Smoking Cessation After Hospital Discharge: Factors Associated With Abstinence

Autor: Yuchiao Chang, Nancy A. Rigotti, Hilary A. Tindle, Daniel E. Singer, Elyse R. Park, Thomas Ylioja, Douglas E. Levy, Joanna M. Streck, Susan Regan
Rok vydání: 2018
Předmět:
Male
medicine.medical_specialty
Time Factors
Leadership and Management
medicine.medical_treatment
media_common.quotation_subject
Intention
Assessment and Diagnosis
Logistic regression
01 natural sciences
Article
Intention to quit
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Internal medicine
Tobacco Smoking
medicine
Hospital discharge
Humans
030212 general & internal medicine
0101 mathematics
Care Planning
Randomized Controlled Trials as Topic
media_common
business.industry
Health Policy
010102 general mathematics
Tobacco Smokers
General Medicine
Odds ratio
Middle Aged
Abstinence
Patient Discharge
Tobacco Use Cessation Devices
Telephone
Hospitalization
behavior and behavior mechanisms
Smoking cessation
Female
Smoking Cessation
Fundamentals and skills
business
Zdroj: Journal of Hospital Medicine. 13:774-778
ISSN: 1553-5606
1553-5592
DOI: 10.12788/jhm.2997
Popis: Hospitalization offers tobacco smokers an opportunity to quit smoking, but factors associated with abstinence from tobacco after hospital discharge are poorly understood. We analyzed data from a multisite, randomized controlled trial testing a smoking cessation intervention for 1,357 hospitalized cigarette smokers who planned to quit. Using multiple logistic regression, we assessed factors identifiable in the hospital that were independently associated with biochemically confirmed tobacco abstinence six months after discharge. Biochemically confirmed abstinence at six months (n = 218, 16%) was associated with a smoking-related primary discharge diagnosis (Adjusted Odds Ratio [AOR] = 1.98, 95% CI: 1.41–2.77), greater confidence in the ability to quit smoking (AOR = 1.31, 95% CI: 1.07–1.60), and stronger intention to quit (plan to quit after discharge vs try to quit; AOR=1.68, 95% CI: 1.19–2.38). In conclusion, smokers hospitalized with a tobacco-related illness and those with greater confidence and intention to quit after discharge are more likely to sustain abstinence in the long term. Hospital clinicians’ efforts to promote smoking cessation should target smokers’ confidence and motivation to quit.
Databáze: OpenAIRE
Externí odkaz: