Probability of Quitting Smoking and Use of Tobacco Cessation AIDS

Davide Rasella^*
*Correspondence: Davide Rasella, Department of Collective Health Institute, University of Bahia, Salvador, Brazil, Email:

Keywords

Nicotine replacement therapy • E-cigarette • Respiratory society

Introduction

Even though the prevalence of tobacco smoking has significantly decreased over the past few decades in industrialized nations, many smokers still struggle with long-term cessation. Being associated with psychological, social, and environmental factors makes sustained tobacco cessation difficult to achieve. Consequently, comprehensive tobacco control strategies are actively promoted, such as the World Health Organization's MPOWER strategy, which was launched in 2007 and provides smokers with extensive support for quitting (World Health Organization WHO, 2008). Anti-smoking laws have been put into place in many countries. These policies include prohibitions on smoking and tobacco advertising, education about the risks and benefits of quitting, tax increases, and assistance for smokers who want to quit [1,2].

Discussion

The public health community continues to debate the long-term effectiveness of various smoking cessation aids in real-world settings, particularly electronic cigarettes (e-cigarettes), which have been widely distributed since 2010 and are primarily nicotine-based devices. Even though studies show that e-cigarettes are safer than regular cigarettes, the degree to which they reduce risk is still up for debate. On the one hand, one could argue that e-cigarettes are a suitable alternative to traditional cigarettes for avoiding nicotine withdrawal symptoms because smokers are primarily addicted to nicotine itself. On the other hand, some studies suggest that using an e-cigarette might make you more dependent on nicotine, which would make it less likely that you'll be able to quit smoking in the long run. Children exposed to e-cigarette advertisements, according to other studies, may perceive regular tobacco smoking to be less harmful. In addition, the lack of evidence regarding the long-term safety of e-cigarettes due to the potentially toxic chemicals they contain was emphasized by the European Respiratory Society, which collected publications on the use of e-cigarettes. Another problem is that many people who use e-cigarettes also smoke regular cigarettes, which puts them at greater risk of developing health problems. However, a cohort study of dual users of e-cigarettes and traditional cigarettes found that dual users were more likely to abstain at six months than single users, but this was no longer the case at 12 or 18 months. In the United States, a randomized controlled trial found that using e-cigarettes in conjunction with standard care does not aid in long-term tobacco cessation at six months According to a meta-analysis of 136 studies on nicotine replacement therapy (NRT), licensed forms of NRT have the potential to significantly raise rates of smoking cessation. However, it appears that NRT has limited long-term abstinence effectiveness: A meta-analysis found that focusing on durations of six to twelve months after the cessation might overestimate the lifetime benefit of NRT by 30%, and a randomized trial failed to demonstrate additional efficacy beyond 24 consecutive weeks of use. In randomized trials, e-cigarettes and NRT have also been compared, and the former appears to be more effective for successful tobacco cessation than the latter. Lastly, the effectiveness and use in real life may differ from what has been observed in clinical trials, so up-to-date information is required. The duration of abstinence can convey additional information in addition to studying successful smoking cessation. This distinction is significant because the intervention required to accomplish the two objectives might differ. Since January 1, 2019, the national health insurance program in France has covered up to 65% of the cost of NRT when it is prescribed by a medical professional [3-5].

Conclusion

Using data from the French Health Barometer survey, we aimed to contribute to the ongoing discussion about effective methods of initiating and maintaining tobacco cessation in a real-life rather than an experimental setting. In addition, the French National Authority for Health (HAS) emphasizes the importance of support and guidance by a medical professional for sustainable tobacco cessation through motivational interviews, therapy, and other methods. More recently, the HAS proposed a specific tool that can be used by health professionals for early identification and brief intervention on patients We specifically investigated the connection between smoking cessation attempts made by general population smokers and the use of NRT and/or electronic cigarettes six, twelve, and twenty-four months later.

Acknowledgement

None.

Conflict of Interest

None.

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