"Tobacco free with FDNY" - The New York City Fire Department World Trade Center tobacco cessation study

Details

• Personal Author:
  Andreaci M ; Appel D ; Banauch GI ; Bars MP ; Kelly KJ ; Mouren P ; Prezant DJ
• Description:
  Context: After the World Trade Center (WTC) collapse, 15% (1,767) of rescue workers from the Fire Department of the City of New York (FDNY) considered themselves to be current cigarette smokers. Post-WTC collapse, 98% reported acute respiratory symptoms, and 81% reported health concerns. Nonetheless, 29% of current smokers increased tobacco use, and 23% of ex-smokers resumed cigarette smoking. Objective: To determine the effect of a comprehensive tobacco-cessation program using combination tobacco-dependency treatment medications adjusted to the individual's daily tobacco use. Design: FDNY cigarette smokers enrolled in "Tobacco Free With FDNY," a no-cost quit-smoking program providing counseling, support, and medications. At the end of the 3-month treatment phase and at the 6-month and 12-month follow-up visits, abstinence rates were confirmed by expired carbon monoxide levels or by the verification of a household member. Setting: FDNY Bureau of Health Services between August 1, 2002 and October 30, 2002. Participants: A total of 220 current cigarette smokers from the FDNY. Results: At study enrollment, the mean (+/- SD) tobacco use was 20 +/- 7 cigarettes per day, and the mean tobacco dependency, as assessed by a modified Fagerstrom test score, was 6.7 +/- 2.5 (maximum score, 10). Based on tobacco use, 20% of enrollees used three types of nicotine medications, 64% used two types, 14% used one type, and 3% used no medications. Additionally, 14% of enrollees used bupropion sustained release. The confirmed continuous abstinence rates were 47%, 36%, and 37%, respectively, after 3 months of treatment and at the 6-month and 12-month follow-up. Abstinence rates did not correlate with the history of tobacco use but correlated inversely with tobacco dependency. Adverse events and maximal nicotine medication use were unrelated, and no one experienced a serious adverse event. Conclusion: Tobacco dependency treatment using combination nicotine medications is effective and safe. Future studies should consider the following: (1) both history of tobacco use and withdrawal symptoms to determine the number and dose of nicotine medications; and (2) continuing combination treatment for > 3 months. [Description provided by NIOSH]
• Subjects:
  Emergency Responders Firefighters Health Personnel Lung Occupational Health Respiratory System Respiratory Tract Diseases Risk Assessment Risk Factors Safety September 11 Terrorist Attacks Smokers Surveys And Questionnaires Tobacco Products

  More +
• Keywords:
  Author Keywords: Firefighters Cigarette-smoking Emergency-responders Exposure-levels Fire-fighters Medical-personnel Pulmonary-function Pulmonary-system Pulmonary-system-disorders Questionnaires Rescue-workers Respiration Respiratory-system-disorders Risk-factors Smoking Statistical-analysis Tobacco Cessation World Trade Center

  More +
• ISSN:
  0012-3692
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  129
• Issue:
  4
• NIOSHTIC Number:
  nn:20046188
• Citation:
  Chest 2006 Apr; 129(4):979-987
• Contact Point Address:
  David J. Prezant, MD, Chief Medical Officer, Office of Medical Affairs, New York City Fire Department, 9 Metrotech Ctr, Brooklyn, NY 11201
• Email:
  Prezand@fdny.nyc.gov
• CAS Registry Number:
  Carbon monoxide (CAS RN 630-08-0)
• Federal Fiscal Year:
  2006
• Performing Organization:
  New York City Fire Department
• Peer Reviewed:
  True
• Start Date:
  20040701
• Source Full Name:
  Chest
• End Date:
  20110630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:57ff88b64d8b1c3d9477d050d5a5cfc4b9981826cbd393512d78b67836f71d51f8027c14dec5b07acbd27c69190198723619f1ff3cb45057779038075c2005c0
• Download URL:
  https://stacks.cdc.gov/view/cdc/201315/cdc_201315_DS1.pdf
• File Type:
  [PDF - 216.35 KB ]