started Nicotine Replacement Therapy (NRT) had been smoking for six months. There was not a statistically significant difference between genders with regard to overall social and family support scores (male = 41,3 ± 15,3, female = 44,4 ± 16,0, t = 1,495, p = 0,136). According to a m ultivariate binary logistic regression model, overall social and family support score (OR = 1,044 ), age (OR= -1,038), and presence of another smoker family member (OR =0,501) were found as independent factors on smoking cessation. Conclusion : Family and social support are important factors for both gender during making a decision for smoking cessation, during smoking cessation and after smoking cessation and detailed studies are needed. Amac: Bu arastirmada sigara birakma denemesine karar verme ve sonraki ilk alti aylik donemde sigara birakma uzerine aile ve sosyal cevreden alinan destegin etkisinin arastirilmasi hedeflenmistir. Arac ve Yontem: Ondokuz Mayis Universitesi Tip Fakultesi Aile Hekimligi Sigara Biraktirma Poliklinigi’ne Ocak 2011-Ocak 2012 tarihleri arasinda basvuran 312 kisinin dosyalari taranarak kisilerin sosyodemografik verileri, sigara kullanma ozellikleri, Fagerstrom Nikotin Bagimlilik Testi (FNBT) skoru ve aldiklari tedavi yontemleri not edilmistir. Bu kisiler telefonla aranarak bes dakikalik yapilandirilmis bir gorusme gerceklestirilmis ve sigarayi birakma oranlari arastirilmistir. Gorusmede ayrica sigara birakma asamasinda ve sigarayi birakirken aileden ve sosyal cevreden aldiklari destek onlu bir Likert Skala ile degerlendirilmistir (0=Hic, 10=Mukemmel). Bulgular: Calismaya alinanlarin 190’i (% 61) erkek, 122’si (%39) kadindi. Grubun ortalama FNBT skoru 5,1±1,7 iken paket/yil degeri 22,3±18,7 idi. Ilac (Vareniklin veya Bupropion) tedavisi baslanan 209 katilimcinin 44’u (%21), Nikotin Replasman Tedavisi (NRT) baslanan 127 katilimcinin 23’u (%18) alti aydir sigara icmiyordu (x 2 =0,283, p=0,868). Her iki cinsiyetin aldigi toplam sosyal destek ve aile destegi puanlari birbirinden istatistiksel olarak anlamli degildi (erkekler= 41,3±15,3, kadinlar= 44,4±16,0, t=1,495, p=0,136). Multivariate binary logistic regression modeline gore toplam sosyal ve ailesel destek puani (OR= 1,044), yas (OR= -1,038) ve sigara bagimlisinin evinde baska birinin daha sigara icmemesi (OR= -0,501) sigara birakma uzerinde bagimsiz faktorler olarak bulunmustur. Sonuc: Sigara birakma karari alma, birakma esnasinda ve birakma sonrasinda aile destegi ve sosyal destek her iki cinsiyet icin onemli bir faktordur ve bu konuda detayli arastirmalara ihtiyac vardir.