The European Journal of Public Health Advance Access originally published online on May 19, 2005
The European Journal of Public Health 2005 15(3):251-255; doi:10.1093/eurpub/cki076
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Nicotine dependence treatment: perceived health status improvement with 1-year continuous smoking abstinence
Ivana T. Croghan1, Darrell R. Schroeder2, J. Taylor Hays3, Kay M. Eberman4, Christi A. Patten1,5, Emily J. Berg1 and Richard D. Hurt1,6
1 Nicotine Research Program
2 Department of Health Sciences Research
3 Division of General Internal Medicine
4 Nicotine Dependence Center
5 Department of Psychiatry and Psychology
6 Division of Community Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, MN, USA
Correspondence: Ivana T. Croghan, PhD, Mayo Clinic, 200 First Street S.W., Rochester, MN 55905, USA, tel. +1 507 266 1944, fax +1 507 266 7900, Email: croghan.ivana{at}mayo.edu
Background: This study evaluated change in health status as a function of change in smoking status among patients treated clinically for nicotine dependence by comparing overall perceived health status of patients who abstained from cigarettes for 1 year versus those who smoked continuously for 1 year. Methods: Patients from the Mayo Clinic Nicotine Dependence Center completed a quality-of-life questionnaire (SF-36) following their consultation for nicotine dependence (baseline). At 1 year post-intervention, patients were mailed a follow-up survey that included the SF-36 and items assessing interval smoking history. Study patients included those who self-reported continuous smoking (n=60) and those reporting continuous smoking abstinence for the entire follow-up year (n=146). Data from SF-36 scales at 1 year were analysed using analysis of covariance with baseline scale scores serving as covariates along with baseline characteristics that differed significantly between groups. Results: Compared with those who continued to smoke, patients who were continuously abstinent from smoking for the entire year had more improvement in perceived health status for the SF-36 mental composite scale (P=0.009) and for the SF-36 subscales for role limitations (P<0.001 and P=0.017 for emotional and physical role limitations, respectively), social functioning (P=0.010) and general health (P=0.013). Conclusions: Smokers treated for nicotine dependence who stop smoking for a year report more improvement in-quality-of-life compared with those who continue to smoke.
Keywords: nicotine dependence, quality-of-life, SF-36, smoking, treatment
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