141st APHA Annual Meeting and Exposition

In This section

287889
Factors associated with attempt to quit smoking among adults with chronic obstructive pulmonary disease

Tuesday, November 5, 2013

Dana Mowls, MPH , Department of Biostatistics and Epidemiology College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, OK
Vinay Cheruvu, PhD , Department of Epidemiology and Biostatistics, Kent State University College of Public Health, Kent, OH
Melissa Zullo, PhD , Department of Epidemiology and Biostatistics, Kent State University College of Public Health, Kent, OH
The main risk factor for chronic obstructive pulmonary disease (COPD) and disease progression is smoking. A diagnostic breathing test for COPD may support cessation; however, this relationship has not been found in clinical studies. The purpose of this research was to examine in a nationally representative sample, the association between diagnostic breathing test and smoking cessation and to describe factors associated with quit attempt in adults with COPD. This was a cross-sectional study using 2011 Behavioral Risk Factor Surveillance System data. Weighted multivariable logistic regression examined the association between breathing test and smoking cessation (model 1), and factors associated with quit attempt among current smokers (model 2).

Breathing test was reported by 83% of former (n=7,401) and 77% of current (n=5,817) smokers (p<0.001). Quit attempt was reported by 66% (n=3,663) of current smokers. Breathing test was not associated (odds ratio (OR): 0.92; 95 % confidence interval (CI): 0.73-1.16) with cessation (model 1). Quit attempt was more likely in: those with a breathing test (OR =1.4; CI: 1.1-1.9), black (OR=3.2; CI: 2.1-4.9) versus white non-Hispanic, those with comorbidity (OR=2.6; CI: 2.1-3.2), adults who reported any exercise (OR=2.05; CI: 1.6-2.6) and who had seen a doctor for shortness of breath (OR=1.3; CI: 1.1-1.7).

A diagnostic breathing test in adults with COPD does not predict smoking cessation but is a factor related to making a quit attempt. A quit attempt is the first step towards cessation. Administration of a breathing test followed by cessation assistance in current smokers with COPD may increase cessation success.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Epidemiology
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
Describe factors associated with attempt to quit smoking among adults with Chronic Obstructive Pulmonary Disease.

Keywords: Smoking Cessation, Chronic Diseases

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been extenstively involved in Chronic Obstructive Pulmonary Disease (COPD) research and prevention strategies throughout my Masters career. Smoking is the biggest risk factor for COPD, and smoking cessation is one of my research areas of interest.
Any relevant financial relationships? No

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.