Participant: PROMISE AGEP Research Symposium, 2014
Resident in preventive medicine program
Institution: University of Maryland Medical Center
Among adults with diabetes, smokers have an increased morbidity and mortality than do non-smokers. We aim to determine predictors of smoking cessation attempts in the last year among current diabetic smokers.
We used data from the 2011 Behavioral Risk Factor Surveillance System (BRFSS). The outcome variable was self-reported smoking cessation attempt for one day or longer in the past 12-months. The independent variables included demographic data, presence of heart disease, mental and physical health, healthcare access, and lifestyle factors. Multivariable logistic regression was used to estimate adjusted odds ratios (OR) and 95% confidence intervals (CI), stratified by sex.
Of the 506,467 respondents to the survey, 59,539 were ≥ 40 years old and reported having diabetes. Of the 59,539, 26.4% were current smokers, 57.5% of whom tried to quit smoking in the past year. Women, blacks, and people with heart disease were more likely to report cessation attempts. Among men, but not women, the odds of attempted smoking cessation decreased with increasing age, adjusted OR 0.6 (95% CI 0.5, 0.8) for men ≥ 71 years compared to men 40-49 years (ref). In both sexes, black diabetics were more likely to report attempted smoking cessation than white diabetics (ORmale= 1.9, 95% CI 1.4, 2.4 ORfemale= 1.9, 95% CI 1.5, 2.3). People with heart disease had higher odds of attempted cessation- (ORmale= 1.5, 95% CI 1.2, 1.7 ORfemale= 1.5, 95% CI 1.3, 1.8) compared to those without heart disease.
Sex, age, race and heart disease are statistically significantly associated with smoking cessation attempts. Knowing these associations with smoking behaviors can help practitioners target counseling.
Rebekah C. Brown, M.D. is a third year resident in the preventive medicine program at the University of Maryland Medical Center. She is currently completing master’s work in epidemiology at the University of Maryland Baltimore. Special interests include chronic disease management, lifestyle medicine and wellness. Prior to residency, Dr. Brown graduated from Case Western Reserve University School of Medicine in 2011. She is also a terp! Dr. Brown graduated from the University of Maryland College Park in 2002.
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