5102.0: Wednesday, October 24, 2001 - 12:45 PM

Abstract #29736

A longitudinal analysis of the association between tobacco smoking and poor health outcomes among people with major disabilities in Massachusetts

Monika Mitra, PhD1, Nancy Wilber, EdD1, Deborah Klein Walker, EdD2, and Deborah Allen, ScD3. (1) Bureau of Family and Community Health, Massachusetts Department of Public Health, 250 Washington St, 5th Floor, Boston, MA 02108, 617-624-5557, monika.mitra@state.ma.us, (2) Associate Commissioner, Massachusetts Department of Public Health, 250 Washington Street, Boston, MA 02108, (3) Division of Special Healthcare Needs, Massachusetts Department of Public Health, 4th fl, 250 Washington St, Boston, MA 02108

Data from a survey of independently living adults in Massachusetts with major disabilities suggest possible associations between tobacco smoking and poor health outcomes. Of 656 respondents, 29.30% reported using tobacco in the four weeks prior to the interview. No significant association was found with socio-demographic characteristics such as gender, race, age, education, and household composition. However, tobacco smoking was associated with respondent-reported ADL and IADL status, proportion of life disabled, alcohol use, marijuana use, and difficulty with physical exercise. In addition, smoking was associated (p<.05) with the following poor health outcomes: poorer health status, worsening health over the last year, a greater number of days unable to work or go to school, physician visits in the past year and secondary conditions. Respondents who reported smoking were significantly (p<.05) more likely to report the following secondary conditions: depression, chronic pain, anxiety, fatigue, and burns. Falls/injuries was marginally significant (p<.06). These associations were stable over successive phases of the survey. This presentation will also present a longitudinal analysis of the relationship between smoking and number of secondary conditions. These analyses support the importance of examining smoking patterns among people with disabilities and investigating the relationship between smoking and poor health outcomes among people with disabilities.

Learning Objectives: Participants will

  1. Be informed of the correlates of tobacco smoking among people with major disabilities.
  2. Understand the association between tobacco smoking and poor health outcomes among people with major disabilities.
  3. Recognize the importance of investigating the prevalence and correlates of tobacco smoking among people with disabilities.

Keywords: Disability, Tobacco

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
Disclosure not received
Relationship: Not Received.

The 129th Annual Meeting of APHA