Abstract
Introduction Cigarettes are the main cause of preventable death in the world, and primary health
care services can contribute to the management of this habit.
Objective To describe and analyze the factors associated with tobacco cessation in groups of
smokers in primary health care.
Methods The present is a cross-sectional study conducted in 12 primary health care units
from July 2016 to May 2017. We investigated sociodemographic and health variables,
as well as smoking characteristics and different interventions for tobacco cessation,
with the outcome being studied and analyzed after the fourth group care session.
Results We evaluated 329 smokers, of which 182 quit smoking after the fourth interview. Most
of the individuals who quit smoking were women (n = 121, 66.5%), with a monthly income of 2 to 5 minimum wages (n = 88, 77.9%). After the multivariable analysis, we observed that tobacco cessation
was significantly associated with depression (prevalence ratio [PR] = 1.11; 95% confidence
interval [95%CI] = 1.02 to 1.22), as well as with belonging to the groups which used
as approaches motivational interviewing (PR = 1.21; 95%CI = 1.13 to 2.01), patches
(PR = 1.36; 95%CI = 1.24 to 1.48), and bupropion (PR = 1.16; 95%CI = 1.03 to 1.31).
Conclusion Primary health care is the ideal site for the reduction of smoking rates, given that
different technologies may be applicable and useful for tobacco cessation. The comprehensiveness
and longitudinal care offered in primary care may provide opportunities for health
professionals to understand which is the best technology for each health system user,
thus contributing to personalized care.
Keywords
smoking - tobacco - primary health care
