Evaluation of factors for keeping smoking cessation using health examination and administrative claim data

2019 Fiscal Year Final Research Report

• Project/Area Number: 19K21471
• Project/Area Number (Other): 18H06392 (2018)
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund (2019); Single-year Grants (2018)
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: Kyushu University
• Principal Investigator: Fujita Takako 九州大学, 医学研究院, 助教 (00822511)
• Project Period (FY): 2018-08-24 – 2020-03-31
• Keywords: 禁煙 / レセプトデータ / 健診 / ニコチン依存症

Outline of Final Research Achievements

The present study showed that occupational background was associated with smoking prevalence by insurance data of beneficiaries employed in medium- and small-sized companies. We evaluated factors related to the smoking status after the subjects quit smoking, which included income, occupation, life styles, and medical treatment for nicotine dependence. Income, occupation, and life styles could not significantly maintain smoking cessation, while medical treatment for nicotine dependence could. We found that varenicline, the most prescribed medicine for smoking cessation, is a cost-effective pharmacotherapy when evaluating actual paid medical costs.

Free Research Field

公衆衛生看護学

Academic Significance and Societal Importance of the Research Achievements

禁煙を維持させる要因に関して、大規模データを用いた長期的な研究はこれまでに行われていなかった。職種による喫煙率の差が顕著であったことから、禁煙支援や受動喫煙防止対策のため、保険者や行政等が協力し、事業者への啓発を行う必要があることが示唆された。また、ニコチン依存症治療を受けた方がそれ以外の方法で禁煙した場合よりも、禁煙が維持できていることが本研究により明らかとなったことから、禁煙達成へ導くための効果的な方法を示すことができた。