155544 Method of smoking cessation and healthcare provider advice

Monday, November 5, 2007

Maya E. Matheny, BS , Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD
Beverly J. Wolpert, PhD , Office of Food Defense, Communication & Emergency Response, FDA Center for Food Safety and Applied Nutrition, College Park, MD
Pat Langenberg, PhD , Department of Epidemiology & Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD
Diane M. Dwyer, MD , Medical Director Center for Cancer Surveillance and Control, Maryland Department of Health and Mental Hygiene, Baltimore, MD
Carmela Groves, RN MS , Center for Cancer Surveillance and Control, Maryland Department of Health and Mental Hygiene, Baltimore, MD
Annette Hopkins, RN MS , Department of Epidemiology and Preventive Medicine, University of Maryland, Baltimore, Baltimore, MD
Min Zhan, PhD , Department of Epidemiology and Preventive Medicine, University of Maryland, Baltimore, Baltimore, MD
Eileen K. Steinberger, MD MS , Department of Epidemiology and Preventive Medicine, University of Maryland, Baltimore, Baltimore, MD
OBJECTIVE: Physician counseling and pharmacotherapy facilitate smoking cessation. This analysis describes the methods used by current smokers for cessation in relation to advice from a healthcare provider (HCP) in Maryland. METHODS: The Maryland Cancer Survey 2004 was a population-based telephone survey of cancer screening and risk behaviors in older adults, 40 years and above. Current smokers provided information about HCP advice to quit and smoking cessation methods used in the previous year. Multivariate logistic regression analyses were used to examine factors associated with use of cessation methods. RESULTS: 16% of the sample reported they were current smokers. Of those, 71% reported HCP advice to stop smoking. 57% of current smokers attempted to quit in the last year; 71% by “cold turkey” and 29% using another method (nicotine replacement or non-nicotine medication, behavioral therapy and alternative therapy.) Minority respondents more often tried to quit using cold turkey (84% compared to 63% of whites (p<0.0001). In multivariate analysis, advice from a healthcare provider to quit and white race were significant predictors of use of methods other than cold turkey (OR 1.8, 95% CI 1.02-3.11 and 2.8, 95% CI 1.7-4.7). CONCLUSIONS: The majority of older smokers who attempt to quit use cold turkey. Advice from a HCP to quit and being white are associated with increased odds of using pharmacological and other therapies for tobacco dependence. HCP need to counsel all patients and offer smoking cessation therapies to address the disparity suggested by minority respondents' increased use of cold turkey.

Learning Objectives:
1) Define current smoking status among older adults in Maryland. 2) Describe methods used for smoking cessation. 3) Discuss the association between healthcare provider advice and method for cessastion.

Keywords: Tobacco, Smoking Cessation

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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