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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA

Thursday, July 13, 2006 - 12:00 PM

Pilot Project of Smoking Cessation with Bupropion or Nicotine Gums in the Seychelles (Indian Ocean)

Bharathi Viswanathan, RN1, Pascal Bovet, MD, MPH1, and Rui Vaz, MD2. (1) Dep. Health, Ministry of Health and Social Services, PO Box 52, Victoria, -, Seychelles, (2) World Health Organization, Les Palmes Building, Victoria, Seychelles

Objective: To evaluate the feasibility and factors associated with smoking cessation with nicotine gums or buproprion in Seychelles, a middle-income island state in the African region

Methods: Participants included 45 smokers who responded to an advertisement for cessation. Participants received counselling for up to 6 months and a review was made at 12 months. In addition, participants were given nicotine gums (Nicorette 2/4 mg, up to 15 gums per day) or buproprion (Zyban, 300 mg daily) for up to 3 months. Medications were chosen according to patients' preference. Smokers lost to follow-up were considered as relapse. Exhaled carbon monoxide was measured and levels <5 ppm were considered as negative.

Results: 34 men and 11 women participated, mean age of 48 (SD=11) years. Nicotine gums were chosen by 31 participants (68.9%) and bupropion by 14 (31.1 %). At 3, 6 and 12 months, the cessation rates were respectively 44% (95% CI: 29-59), 31% (17-45) and 24% (11-37). Quit rate tended to be higher with gums than pills (29% vs. 14% at 12 months). Health concerns and cost reasons were main reasons for smokers to join the program (respectively 80% and 35%).

Conclusion: Quit rate with counselling and medication reached 24% at 12 months, which is consistent with findings in other similar studies. Our findings suggest that long-term support should be provided to sustain cessation rate over time. Our data support the proposition of making the program available to smokers on a regular basis in Seychelles