Outcomes of the first adolescent-focused smoking cessation clinic in Türkiye on tobacco control.

Background/aim: Adolescent smoking remains common, highlighting the need to control tobacco use and identify influencing factors. This study aims to evaluate the outcomes of an adolescent-focused smoking cessation clinic and the factors influencing them. Materials and methods: The study was conducted with 262 adolescents, who, along with their parents, had direct access to the clinic. Data were drawn from patient records containing structured registration and follow-up documentation. The study investigated the effects of baseline cigarette consumption, sociodemographic characteristics, and nicotine patch use on smoking cessation rates at three months, six months, and one year. Results: The three-month, six-month, and one-year quit rates for adolescents were 18%, 14.3%, and 13.5%, respectively. The regression model revealed a positive association with three-month smoking cessation among those who had a cough (OR = 8.57; 95% CI: 1.83-40.11; p = 0.06) and those who used a nicotine patch (OR = 5.74; 95% CI: 2.06-15.94; p < 0.001). Additionally, individuals who used their pocket money to purchase cigarettes were more likely to quit smoking for three months (OR = 3.47; p = 0.038) and six months (OR = 9.26; p = 0.039). For every 10-cigarette increase in daily consumption, the likelihood of smoking cessation decreased at both 6 months (OR = 0.31; 95% CI: 1.28-8.33; p = 0.014) and one year (OR = 0.26; 95% CI: 1.39-10.42; p = 0.009). Conclusion: Our findings suggest that not receiving extra pocket money and smoking fewer cigarettes at the time of admission are associated with higher quit rates. Even short-term use of nicotine patches and addressing symptoms such as coughing may support adolescents' intention to quit. Adolescent smoking cessation clinics provide a valuable opportunity to address these factors in collaboration with families.