Effectiveness of additional follow-up telephone counseling in a smoking cessation clinic in Beijing and predictors of quitting among Chinese male smokers.

BACKGROUND: No previous studies have investigated whether additional telephone follow-up counseling sessions after face-to-face counseling can increase quitting in China, and whether this strategy is feasible and effective for promoting smoking cessation is still unclear. METHODS: A non-randomized controlled study was conducted in Beijing. We compared the quit rates of one group which received face-to-face counseling (FC) alone (one session of 40 min) to another group which received the same face-to-face counseling plus four follow-up sessions of brief telephone counseling (15-20 min each) at 1 week, 1, 3 and 6 month follow-up (FCF). No smoking cessation medication was provided. From October 2008 to August 2013, Chinese male smokers who sought treatment in a part-time regular smoking cessation clinic of a large general hospital in Beijing were invited to participate in the present study. Eligible male smokers (n = 547) were divided into two groups: FC (n = 149) and FCF (n = 398). Main outcomes were self-reported 7-day point prevalence and 6 month continuous quit rates at 12 month follow-up. RESULTS: By intention to treat, at 12 month follow-up, the 7-day point prevalence and 6 month continuous quit rates of FC and FCF were 14.8 % and 26.4 %, and 10.7 % and 19.6 % respectively. The adjusted odds ratios (95 % confidence intervals) of quitting in FCF compared to FC was 2.34 (1.34-4.10) (P = 0.003) and 2.41 (1.28-4.52) (P = 0.006), respectively. Stepwise logistic regression showed that FCF, being married, unemployed and a lower Fagerström score were significant independent predictors of 6 month continuous quitting at 12 month follow-up. CONCLUSIONS: Using systematically collected data from real-world practice, our smoking cessation clinic has shown that the additional telephone follow-up counseling sessions doubled the quit rate.

Characteristics of heavy metal transfer and their influencing factors in different soil-crop systems of the industrialization region, China.

Soil heavy metals and their bioaccumulation in agricultural products have attracted widespread concerns, yet the transfer and accumulation characteristics of heavy metals in different soil-crop systems was rarely investigated. Soil and crop samples were collected from the typical agricultural areas in the Yangtze River Delta region, China. The concentrations of Cu, Pb, Zn, Cd and Hg in the soils, roots and grains of rice (Oryza Sativa L.), wheat (Triticum L.) and canola (Brassica napus L.) were determined in this study. Transfer ability of heavy metals in soil-rice system was stronger than those in soil-wheat and soil-canola systems. The wheat showed a strong capacity to transfer Zn, Cu and Cd from root to the grain while canola presented a restricting effect to the intake of Cu and Cd. Soil pH and total organic matter were major factors influencing metal transfer from soil to rice, whereas soil Al2O3 contents presented a negative effect on heavy metal mobility in wheat and canola cultivation systems. The concentration of Zn and Cd in crop grains could well predicted according to the stepwise multiple linear regression models, which could help to quantitatively evaluate the ecologic risk of heavy metal accumulation in crops in the study area.