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E. Odiase



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    P1.05 - Poster Session/ Prevention and Tobacco Control (ID 215)

    • Event: WCLC 2015
    • Type: Poster
    • Track: Prevention and Tobacco Control
    • Presentations: 1
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      P1.05-007 - One-Stop Counselling, Social Support & Stop Smoking Aids Helps Smokers Quit (ID 198)

      09:30 - 17:00  |  Author(s): E. Odiase

      • Abstract
      • Slides

      Background:
      It has been a normal practice for governments, not-for-profits and other platforms to provide Quitlines to help smokers quit. There has been positive results, however a recent study shows that a one-stop platform can offer more desirable outcomes.

      Methods:
      We conducted a 6-month study through an online survey involving 1,200 smokers who visited a revolutionary one-stop smoking cessation online platform, www.quitgate.com. Figure 1After visitors ordered a product or called the Quitline, a questionaire was emailed to them. Questions asked included year of smoking initiation, number of cigarettes smoked per day and number of quit attempts and through what means.



      Results:
      Interestingly, 37% of the participants reported that they were motivated to quit because when they called the Quitline and received counselling from the Tobacco Treatment Specialist, they were immediately provided without obligation, the option of getting a smoking cessation product on same platform with either some of the product free or highly discounted. Another group, 11% said they prefered the platform to quit because it was social, friendly, professional, non-judgemental and yet non-clinical. Overall, most of the participants said it was a great idea to have a one-stop platform which provided free professional counselling, smoking cessation products, tools/apps like smoking calculator, DNA (Dependence on Nicotine Assessment) low prices, free shipping and premium customer service to highly motivate smokers quit for good.

      Conclusion:
      It is great to note that while Quitlines are provided by several institutions to help in smoking cessation, an important area of also making smoking cessation products availble either for free or a little amount will go a long way to motivate smokers. The Centers for Disease Control and Prevention-CDC cites evidence-based counseling, behavioral cessation therapies, medication, and social support as treatments that increase the chances of tobacco cessation

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    P2.05 - Poster Session/ Prevention and Tobacco Control (ID 216)

    • Event: WCLC 2015
    • Type: Poster
    • Track: Prevention and Tobacco Control
    • Presentations: 2
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      P2.05-003 - Poor & Heavy Smokers in Nigeria Face Higher Risk of Lung Cancer DNA Damage (ID 193)

      09:30 - 17:00  |  Author(s): E. Odiase

      • Abstract
      • Slides

      Background:
      Many poor smokers in Northen Nigeria who started smoking at teenage, smoked for at least 15 years, have the least access to medical attention and who probably smoke more sticks and/or packets because of the cheap price of cigarettes may face a higher risk of entire DNA damage from lung cancer

      Methods:
      There were 98,500 men, ages 30 to 55 years involved in a community-based tobacco control/smoking cessation study through questionnaires in English and the local languages for two Nigerian geo-political zones which are the North western and North eastern with the most smoking prevalence in the country. The Nigerian Cohort Study was from 2007 through December 2013. Relative Risk (RR) of tobacco-related lung cancer associated with different measures of smoking initiation, duration, and intensity adjusting for confounding variables were estimated. There were also analyses conducted on the entire study population, among men who had smoked for at least 15 years, most of whom started smoking at youth. Study was separately for each geo-political zone.

      Results:
      From the entire number participating in the study, 19,200 men or about 20% were diagnosed with tobacco-specific lung cancer. Compared with never smokers, men who smoked for at least 15 years and who smoked 10 cigarettes or more daily had a higher Relative Risk (RR). On the other side, men who had smoked for at least 15 years, but were priviledged to periodic hospital visits or started smoking after teenage, had their lung cancer risk reduced and/or averted. The increased RR of DNA damage from lung cancer associated with smoking was higher amongst "I dont care" smokers in both geo-political zones in Northern Nigeria.

      Conclusion:
      Results here show that young initiation, poverty, high tobacco consumption, duration of smoking and inacesability to regular medical check up very well increases the risk of lung cancer leading to entire DNA damage.

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      P2.05-004 - ETS Exposure Presents a High Risk of Lung Cancer to Restuarant/Bar Workers in Nigeria (ID 197)

      09:30 - 17:00  |  Author(s): E. Odiase

      • Abstract
      • Slides

      Background:
      Several studies have proved that over ninety percent of lung cancer cases are caused by tobacco. Smoking causes numerous cancers but surely has lung cancer on the highest. The alarming issue at the hand is that exposure to Environmental Tobacco Smoke-ETS may result to lung cancer among innocent non smoking employees in work places or elsewhere.

      Methods:
      Further from an earlier study where about 200 restuarant and bar non-smoking staff in four states in Nigeria-Lagos, Kano, Port-Harcourt and Abuja from were examined, we scaled up to conduct a similar expanded study among 450 non-smoking bar employees and regular non smoking bar users to reteirate our claims in 4 additional states. Level of ETS exposure was compared with survey results from participants. Duration of employment and level of exposure(number of hours daily) to Environmental Tobacco Smoke (ETS) for each person was also taken into account.

      Results:
      We discovered that participants exposed to workplace second-hand smoke were more likely to have any detectable level of NNAL (P=.005) and higher mean levels of NNAL (P < .001) compared with non-exposed participants. Increased levels of NNAL were also associated with hours of a single workplace exposure. Furthermore, some risks were noticed from non smoking daily bar users.

      Conclusion:
      Non-smoking employees left unprotected from workplace secondhand smoke exposure had elevated levels of a tobacco-specific carcinogen in their bodies. All workers—including bar and restaurant workers—should be protected from indoor workplace exposure to cancer-causing secondhand smoke. This calls for countries without a comprehensive National Tobacco Control Law to pass one as soon as possible in line with the WHO Framework Convention on Tobacco Control- FCTC.

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    P3.05 - Poster Session/ Prevention and Tobacco Control (ID 217)

    • Event: WCLC 2015
    • Type: Poster
    • Track: Prevention and Tobacco Control
    • Presentations: 1
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      P3.05-004 - Lung Cancer Perception and Treatment Access Among Rural Smokers in Northern Nigeria (ID 205)

      09:30 - 17:00  |  Author(s): E. Odiase

      • Abstract
      • Slides

      Background:
      Despite alarming evidences of the damages smoking causes to health which includes lung cancer. A large number of rural populaces in disadvantaged regions still have little or no knowledge about lung cancer which is a major disease caused by smoking.

      Methods:
      We organized a community tobacco awareness program in four states in northern Nigeria. An interview guide was designed mainly for this purpose in which 1200 rural/illiterate smokers, male and female, aged 45 and over who had smoked for at least 15 years took part in. The interview guide contained questions about year of smoking initiation, number of sticks smoked daily, number of years as smoker. It also contained questions about the knowledge of smoking damage and/or lung cancer perception. In addition, questions assessing the variables of the Health Belief Model and health motivations also were included. The data were obtained during face-to-face interviews in the primary language of the participating people. The interviews were translated into English.

      Results:
      All together, 15% of the participants agreed that smoking was dangerous to their health. Only 5% had heard about lung cancer and 4% had undergone at least one Lung Cancer Diagnosis during their lives. There was little or no access to treatment even at early detection in these rural areas thereby causing vulnerability to loss of life. 15% of these rural smokers said detecting cancer early was important, only 3% reported that cancer could be cured. Age, education, or mother tongue showed no statistically significant relationship with the lung health practice scores. However, proficiency with the English language (p = 0.009) and number of years exposed to awareness and education (p = 0.009) had a significant relationship with the lung health practice scores. The significant explanatory factor for the variable lung health practices was a cue to action (p = 0.009).

      Conclusion:
      The level of awareness, perception of lung cancer and treatment access among rural and illiterate smokers in northern Nigeria is unacceptably low thereby making them not to engage in screening and/or detection practices. This alarming situation calls for urgent intervention of not-for-profit advocacy groups, tobacco-related medical/health organizations to provide immediate lung cancer awareness, diagnosis and care so as to reduce incidences or threat at early detection.

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