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Tob Induc Dis. 2019 Mar 20;16:A14. doi: 10.18332/tid/102787. eCollection 2018.

Receiving support to quit smoking and quit attempts among smokers with and without smoking related diseases: Findings from the EUREST-PLUS ITC Europe Surveys.

Tobacco induced diseases

Linnea Hedman, Paraskevi A Katsaounou, Filippos T Filippidis, Sofia B Ravara, Anne Lindberg, Christer Janson, Christina Gratziou, Gernot Rohde, Christina N Kyriakos, Ute Mons, Esteve Fernández, Antigona C Trofor, Tibor Demjén, Krzysztof Przewoźniak, Yannis Tountas, Geoffrey T Fong, Constantine I Vardavas,

Affiliations

  1. The Tobacco Control Committee of the European Respiratory Society, Lausanne, Switzerland.
  2. Division of Occupational and Environmental Medicine, Department of Public Health and Clinical Medicine, The OLIN Unit, Umeå University, Umeå, Sweden.
  3. Contributed equally.
  4. National and Kapodistrian University of Athens (UoA), Athens, Greece.
  5. Department of Primary Care and Public Health, Imperial College, London, United Kingdom.
  6. Health Sciences Research Centre (CICS-UBI), Faculty of Health Sciences, University of Beira Interior, Covilha, Portugal.
  7. Public Health Research Centre, National School of Public Health, NOVA University, Lisbon, Portugal.
  8. Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
  9. Medical Clinic I, Department of Respiratory Medicine, Goethe University Hospital, Frankfurt, Germany.
  10. European Network for Smoking and Tobacco Prevention (ENSP), Brussels, Belgium.
  11. University of Crete (UoC), Heraklion, Greece.
  12. Cancer Prevention Unit and WHO Collaborating Centre for Tobacco Control, German Cancer Research Center (DKFZ), Heidelberg, Germany.
  13. Institut Català d'Oncologia and Bellvitge Biomedical Research Institute (IDIBELL), Catalonia, Spain.
  14. School of Medicine and Health Sciences, Universitat de Barcelona, Catalonia, Spain.
  15. University of Medicine and Pharmacy 'Grigore T. Popa' Iasi, Iasi, Romania.
  16. Aer Pur Romania, Bucharest, Romania.
  17. Smoking or Health Hungarian Foundation (SHHF), Budapest, Hungary.
  18. Health Promotion Foundation (HPF), Warsaw, Poland.
  19. Maria Sk?odowska-Curie Institute-Oncology Center (MSCI), Warsaw, Poland.
  20. Department of Psychology and School of Public Health and Health Systems, University of Waterloo (UW), Waterloo, Canada.
  21. Ontario Institute for Cancer Research, Toronto, Canada.

PMID: 31516468 PMCID: PMC6661851 DOI: 10.18332/tid/102787

Abstract

INTRODUCTION: Having a chronic disease either caused or worsened by tobacco smoking does not always translate into quitting smoking. Although smoking cessation is one of the most cost-effective medical interventions, it remains poorly implemented in healthcare settings. The aim was to examine whether smokers with chronic and respiratory diseases were more likely to receive support to quit smoking by a healthcare provider or make a quit attempt than smokers without these diseases.

METHODS: This population-based study included a sample of 6011 adult smokers in six European countries. The participants were interviewed face-to-face and asked questions on sociodemographic characteristics, current diagnoses for chronic diseases, healthcare visits in the last 12 months and, if so, whether they had received any support to quit smoking. Questions on smoking behavior included nicotine dependence, motivation to quit smoking and quit attempts in the last 12 months. The results are presented as weighted percentages with 95% confidence intervals (CI) and as adjusted odds ratios with 95% CI based on logistic regression analyses.

RESULTS: Smokers with chronic respiratory disease, those aged 55 years and older, as well as those with one or more chronic diseases were more likely to receive smoking cessation advice from a healthcare professional. Making a quit attempt in the last year was related to younger age, high educational level, higher motivation to quit, lower nicotine dependence and having received advice to quit from a healthcare professional but not with having chronic diseases. There were significant differences between countries with smokers in Romania consistently reporting more support to quit as well as quit attempts.

CONCLUSIONS: Although smokers with respiratory disease did indeed receive smoking cessation support more often than smokers without disease, many smokers did not receive any advice or support to quit during a healthcare visit.

Keywords: Chronic Obstructive Pulmonary Disease (COPD); chronic disease; quitting smoking; smoking cessation; tobacco smoking

Conflict of interest statement

The authors declare that they have no competing interests, financial or otherwise, related to the current work. A Lindberg reports personal fees from Boehringer-Ingelheim, from AstraZeneca, from Novar

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