Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Dec 5, 2022
Open Peer Review Period: Dec 5, 2022 - Jan 30, 2023
Date Accepted: Mar 10, 2023
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Real-world utilization and effectiveness of Message-Based Tobacco Cessation Program (mCessation) in Chinese general population
ABSTRACT
Background:
Randomized controlled trials on the text message intervention for smoking cessation have shown that it is effective and has been recommended for tobacco control. However, the effectiveness in the real-world settings is largely unknown, especially in low- and middle-income countries.
Objective:
This study aimed to provide real-world evidence about the utilization and effectiveness of Message-Based Tobacco Cessation Program in China (mCessation China).
Methods:
From May, 2021 to September, 2022, 16,746 general people participated into the mCessation program provided by World Health Organization. All participants received text messages on smoking cessation via instant messaging for 6 months, and they also were required to report smoking status. 2500 subjects were randomly selected and telephonically interviewed the 7-day point of prevalence quit rate at 6 months. Descriptive statistics was analyzed to population characteristics and abstinence rate. Logistic regression was performed to explore risk factors of abstinence rate.
Results:
Among 2500 participants, the mean age was 35 years, and most of them (96.20%) were male. The prevalence and light degree of tobacco dependence were 85.70% and 89.10%, respectively. For respondents (38.10%, 953/2500), the 7-day point of abstinence rate at 6 months was 21.90%. Participants over 40 years old or with tobacco dependence had significantly higher abstinence rate than those with lower than 30 years old or those without dependence, respectively [OR 95%CI: 1.77 (1.06-3.29), 1.64 (1.08-2.51)]. However, married people or heavily dependent smokers tends to be more difficult to quit smoking successfully compared with unmarried people or lightly dependent smokers [OR (95%CI): 0.57 (0.34-0.93), 0.16 (0.02-0.98)].
Conclusions:
In the real-world settings, the mCessation China was generally acceptable to male and light dependence smokers, and it could help one person quit smoking in every five smokers aged 18 to 67. Yet strategies to increase attention to young and married adults may improve implementation and abstinence rates.
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