Navigation Links
Smokers with comorbid conditions need help from their doctor to quit
Date:8/23/2011

Smokers who also have alcohol, drug and mental disorders would benefit greatly from smoking cession counseling from their primary care physicians and would be five times more successful at kicking the habit, a study by researchers at UCLA's Jonsson Comprehensive Cancer Center has found.

Smokers with these comorbid conditions make up about 40 percent of the smoking population, have a more difficult time quitting and represent a significant burden on the healthcare system. If their primary care physicians could help them to quit smoking it would aid both in improving the health of patients and reducing tobacco-related healthcare costs, said Dr. Michael Ong, an assistant professor of general internal medicine and health services research and a researcher with UCLA's Jonsson Comprehensive Cancer Center.

"We found it would be very effective for primary care physicians to provide help in quitting smoking to these patients," Ong said. "However, in the context of everything these physicians are trying to do in a day, smoking cessation may fall by the wayside. It's also been thought that with this patient population, doctors should only take on one thing at a time, for example treating an opiate addiction and opting to deal with the smoking cessation later. But at the end of the day, we showed that smoking cessation counseling is effective in this patient population and should definitely be pursued."

The study appears today in Nicotine & Tobacco Research, the peer-reviewed journal of the Society for Research on Nicotine and Tobacco.

Primary care physicians play an important role in smoking cessation counseling. However, prior to this study, their effectiveness with this patient population was unclear, Ong said.

And while the Ong's study found that smokers with and without alcohol, drug or mental disorders were equally likely to receive smoking cessation counseling 72.9 percent and 79.9 percent respectively - those with these disorders also quit smoking at equal levels when they got a little help from their doctor.

The study found that the probability of patients with the comorbid disorders quitting without smoking cessation counseling was 6 percent, while patients without the comorbid disorders had a 10.5 percent chance of successfully kicking the habit. With smoking cessation counseling, patients with the comorbid conditions had five-fold better chance of quitting at 31.3 percent, while smokers without the other disorders had a three-fold better chance at 34.9 percent.

"This study shows that primary care physicians can help smokers with alcohol, drug or mental disorders to successfully quit," the study states. "These smokers should be targeted for smoking cessation counseling to reduce the health burden of tobacco."

Ong said there are much higher rates of smoking among schizophrenics and those with depression and anxiety disorders. Among drinkers, those with alcohol disorders include people who are alcohol dependent as well as weekend binge drinkers.

For the study, Ong and his team examined the relationship between past year smoking cessation counseling and successful quitting among 1,356 patients. The patients had reported smoking in the 1998-1999 Community Tracking Study survey and later reported seeing a primary care physician in the last year in a follow-up Healthcare for Communities Survey in 2000-2001.

"We sampled for patients with these disorders and if they were smoking at one time, we followed up two years later to see if they had talked to their primary care physician about quitting and whether they did in fact quit smoking," Ong said. "We picked out smokers from the original survey in 1998 and analyzed data from the second survey in 2000. Nobody had ever examined smokers with these comorbid conditions from this angle before."

Ong said he hopes the study results will be incorporated into new clinical practice guidelines when they come out so primary care physicians treating smokers with comorbid conditions realize that smoking cessation counseling in this difficult patient population can be successful.

"Getting people to quit smoking is the No. 1 way to reduce deaths in the United States," Ong said. "We know these deaths are preventable and we should be incorporating every tool in our tool box to keep people healthy. This study provides evidence that counseling all types of patients, even those challenging patients with comorbid conditions, to quit smoking can work."


'/>"/>

Contact: Kim Irwin
kirwin@mednet.ucla.edu
310-206-2805
University of California - Los Angeles Health Sciences
Source:Eurekalert

Related medicine news :

1. Nicotine replacement therapy is over-promoted since most ex-smokers quit unassisted
2. Genetic variant greatly increases lung cancer risk for light smokers
3. Longtime Smokers May Find Protection From Parkinsons
4. Blood Vessels Bounce Back Once Smokers Quit
5. Gene is linked to lung cancer development in never-smokers
6. Gene Linked to Lung Cancer Risk in Non-Smokers
7. Movies Trigger Young Adult Smokers to Light Up
8. Researchers discover new approach for identifying smokers at highest risk for developing lung cancer
9. Arteries Age Twice as Fast in Smokers
10. Alcohol consumption may protect against risk of AD, particularly in female nonsmokers
11. Women Smokers Targeted on World No Tobacco Day
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... ... Conventional wisdom preaches the benefits of moderation, whether it’s a matter of indulgence ... high can result in disappointment, perhaps even self-loathing. However, those who set the bar ... from PsychTests.com reveals that behind the tendency to set low expectations is ...
(Date:6/24/2016)... ... , ... June 19, 2016 is World Sickle Cell Observance Day. In an ... of holistic treatments, Serenity Recovery Center of Marne, Michigan, has issued a ... Cell Disease (SCD) is a disorder of the red blood cells, which can cause ...
(Date:6/24/2016)... MIAMI, Fla. (PRWEB) , ... June 24, 2016 , ... ... Florida Trend magazine’s 2016 Legal Elite. The attorneys chosen by their peers for this ... of Florida. , Seven Greenberg Traurig Shareholders received special honors as members of this ...
(Date:6/24/2016)... ... ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business for ... $12 an hour by 2020 and then adjusting it yearly to increase at the same ... wage, assure the wage floor does not erode again, and make future increases more predictable. ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Haute Beauty ... Barry M. Weintraub as a prominent plastic surgeon and the network’s newest partner. ... and the most handsome men, look naturally attractive. Plastic surgery should be invisible.” ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- The vast majority of dialysis patients currently receive ... usually 3 times a week, with treatment times averaging ... equipment preparation and wait time.  This regimen can be ... who are elderly and frail.  Many elderly dialysis patients ... for some duration of time. Residents in ...
(Date:6/23/2016)... 23, 2016  Experian Health, the healthcare ... the patient payment and care experience, today ... products and services that will enhance the ... offerings. These award-winning solutions will enable healthcare ... compliant in an ever-changing environment and redefine ...
(Date:6/23/2016)... -- The National Pharmaceutical Council (NPC) today announced that ... organization as its newest member.  ... and chief scientific officer, Mallinckrodt Pharmaceuticals, will serve ... of Directors. ... in support of our efforts to conduct research ...
Breaking Medicine Technology: