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133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
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133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA |
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Shumei Yun, MD, MPH, PhD1, Fungai Chenetsa2, Amy Kelsey, MPH, and Bao Ping Zhu, MD, MPH4. (1) Section of Chronic Disease Prevention and Health Promotion, Missouri Department of Health and Senior Services, 920 Wildwood Dr., Jefferson City, MO 65109, 573-522-2800, yuns@dhss.mo.gov, (2) University of Missouri, 312 Clark Hall, Columbia, MO 65211, (3) Office of Epidemiology, Missouri Department of Health and Senior Services, 920 Wildwood Dr., Jefferson City, MO 65109
Background: Asthma is a chronic disease that causes significant morbidity and mortality and requires ongoing chronic care. Smoking and exposure to secondhand smoke are triggering and aggravating factors for asthma. The National Asthma Education and Prevention Program recommends that no patients with asthma should smoke or be exposed to secondhand smoke.
Methods: Data from the Missouri County-level Behavioral Risk Factor Survey were used to examine the prevalence of, and risk factors for, smoking and exposure to secondhand smoke among asthmatic patients. The survey was conducted among 15,059 non-institutionalized adults aged 18 years or older in Missouri using random-digit-dialed telephone interview.
Results: A high proportion of asthmatic Missourians are either current smokers (28.4%) or regularly exposed to secondhand smoke (19.9% - 36.4%, depending on the setting). About 30% of asthmatic current smokers who had visited a physician in the past 12 months were not advised by health care professionals to quit smoking. Asthmatics without a high school education were more likely than those with high school or higher education to be current smokers [odds ratio (OR)=2.28, 95% confidence interval (CI): 1.15 - 4.55]. Asthmatics with a household income of $15,000 or less are more likely to be exposed to secondhand smoke at home two or more days per week than those with an income of $50,000 or higher (OR= 3.33, 95% CI: 1.04 - 11.11).
Conclusions: Conclusions: Asthma intervention programs should strengthen smoking cessation components, and should educate health care professionals about the importance of advising asthmatic patients to quit smoking.
Learning Objectives:
Presenting author's disclosure statement:
I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.
The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA