Emre CENBERLİTAŞ, Aksanur GÖKÇE, Onur ÖZTÜRK
Türkiye Aile Hekimliği Dergisi - 2026;30(2):97-106
Objective: Smoking addiction is a serious public health problem that ranks among the leading preventable causes of death and affects all age groups. Our study aimed to examine the demographic and clinical characteristics of patients attending a smoking cessation clinic affiliated with a university hospital and the factors influencing their cessation status. Methods: This is a retrospective, cross-sectional study. Age, gender, occupation, chronic disease status, treatments given, smoking histories, and Fagerstrom scores of patients who applied to the smoking cessation clinic affiliated to Samsun Training and Research Hospital between August 01, 2020 and August 31, 2024 were obtained using the hospital automation system without sharing their personal information. The data were analyzed using the SPSS package program. Results: A total of 399 patients were included in the study. 63.66% (n=275) of the patients were male. The average Fagerstrom score of the patients was calculated as 5.66+/-2.43. The patients were interviewed an average of 2.21+/-1.28 times per person. The average smoking duration of the patients was calculated as 27.38+/-16.57 pack-years. Combined treatment was initiated in 35.19% of the patients (n=141). As combined treatment, 88.15% of the patients (n=134) were started on a combination of Bupropion and Nicotine Replacement Therapy (NRT). As a result of treatment, 34.09% of patients (n=136) quit smoking. Monotherapy with Bupropion was found to be the least effective drug for smoking cessation (p=0.01). The smoking cessation rate among patients receiving combination therapy was found to be higher than that of other treatment options (p<0.001). Patients who quit smoking had a significantly lower Fagerstrom score (p=0.024) than those who did not quit, while the number of individual consultations per patient (p<0.001) was significantly higher. The proportion of patients who quit smoking and had other smokers in their household was lower than those who did not quit (p=0.003). Conclusion: It was observed that approximately one third of the patients quit smoking. The smoking cessation rate of patients who used combined treatment was found to be higher than other treatment options.
