Changes in smoking prevalence and cessation support, and factors associated with successful smoking cessation in Swedish patients with asthma and COPD

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Changes in smoking prevalence and cessation support, and factors associated with successful smoking cessation in Swedish patients with asthma and COPD

Stegberg, Marcus (författare): Orebro Univ, Sch Med Sci, Orebro, Sweden.,School of Medical Sciences, Örebro University, Örebro, Sweden

Hasselgren, Mikael, 1964- (författare): Örebro universitet,Institutionen för medicinska vetenskaper,Orebro Univ, Sch Med Sci, Orebro, Sweden.

Montgomery, Scott, 1961- (författare): Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Clinical Epidemiology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden; Department of Epidemiology and Public Health, University College, London, UK,Clinical Epidemiology and Biostatistics,Orebro Univ, Clin Epidemiol & Biostat, Orebro, Sweden.;Karolinska Inst, Dept Med, Clin Epidemiol Unit, Stockholm, Sweden.;UCL, Dept Epidemiol & Publ Hlth, London, England.

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Lisspers, Karin (författare): Uppsala universitet,Allmänmedicin och preventivmedicin,Department of Public Health and Caring Sciences, Family Medicine and Preventive medicine, Uppsala University, Uppsala, Sweden

Ställberg, Björn (författare): Uppsala universitet,Allmänmedicin och preventivmedicin,Department of Public Health and Caring Sciences, Family Medicine and Preventive medicine, Uppsala University, Uppsala, Sweden

Janson, Christer (författare): Uppsala universitet,Lung- allergi- och sömnforskning,Department of Medical Sciences, Respiratory, Allergy & Sleep Research, Uppsala University, Uppsala, Sweden

Sundh, Josefin, 1972- (författare): Örebro universitet,Institutionen för medicinska vetenskaper,Department of Respiratory Medicine, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden,Orebro Univ, Sch Med Sci, Dept Resp Med, Orebro, Sweden.

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Orebro Univ, Sch Med Sci, Orebro, Sweden School of Medical Sciences, Örebro University, Örebro, Sweden (creator_code:org_t)

2018-01-04
2018
Engelska.
Ingår i: European Clinical Respiratory Journal. - : TAYLOR & FRANCIS LTD. - 2001-8525. ; 5:1

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Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

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Introduction: Our aim was to investigate changes in smoking prevalence, smoking cessation support and factors associated with successful smoking cessation in patients with asthma and COPD.Methods: Questionnaires about available smoking cessation resources were completed by 54 primary health-care centers and 14 hospitals in central Sweden in 2005 and 2012. Patient data were collected using record reviews and patients questionnaires for two cohorts of randomly selected asthma and COPD patients in 2005 (n = 2306; with a follow up in 2012), and in 2014/ 2015 (n = 2620). Smoking prevalence, available individual and group smoking cessation support, and factors associated with successful smoking cessation were explored.Results: Smoking prevalence decreased from 11% to 6% (p < 0.0001) in patients with asthma but was almost unchanged in patients with COPD (28 to 26%, p = 0.37). Smoking cessation support increased from 53% to 74% (p = 0.01). A high cardiovascular risk factor level, including diabetes mellitus and hypertension was associated with improved smoking cessation in patients with asthma (OR (95% CI) 3.87 (1.04-14.4), p = 0.04). A higher magnitude success was observed in men with asthma (OR (95% CI) 27.9 (1.73-449), p = 0.02). More highly educated women with asthma had successful greater smoking cessation (4.76 (1.22-18.7), p = 0.04). No significant associations were found in COPD.Conclusions: The smoking prevalence in patients with asthma but not in COPD has almost halved in Sweden during a 7-year period. The availability of smoking cessation support has increased. Suggested factors related to successful smoking cessation are higher level of education in women with asthma and cardiovascular risk factors in men and women with asthma.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)

Nyckelord

Smoking prevalence
smoking cessation support
primary care
secondary care
cardiovascular risk factors
high educational level

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European Clinical Respiratory Journal (Sök värdpublikationen i LIBRIS)

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Av författaren/redakt...: Stegberg, Marcus; Hasselgren, Mika ...; Montgomery, Scot ...; Lisspers, Karin; Ställberg, Björn; Janson, Christer; visa fler...; Sundh, Josefin, ...; visa färre...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Lungmedicin och ...

Artiklar i publikationen: European Clinica ...

Av lärosätet: Uppsala universitet; Örebro universitet; Karolinska Institutet

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