Comparison of the smoking behaviour and attitudes of smokers who believe they have smoking-related problems with those who do not

Coleman, Tim; Barrett, Stephen; Wynn, Alison; Wilson, Andrew

doi:10.1093/fampra/cmg504

Cited by 14 publications

(13 citation statements)

References 15 publications

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“…17 More directly relevant, a survey of smokers conducted after a consultation with their GP found that 25% intended to quit within one month, 11 rising to 37% of those who considered they had a smoking related problem. 18 In the present study over 80% of untreated smokers had consulted their GP during the two year study period, with over a quarter consulting more than 10 times, indicating that there are missed opportunities for prescribing smoking cessation treatments. About three times as many smokers received a prescription for NRT than bupropion, suggesting the former is first line treatment for motivated smokers.…”

Section: Discussionmentioning

confidence: 49%

Smoking cessation treatment in primary care: prospective cohort study

Wilson

2005

Tob Control

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Objective: To compare the characteristics of smokers who do and do not receive smoking cessation treatment in primary care. Design: Prospective cohort study using practices registered with the pilot QRESEARCH database. Setting: 156 550 patients aged 18 years and over from 39 general practices located within four strategic health authorities, representing the former Trent Region, UK. Subjects: Patients registered with practices between 1 April 2001 and 31 March 2003 aged 18 years and over who were identified as smokers before the two year study period. Outcome: Prescription for smoking cessation treatment (nicotine replacement therapy (NRT) or bupropion) in the two year study period. Variables: Age, sex, deprivation score, co-morbidity. Results: Of the 29 492 patients recorded as current smokers at the start of the study period 1892 (6.4%) were given prescriptions for smoking cessation treatment during the subsequent two years. Of these, 1378 (72.8%) were given NRT alone, 406 (21.5%) bupropion alone, and 108 (5.7%) both treatments. Smokers were more likely to receive smoking cessation treatment if they lived in the most deprived areas (odds ratio (OR) for the most relative to the least deprived fifth, adjusted for sex, age, and co-morbidity, 1.50, 95% confidence interval (CI) 1.26 to 1.78), and if they were aged 25-74 years compared to 18-24 years or 75 and over. Smokers with co-morbidity were also more likely to receive smoking cessation treatment. Smokers were less likely to receive smoking cessation treatment if they were male (adjusted OR 0.68, 95% CI 0.62 to 0.75). Conclusion: The low proportion of smokers being prescribed these products strongly suggests that a major public health opportunity to prevent smoking related illness is being missed.

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Section: Discussionmentioning

confidence: 49%

Smoking cessation treatment in primary care: prospective cohort study

Wilson

2005

Tob Control

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“…8 Smokers who believe that they have a smoking-related disease 9 and attribute their symptoms to smoking 10 are more motivated to quit. In addition, smokers who have experienced and attributed an acute sentinel health event to smoking were more likely to stop smoking compared with community-based estimates.…”

Section: Discussionmentioning

confidence: 99%

Awareness of blindness and other smoking-related diseases and its impact on motivation for smoking cessation in eye patients

Handa

Woo

Wagle

et al. 2011

Eye

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Purpose Cigarette smoking is a major cause of morbidity and mortality. The association between smoking and eye diseases is less widely recognised relative to other betterknown smoking-related conditions. This study aims to assess the awareness and fear of known smoking-related diseases among current smokers attending an ophthalmology outpatient clinic and to evaluate their relative impact on the likelihood of smoking cessation. Patients and methods A cross-sectional survey using a structured interview of randomly selected current smokers attending an eye clinic was conducted. The knowledge of six smoking-related diseases (lung cancer, heart attack, stroke, blindness, other cancers, and other lung diseases) was assessed. The fear of smoking-related conditions and the relative impact of each smoking-related condition on the smoker's motivation to quit smoking were evaluated. Results Out of 200 current smokers aged from 14 to 83 years, only 42.5% (85 patients) were aware that smoking causes blindness. Smokers' perception of harm caused by smoking was 6.53±3.21 (mean±SD) on a visual analogue scale of 0 to 10. Patients placed blindness as the second most important motivating factor to quit smoking immediately, within 1 year and 5 years, after lung cancer. Conclusion The awareness of the risk of blindness from smoking was lowest compared with five other smoking-related diseases among eye patients who smoke. However, blindness remains a key motivational factor in smoking cessation and hence should be emphasised as an important negative health consequence of smoking in public health education and anti-smoking campaigns.

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“…Attenuated concerns may refl ect masked symptoms due to use of menthol cigarettes ( Garten & Falkner, 2003 ) or other health priorities or concerns. Research among White smokers suggests that smokers who believe their symptoms are smoking related are more motivated to quit than are those who do not ( Coleman, Barrett, Wynn, & Wilson, 2003 ). Thus, interventions designed for Black smokers might emphasize early physical symptoms to increase readiness to quit smoking ( Prokhorov et al, 2003 ).…”

Section: Discussionmentioning

confidence: 99%

The early health consequences of smoking: Relationship with psychosocial factors among treatment-seeking Black smokers

Webb

Carey

2009

Nicotine &Amp; Tobacco Research

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Comparison of the smoking behaviour and attitudes of smokers who believe they have smoking-related problems with those who do not

Abstract: Smokers who attend GPs' routine consultations and believe that they have smoking-related problems are more motivated to stop than others. This suggests that it is important for GPs to ascertain patients' views about the aetiology of their symptoms before discussing smoking with them.

Cited by 14 publications

References 15 publications

Smoking cessation treatment in primary care: prospective cohort study

Smoking cessation treatment in primary care: prospective cohort study

Awareness of blindness and other smoking-related diseases and its impact on motivation for smoking cessation in eye patients

The early health consequences of smoking: Relationship with psychosocial factors among treatment-seeking Black smokers

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