RT Journal Article
SR Electronic
T1 Government’s subsidisation policy and utilisation of smoking cessation treatments: a population-based cross-sectional study in Taiwan
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e040424
DO 10.1136/bmjopen-2020-040424
VO 11
IS 1
A1 Wang, Sheng-Kuang
A1 Kao, Chi-Wen
A1 Chuang, Hui-Wan
A1 Tseng, Yi-Kai
A1 Chen, Wan-Chun
A1 Yeh, Chien-Chih
A1 Lai, Chung-Yu
A1 Yen, Li-Chen
A1 Chiu, Yu-Lung
YR 2021
UL http://bmjopen.bmj.com/content/11/1/e040424.abstract
AB Objectives This study examined the associations between the Second-Generation Cessation Payment Scheme (SCPS) and the use of smoking cessation treatments. Furthermore, these associations were compared between light and heavy smokers in Taiwan.Design This study had a cross-sectional design.Setting Data were obtained from the Taiwan Adult Smoking Behaviour Surveillance System 2010–2011 and 2013–2014; data for each year consisted of a nationally representative sample of adults aged 18 years and older.Participants Current smokers who had either quit or made a serious attempt to quit smoking were selected for the analysis.Primary outcome measure The primary outcome measure was the use of a smoking cessation clinic or pharmacy in a twice daily to quit smoking.Results According to multivariate analysis, the SCPS was positively associated with the combined use of a smoking cessation clinic and a pharmacy (OR=3.947; 95% CI: 1.359 to 11.463) when individual-level predictors (gender, age, education level, marital status, monthly household income, daily cigarette consumption, smoking status and self-reported health) were controlled. Heavy smokers showed a significant increase in the sole use of a pharmacy (OR=1.676; 95% CI: 1.094 to 2.569) and combined use of a smoking cessation clinic and pharmacy (OR=8.984; 95% CI: 1.914 to 42.173) after the SCPS was introduced. In addition, when related factors were controlled, the use of smoking cessation services was more frequent among heavy smokers than light smokers, including any treatment (OR=1.594; 95% CI: 1.308 to 1.942), a smoking cessation clinic (OR=1.539; 95% CI: 1.232 to 1.922), a pharmacy (OR=1.632; 95% CI: 1.157 to 2.302) and the combination of a smoking cessation clinic and pharmacy (OR=4.608; 95% CI: 1.331 to 15.949) .Conclusions The SCPS subsidisation policy increased the use of smoking cessation treatments, particularly among heavy smokers.