Evaluation of a national tobacco dependence treatment program in Uruguay 2017
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National Fund of Resources, Uruguay
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A314
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ABSTRACT
Background:
Tobacco
Control is State Policy in Uruguay since 2005, since that time more than 200.000
people quit smoking. In addition to population measures, was essential provide
effective dependence treatment. The intervention of the National Fund of Resources
(FNR) enabled accessible and affordable help. Since 2004, FNR has managed
a network of Smoking Units (SU) free or with very low cost, currently are 105 working
throughout the country. Until now have been included 33.308 patients.
To evaluate program operation and outcomes we study patients admitted between April 2014 and March 2015.
Methods:
Descriptive study and prospective follow-up of a
randomized sample stratified by sex, health coverage, number of controls and
use of medications.
Results:
1509 patients were studied. Sample 426 individuals, 336 were contacted (79%). Female
56.1%, mean age 47.6, from the capital city 45.3%, with coverage in the Public Health
47.8%. Mean age of onset 16.4 years, mean of consumption 20.3 cpd. 57.1% had
fixed work and 25.4% had primary education. Performance indicators: 1509
patients with initial interview, 73.2% (1104) had follow-up, of which 59.3%
(655) reached 3 visits. Average follow-up period 48.1 days (S.D 53.8). 76.4% of
the patients (844) received pharmacological treatment. 40.0% of those who had
follow-up achieve punctual abstinence (7 days). 30.4% of the patients in the
sample were abstinent (7 days) at the follow-up at 15 months of admission.
24.9% and 19.8% achieved 6 and 12-month sustained smoking cessation, respectively. Regarding patients
with 3 visits or more, punctual abstinence at 15 months was 38.2%, sustained abstinence
for 6 months 32.5% and for 12 months 27.3%.
Conclusions:
The operation of the program as a whole meets the standards required for a good
quality of assistance and the outcomes obtained are comparable to those
published by various programs with similar characteristics.