Smoking during and 1-month after discharge in Southern European countries (Spain and Portugal)
Ariadna Feliu 1  
,   Cristina Martinez 1,   Marta Enriquez 1,   Laura Anton 1,   Ruth Ripoll 2,   Àngels Ruz 2,   Sofia Ravara 3,   Lidia Videira 4,   Claudia Correia 5,   José Precioso 5,   Esteve Fernandez 1
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Tobacco Control Unit, Catalan Institute of Oncology and Tobacco Control Research Group, Bellvitge Biomedical Research Institute (IDIBELL), School of Medicine and Health Sciences, University of Barcelona, L’Hospitalet, Barcelona, Spain
Consorci Sanitari Integral, L’Hospitalet del Llobregat, Barcelona, Catalonia, Spain
Universidade da Beira Interior, Portugal
Centro Hospitalar Universitário da Cova da Beira, Covilhã, Portugal
Universidade do Minho, Braga, Portugal
Publication date: 2019-03-26
Tob. Prev. Cessation 2019;5(Supplement):A40
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Smoking prevalence is still high in Southern European countries. Smokers are frequent users of hospitals and hospital admission might be an adequate moment for quitting. The aim of this study was to assess changes in smoking status, willingness to quit, and quit attempts among current smokers during hospitalization and one-month after discharge.

We conducted a survey among current smokers hospitalized in two convenience hospitals in Portugal and two in Spain during hospitalization and one-month after discharge. A representative sample of conscious and oriented smokers participated after giving their informant consent and telephone number. The survey included questions about patients’ smoking status (abstinence, cigarettes per day, etc), their willingness to quit smoking, quit attempts, and other socio-economic variables. We conducted a Chi-squared bivariate descriptive analysis, stratified by country.

211 smokers were identified during hospitalization (58 from Portugal and 153 from Spain). Overall 74% of smokers were abstinent during hospitalization. Women, ≥55 years/old, and those who live with a non-smoker presented a higher percentage of abstinence than their comparisons (men, < 55 years/old, and those who live with smokers), being statistically significant (p≤0.05). One month after discharge, 39.3% of smokers remained abstinent, being the percentage of abstinent patients similar in both Spanish and Portuguese hospitals (39.8% and 37.9%, respectively). We observed an overall change in smoking patterns after discharge with a reduction of the number of cigarettes per day (p=0.025) and an increase in the number of quit attempts (p>0.001). The main reason to continue smoking was nicotine dependence and anxiety; while the main reasons to quit smoking were receiving health professional advice and personal decision (42.8% in both cases).

Hospitalization is a key moment to promote smoking abstinence and quit attempts. Our findings suggest the need to promote smoking cessation during and after hospital stay.

The project  ISCI-SEC was funded by Global Bridges Mayo Clinic (Pfizer Medical Group; GB-25678023: Independent Grants for Learning and Change (IGLC).AF, CM, ME, LA were supported by the Ministry of Research and Universities from the Government of Catalonia (2017SGR319). EF was also supported by the Instituto de Salud Carlos III, Government of Spain, co-funded by the European Regional Development Fund (FEDER) (INT16/00211 and INT17/00103). CM was also supported by the Instituto de Salud Carlos III, Government of Spain, co-funded by the European Regional Development Fund (FEDER) (INT17/00116) and Ministry of Health from the Government of Catalonia (PERIS No 9015-586920/2017).