Int. J. Environ. Res. Public Health 2014, 11(4), 3717-3727; doi:10.3390/ijerph110403717
Article

Clinical and Individual Factors Associated with Smoking Quit Attempts among Adults with COPD: Do Factors Vary with Regard to Race?

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Received: 27 December 2013; in revised form: 24 March 2014 / Accepted: 25 March 2014 / Published: 3 April 2014
(This article belongs to the Special Issue Health Behavior and Public Health)
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract: Only half of adults with chronic obstructive pulmonary disease (COPD) report a smoking quit attempt in the past year. Adults with COPD have frequent encounters with the healthcare system that are opportunities for health behavior interventions that support quit attempts. The purpose of this research was to examine individual- and clinical-level factors associated with smoking quit attempts in adults with COPD. Cross-sectional data were from the 2011 Behavioral Risk Factor Surveillance System. Race-stratified, weighted logistic regression examined factors associated with quit attempt among current smokers with COPD. Overall, quit attempt was reported by 65% (95% confidence interval (CI): 61.9, 67.5) of adults and was more likely among blacks than whites (p < 0.0001). Among whites with COPD quit attempt was associated with: Female gender (adjusted odds ratio (AOR) = 1.3; CI: 1.0, 1.7), exercise (AOR = 2.0; CI: 1.5, 2.5), and medications for COPD (AOR = 1.6; CI: 1.3, 2.2). Among black adults with COPD quit attempt was associated with: Having a partner (AOR = 4.5; CI: 1.3, 15.0), exercise (AOR = 3.7; CI: 1.6, 8.7), spirometry (AOR = 9.5; CI: 3.2, 28.7), and having a personal doctor (AOR = 6.4; CI: 1.8, 22.5). Individual and clinical-factors associated with quit attempt varied by race. These findings suggest an impact of the healthcare system that supports quit attempts in blacks but not whites with COPD.
Keywords: chronic obstructive pulmonary disease; COPD; smoking; cessation; quit attempts; tobacco; respiratory; race
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MDPI and ACS Style

Mowls, D.S.; Cheruvu, V.K.; Zullo, M.D. Clinical and Individual Factors Associated with Smoking Quit Attempts among Adults with COPD: Do Factors Vary with Regard to Race? Int. J. Environ. Res. Public Health 2014, 11, 3717-3727.

AMA Style

Mowls DS, Cheruvu VK, Zullo MD. Clinical and Individual Factors Associated with Smoking Quit Attempts among Adults with COPD: Do Factors Vary with Regard to Race? International Journal of Environmental Research and Public Health. 2014; 11(4):3717-3727.

Chicago/Turabian Style

Mowls, Dana S.; Cheruvu, Vinay K.; Zullo, Melissa D. 2014. "Clinical and Individual Factors Associated with Smoking Quit Attempts among Adults with COPD: Do Factors Vary with Regard to Race?" Int. J. Environ. Res. Public Health 11, no. 4: 3717-3727.


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