156950 Influence of chronic illnesses on smoking cessation

Tuesday, November 6, 2007

Kushal Patel, PhD , Internal Medicine, Meharry Medical College, Nashville, TN
Margaret Hargreaves, PhD , Internal Medicine, Meharry Medical College, Nashville, TN
Sarah Niebler, MA , Psychology, Vanderbilt University, Nashville, TN
David Schlunt, PhD , Psychology, Vanderbilt University, Nashville, TN
Venita Bush, MSPH , Internal Medicine, Meharry Medical College, Nashville, TN
Leah Alexander, PhD , Internal Medicine, Meharry Medical College, Nashville, TN
Celia Larson, PhD , Metro Public Health Department, Nashville, TN
Smoking is a major risk factor for many diseases including lung cancer, coronary heart disease, stroke, and respiratory diseases. The purpose of this study was to investigate whether being diagnosed with chronic diseases such as diabetes, hypertension, and high cholesterol, as well as being overweight, was associated with higher smoking cessation rates. The study sample consisted of 6,407 African Americans (50%) and Caucasians who responded to four community surveys conducted by Nashville REACH 2010 to understand health-related behaviors, including smoking cessation, for residents in Nashville, TN. The surveys were modeled after the CDC's Behavioral Risk Factor Surveillance System (BRFSS). Comparisons between former and current smokers indicated that smoking cessation was significantly associated with several sociodemographic variables including age (p<.001), gender (p<.01), income (p<.001), marital status (p<.001), employment status (p<.001), and education (p<.001). Race did not have a significant association with being a former smoker (p=0.089). A multiple logistic regression was conducted to ascertain if chronic illnesses and health status predicted being former smoker. After controlling for method of data collection and sociodemographic variables, poorer self-described health status was a significant predictor of being a former smoker (p<0.001). Also, being diagnosed with diabetes (p<0.001), high cholesterol (p<0.001), and having a higher body mass index (p<0.01) were significant predictors of former smoking status. This study suggested that developing chronic diseases may lead people to quit smoking, and that time of diagnosis may be a very good time to promote smoking cessation.

Learning Objectives:
1. Evaluate the impact of sociocultural factors on smoking status 2. Evaluate whether chronic illness is related to smoking status 3. Identify sociocultural and health related factors that can maximize the effect of smoking cessation interventions

Keywords: Smoking, 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.