Smoking Cessation Prescription Rates and Predictors of Cessation among Smokers with and without Type 2 Diabetes Mellitus
methods: Electronic medical records were used to identify patients who were current smokers in 2012. Chi square and binary logistic regression were then used to examine predictors of receiving smoking cessation prescriptions and smoking cessation between smokers with and without diabetes.
results: While smokers with diabetes were prescribed cessation medications at a higher rate than smokers without diabetes (44.8% vs 36.3%, p <0.001), cessation rates did not differ significantly between the groups nor was diabetes predictive of receiving smoking cessation prescriptions (OR 1.128; CI 95%, 0.915-1.390; p=.259). Number of clinical visits was the main factor found to be predictive of prescriptions for cessation medications (OR 1.048; CI 95%, 1.036-1.06; p<.001) and for cessation attempts (OR 1.043; CI 95%, 1.026-1.061; p<.001).
conclusions: Despite increased rates of smoking cessation medication prescriptions, most individuals with diabetes did not quit smoking. Number of clinical visits was the strongest predictor of both cessation medication prescriptions and cessation attempts. Neither Type 2 diabetes nor smoking cessation prescriptions were predictive of smoking cessation. Future research should continue to determine factors that facilitate cessation among individuals with diabetes to assist public health efforts in smoking cessation and diabetes management.
Learning Areas:Chronic disease management and prevention
Explain the role of diabetes in receiving a prescription for smoking cessation medication. Describe predictive factors of smoking cessation among smokers with and without diabetes.
Keyword(s): Diabetes, Tobacco Use
Qualified on the content I am responsible for because: I have been the Clinical Research Coordinator on several federally funded grants focusing on smoking cessation, and mHealth utilization within the Veterans Health Administration. I earned my Master of Public Health in 2014 and my Bachelor of Science in Psychology in 2012. My scientific interests include diabetes management, eHealth, medical psychology, and public health informatics.
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.