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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



Friday, July 14, 2006 - 12:00 PM
103-69

Evaluation of Quit and Win 2004 in Argentina: Abstinence Rates and Predictors

Javier M. Saimovici, MD1, Ethel Alderete, DrPH, MPH2, Flavia A. Vidal, MD1, Gabriela Rodriguez Loria, MD3, Susana Fuentes, PhD2, and Adriana Dawidowski, MPH3. (1) Internal Medicine and Anti-Tobacco Group, Hospital Italiano de Buenos Aires, Gascón 450, Buenos Aires, Argentina, (2) Instituto de Ciencia y Tecnología Regional de Jujuy, S.S. de Jujuy, Argentina, (3) Epidemiology, Hospital Italiano de Buenos Aires, Gascón 450, Buenos Aires, Argentina

Introduction:In Argentina there are 40.000 smoking attributable deaths per year; 40% of adults and 25% of youth are smokers. In a country with scarce resources low cost tobacco cessation interventions should be prioritized; 10-25% of Quit and Win contest participants have been reported to maintain abstinence after a year.

Objective: to evaluate the effectiveness of the 2004 Quit and Win contest in Argentina by estimating one year smoking abstinence and to identify abstinence predictors.

Methods: we selected a random sample of 3.000 from the 26,000 participants and conducted a telephone interview using an adaptation of the Quit and Win standard evaluation questionnaire. We calculated self-reported continued abstinence after a year and examined predictor variables with a multiple logistic regression model.

Results: Response rate was 77.8%, mean age of respondents was 36.5 years (s.d. 12.2), 56.5% were men, 60% had a university degree, the majority enrolled via internet and lived in Buenos Aires or its suburbs. Mean number of cigarettes smoked daily was 19.4 (s.d. 10.4), 80% were exposed to environmental tobacco smoke at home or at work and 20% were abstainers after a year. Main reasons for recidivism were stress (23%), withdrawal symptoms (30%) and socialising with smokers (19%). Factor associated with abstinence were being male, increased age and intention to quit smoking completely. Discussion: The contest was an effective strategy to achieve smoking cessation. The impact of the intervention increases with increasing enrollment. Future contests should improve access of diversified segments of the population.



Web Page: www.quitandwin.org