Associations between health-related quality of life and smoking status among a large sample of U.S. adults

McClave, Annette K.; Dube, Shanta R.; Strine, Tara W.; Mokdad, Ali H.

doi:10.1016/j.ypmed.2008.11.012

Cited by 64 publications

(57 citation statements)

References 34 publications

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“…As mulheres procuram obter mais apoio social como estratégia de coping no processo de desabituação tabágica (Stewart, Thomas, & Copeland, 2010). Quanto aos abstinentes, os homens apresentam menos morbilidade psicológica e melhor qualidade de vida mental (Dube et al, 2009) e nos abstinentes, as mulheres são mais propensas a desenvolver sintomas depressivos, pois, independentemente de terem história de comportamento tabágico, apresentam um risco duas vezes superior de terem sintomas depressivos (Angst et al, 2002). Quanto à idade, abstinentes maiores de 40 anos, enquanto fumadores, possuíam mais dependência nicotínica que abstinentes de 40 ou menos anos, o que está de acordo a literatura, pois a longa duração de consumo de tabaco associa-se a níveis elevados de dependência nicotínica (Lubman, Yücel, & Pantelis, 2004;Pratt et al, 2007).…”

Section: Discussionunclassified

“…Relativamente aos abstinentes, concluímos que ter doença respiratória crónica, elevada morbilidade psicológica, bem como maior procura de apoio espiritual predizem pior qualidade de vida física. Os abstinentes apresentam maior tendência para serem portadores de doenças crónicas relacionadas com o tabagismo, que muitas das vezes são indicadas como um dos principais motivos da cessação tabágica (McClave, Dube, Strine, & Mokdad, 2009). A literatura mostra que abstinentes referem menos morbilidade psicológica que os fumadores.…”

Section: Discussionunclassified

“…A literatura mostra que abstinentes referem menos morbilidade psicológica que os fumadores. Não obstante, ser portador de doença crónica tende a relacionar-se com morbilidade psicológica e pior qualidade de vida física (Dube et al, 2009). Por seu turno, maior procura de apoio espiritual revela-se como preditora de reduzida qualidade de vida física nos abstinentes.…”

Section: Discussionunclassified

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Preditores da qualidade de vida em fumadores e abstinentes

Andrade

Pereira

2012

Temas Psicol.

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ResumoEste estudo teve como objetivo avaliar qualidade de vida, morbilidade psicológica, dependência nicotínica e coping familiar em fumadores e abstinentes. 116 Life quality predictors in smokers and abstinents AbstractThis study aimed to evaluate quality of life, psychological morbidity, nicotine dependence and family coping in smokers and abstinents. 116 smokers and 117 abstinents, from both sexes, participated in the study. All participants answered the following instruments: Socio-Demographic; Medical Outcomes Study Short Form 36 (MOS SF-36); Depresion, Anxiety, Stress Scales (DASS); Fagerström Test for Nicotine Dependence (FTND) and Family Crises-Oriented Personal Evaluation Scales (F-COPES). According to the results, in smokers who also have a partner who smokes, high nicotine dependence and psychological morbidity predict less physical quality of life. High psychological morbidity and passive assessment, predict less quality of life. As for abstinents, having chronic respiratory disease, high psychological morbidity and looking for spiritual support predicted poorer quality of physical life. Being female, having chronic respiratory disease and psychological morbidity predicted lower mental quality of life. Hereafter, intervention programs should include partners as well as psychological morbidity and coping strategies in order to increase quality of life.

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Section: Discussionunclassified

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Preditores da qualidade de vida em fumadores e abstinentes

Andrade

Pereira

2012

Temas Psicol.

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“…Depression, pain, alcohol use, and other substance use disorders are associated with a greater prevalence of smoking. [32][33][34][35] Of additional concern is that the greater prevalence of health problems and symptoms in the smoker sample is likely tied to greater health care resource use. Although these data were not directly available, smoking has been shown to increase health care use and costs in general.…”

Section: Discussionmentioning

confidence: 99%

Smoking behavior and delivery of evidence-based care for veterans with spinal cord injuries and disorders

Weaver

Smith

LaVela

et al. 2011

The Journal of Spinal Cord Medicine

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Objective: Little is known about those veterans with spinal cord injuries and disorders (SCI/D) who smoke cigarettes. This study identified the factors associated with smoking in this population, motivations for smoking, and the readiness for smoking cessation. Current practices for the delivery of evidence-based tobacco cessation were also examined. Design: Methods included surveys of veterans with SCI/D, medical record reviews of current smokers, and telephone interviews with SCI/D providers. Setting: Six Veterans Health Administration facilities with SCI centers and one SCI clinic. Participants: Survey data were analyzed for 1210 veterans, 256 medical records were reviewed, and 15 providers served as key informants. Interventions: Observational study. Outcome measures: Veterans self-reported smoking status, quit attempts, methods and care received, motivation for smoking, and health care conditions. Medical record review and informant interviews examined the tobacco cessation care provided. Results: Whereas 22% of the respondents were current smokers; 51% were past smokers. Current smokers more often reported respiratory illnesses and/or symptoms, alcohol use, pain, and depression than past or never smokers, and approximately half made quit attempts in the past year. Smokers received referral to counseling (57%) and/or prescription for medication/nicotine replacement (23%). Key informants identified difficulty of providing follow-up and patients' unwillingness to consider quitting as barriers. Conclusion: Veterans with SCI/D who smoke also had other health problems. Providers offer counseling and medication, but often have difficulty following patients to arrange/provide support. Identifying other support methods such as telehealth, considering the use of combination cessation therapies, and addressing other health concerns (e.g. depression) may affect tobacco cessation in this population.

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“…However, we note that the CDC measure of pain that we used is a reliable tool that has been used in a several other studies to measure pain and quality of life. 30,36,37 Furthermore, our study represents an initial step in beginning to understand the association between pain and retention in HIV medical care. We anticipate our future studies will examine how specific pain categories may be associated with retention care.…”

Section: Discussionmentioning

confidence: 98%

Pain is Associated with Missed Clinic Visits Among HIV-Positive Women

et al. 2016

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Background Pain is highly prevalent among HIV-positive individuals, with women representing a large subset of those with pain. However, little is known about the relationship between pain and retention in HIV medical care. Among a cohort of HIV-positive women of color, we evaluated the association between pain and retention in care, as measured by missed clinic visits. Methods The Health Resources and Services Administration’s Women of Color Initiative was a multi-site observational cohort study evaluating demonstration projects to engage HIV-positive women in medical care. From November 2010 to July 2013, 921 women were enrolled in the study across nine U.S. sites; baseline interviews collected data on socio-demographic, clinical, and risk behavior characteristics. Pain was assessed at baseline based on number of days in pain over the last 30 days and was categorized as no pain (0 days), infrequent pain (1–13 days), and frequent pain (14–30 days), with 14 days being the median. Missed visits over the one-year follow-up period, evaluated by chart abstraction, were dichotomized as ≤1 missed visit vs. >1 missed visit. We conducted multivariate logistic regression to assess the association between pain at baseline and missed visits, adjusting for pertinent covariates. Results Among our sample (N=862), 52.2% of women reported no pain, 23.7% reported infrequent pain and 24.1% reported frequent pain. Forty-five percent had >1 missed visit during the one-year follow-up period. Overall, we did not find a significant association between pain and missed visits (aOR 2.30; 95% CI 1.00–5.25). However, in planned stratified analyses, among women reporting current substance use at baseline, reporting frequent pain was associated with a higher odds of missed visits as compared with reporting no pain (aOR=15.14; 95% CI 1.78–128.88). Conclusion In our overall sample, pain was not significantly associated with missed visits. However, frequent pain was associated with missed visits among HIV-positive women of color who reported substance use at baseline. A better understanding of the relationship between pain and missed visits could guide efforts to improve retention in care in this population.

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Associations between health-related quality of life and smoking status among a large sample of U.S. adults

Cited by 64 publications

References 34 publications

Preditores da qualidade de vida em fumadores e abstinentes

Preditores da qualidade de vida em fumadores e abstinentes

Smoking behavior and delivery of evidence-based care for veterans with spinal cord injuries and disorders

Pain is Associated with Missed Clinic Visits Among HIV-Positive Women

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