Characteristics of patients seeking outpatient smoking cessation treatment before and after the implementation of a smoke-free law in Valencia (Spain): a cross-sectional study

BMJ Open. 2020 May 15;10(5):e035319. doi: 10.1136/bmjopen-2019-035319.

Abstract

Objective: Explore potential changes in the characteristics of patients requesting smoking cessation treatment at an outpatient setting in Spain before and after Law 42/2010 was enacted.

Design: This is a cross-sectional study with convenience sampling. The information was obtained from the medical records of patients receiving smoking cessation treatment from January 2008 to December 2014.

Setting: Hospital Clinico Universitario de Valencia.

Participants: 423 patients who sought smoking cessation treatment 36 months before or 48 months after the enactment of the law.

Results: After the enactment of a comprehensive smoke-free law in Spain, the patients seeking smoking cessation treatment were older (p=0.003), had lower values of exhaled CO (p<0.0001), lower number of previous attempts to quit (p=0.027) and more history of medical problems related to smoking (p=0.002).

Conclusion: Our findings support the idea that society-nation level interventions could have an impact at the individual level, reflected by the change of patients' characteristics. It seems that the Law 42/2010 mobilised certain group of patients to seek treatment.

Keywords: epidemiology; health policy; primary care; public health.

MeSH terms

  • Cross-Sectional Studies
  • Delivery of Health Care
  • Female
  • Humans
  • Male
  • Outpatients
  • Smoking Cessation*
  • Spain