4011.0: Tuesday, November 14, 2000 - Board 10

Abstract #8454

Tobacco use among people with disabilities

Phyllis Brawarsky, MPH1, Nancy Wilber, EdD2, Robert E. Gertz, MA2, Daniel Brooks, MPH1, and Deborah Klein-Walker, EdD3. (1) Bureau of Health Statistics, Research and Evaluation, Massachusetts Department of Public Health, 250 Washington Street, 6th floor, Boston, MA 02108, (2) Office of Statistics and Evaluation, Massachusetts Department of Public Health, 250 Washington Street, 5th floor, Boston, MA 02108, 617 624-5532, nancy.wilber@state.ma.us, (3) Associate Commissioner, Massachusetts Department of Public Health, 250 Washington Street, Boston, MA 02108

Objectives: In order to improve tobacco control efforts among disparate populations, we examined characteristics of smoking among people with disabilities (PWD). Methods. Data were obtained from the Massachusetts Behavioral Risk Factor Surveillance System, 1996-1998. Respondents reporting use of special equipment or limitations due to impairments or health problems for at least one year were classified as disabled. The disabled were further classified by level of disability, based on whether assistance was required in handling personal or routine needs, and type of disability. Logistic regression models were used to obtain odds ratios adjusted for age and education. Results. Compared to the non-disabled, PWD requiring assistance were more likely to be current smokers, and less likely to have quit smoking. Those with orthopedic and emotional/psychiatric conditions were more likely to be current smokers. Those with chronic conditions were more likely to have ever smoked and more likely to have quit. Among current smokers, PWD smoked more cigarettes per day and sooner after waking. PWD requiring assistance were more likely to be advised by a doctor to quit. They were also more likely to be planning to quit but not more likely to have made a quit attempt. Disabled smokers were less likely to report binge drinking but those needing assistance were more likely to consume more than 60 drinks per month. Conclusions. There are disparities in smoking rates between the disabled and non-disabled. Smoking cessation programs targeted to the disabled community are needed.

Learning Objectives: 1. Identify disparities in smoking rates and behaviors among people with disabilities and without disabilities. 2. Describe smoking characteristis among people with disabilities. 3. Understand the need for smoking cessation programs targeted to people with disabilities

Keywords: Disability, Tobacco

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA