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Gepubliceerd in:

01-10-2012

Barriers to quitting smoking among medically ill smokers

Auteurs: Kristin Gregor, Belinda Borrelli

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2012

Abstract

Few studies examine predictors of smoking cessation among medically ill smokers, despite their high smoking prevalence. We prospectively examined barriers to smoking cessation in medically ill smokers, with age as a hypothesized moderator. Participants were smokers (N = 237, M _age = 56.1, 53.6% females) receiving home-based nursing care. Baseline self-report questionnaires assessed barriers to cessation (demographics, smoking history, psychosocial, and medical factors). Smoking status was biochemically verified at 2- and 6-months post-intervention. Compared with younger smokers, older smokers had significantly lower levels of nicotine dependence, stress, and depressed mood and a greater prevalence of smoking-related diseases. Older smokers were more likely to achieve biochemically verified abstinence at 6-month follow-up (7.8%) than younger smokers (3.1%) though this difference was not significant. Higher levels of depressed mood and lower levels of perceived stress were associated with a greater likelihood of cessation at both follow-up points, but only for younger smokers. For younger smokers, higher self-efficacy to quit and the presence of a smoking-related disease increased the odds of abstinence. These findings could help guide treatment development for this high-risk group of smokers.

vorige artikel Day-to-day discrimination and health among Asian Indians: A population-based study of Gujarati men and women in Metropolitan Detroit

volgende artikel Directive support, nondirective support, and health behaviors in a community sample

Continuous abstinence was used as the outcome measure per the recommendations of Hughes, 2003. It should be noted that 7-day point-prevalence (7-day ppa) was also calculated for the analyses in the current study. The findings for 7-day ppa were similar to the main findings at the 2- and 6-month follow-ups. At 2-months, two interactions were significant when using 7-day ppa, but not when using continuous abstinence as the dependent variable (social support × age, and income × age). The interaction of CESD by age was absent at 6-months when ppa was used as a dependent variable.

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Titel: Barriers to quitting smoking among medically ill smokers
Auteurs: Kristin Gregor
Belinda Borrelli
Publicatiedatum: 01-10-2012
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 5/2012
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-011-9376-y

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