Room for improvement for smoking cessation support in asthma and COPD - a perspective from the Swedish National Airway Register

• Background: The prevalence of smoking has decreased in the general population and is nowadays around 7% in Sweden. The Swedish National Airway Register (SNAR) gives a unique opportunity to study obstructive lung diseases and related factors such as smoking habits.Aim: To provide a survey of data registered in SNAR and to report the prevalence of smoking and offered smoking cessation support among patients with asthma and COPD.Methods: In 2019, registrations of new patients and follow-up visits from primary and secondary care included 3845 adolescents with asthma (aged 12-17yr), 43721 adults with asthma, and 29945 with COPD with complete data about smoking habits. Smoking cessation support was defined as offered nicotine replacement therapy or motivational interviewing. The registrations were performed manually by healthcare professionals, or directly transmitted from medical records to a web-based platform.Results: The proportion of current smokers was 1.7% among adolescents with asthma (girls 2.4% vs. boys 1.1% p=0.003), 12.3% among adults with asthma (women 12.9% vs. men 11.3%, p<0.001) and 36.7% in COPD (women 37.9% vs. men 35.0%, p<0.001). Smoking cessation support was offered to 26.5% of the adolescents with asthma (girls 31.0% vs. boys 19.2%, p=0.440), 38.7% of the adults with asthma (women 39.3% vs. men 37.7%, p=0.260), and to 49.6% of those with COPD (women 49.3% vs. men 50.0%, p=0.430).Conclusion: In Sweden, a substantial proportion of patients with diagnosed asthma or COPD continue to smoke, with room for improvment for smoking cessation support.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)

Nyckelord

COPD

Smoking

Asthma

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