The 130th Annual Meeting of APHA

4005.0: Tuesday, November 12, 2002 - Board 6

Abstract #43444

Factors associated with relapse in a smoking cessation program for veterans

Yong Cui, MD1, Cynthia J. Moriarty, MD, MSPH1, Brenda Martin, RN2, Faiza Rehman, MD1, Jagjinvan Mehta, MD1, and Robert S. Levine, MD1. (1) Preventive Medicine, Meharry Medical College, 1005 DB Todd Blvd, Nashville, TN 37208, 615-778-2644,, (2) Preventive Medicine, Alvin C York VA Medical Center, 3400 Lebanon Rd, Murfreesboro, TN 37129

Currently, 34% of the 25.2 million veterans in the United States are smokers. In order to identify potential ways to improve outcomes, we evaluated a four-week, four-session, smoking cessation program that included 148 veterans who completed at least one session between August 1999 and May 2001. Baseline assessments included sociodemographic information, medical co-morbidity, the Fagerstrom nicotine dependence test, the Beck depression inventory, and the "Why I Smoke” questionnaire (craving, stress relief, relaxation, stimulation, habit and handling). Participants were followed at 6-months post-treatment. Overall 42/148 (28.4%) had remained tobacco free. The quit rates among participants who attended 1, 2, 3 and 4 sessions were 3/28 (10.7%), 3/15 (20%), 12/44 (27.3%) and 24/61 (39.3%), respectively, with significantly lower relapse rates in three-session (OR=0.23, 95% CI=0.07-0.73) or four-session attendees (OR=0.09, 95% CI=0.03-0.27). As compared with those who completed either three to four sessions, participants who completed either one or two sessions were more likely to have an annual income greater than $30,000 (p<0.05), history of cerebrovascular accident (p<0.05), and history of current divorce, no prior quit attempts, and Beck depression score of greater than 25 (all p<0.10). In addition, older smokers (>60 years old) had higher quit rates than younger smokers (<50 years old) (OR=0.21, 95% CI=0.07-0.62), and relapse was positively associated with nicotine dependence (OR=1.55, 95% CI=1.0-2.39), and use of cigarettes to reduce stress (OR=2.26, 95% CI=1.04-4.92). Future investigations should see whether community-based or other support programs might improve outcomes for participants with these characteristics.

Learning Objectives:

Keywords: Smoking Cessation, Veterans' Health

Presenting author's disclosure statement:
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.

National and International Issues in Smoking Cessation Poster Session

The 130th Annual Meeting of APHA