Changes in smoking associated with an acute health event: Theoretical and practical implications

被引:42
作者
Boudreaux, Edwin D.
Baumann, Brigitte M.
Camargo, Carlos A., Jr.
O'Hea, Erin
Ziedonis, Douglas M.
机构
[1] Univ Med & Dent New Jersey, Robert Wood Johnson Med Sch, Dept Emergency Med, Newark, NJ 07103 USA
[2] Univ Med & Dent New Jersey, Robert Wood Johnson Med Sch, Dept Psychiat, Newark, NJ 07103 USA
[3] Cooper Univ Hosp, Canc Inst New Jersey, Camden, NJ USA
[4] Harvard Univ, Massachusetts Gen Hosp, Dept Emergency Med, Cambridge, MA 02138 USA
[5] La Salle Univ, Dept Psychol, Philadelphia, PA 19141 USA
[6] Univ Med & Dent New Jersey, Robert Wood Johnson Med Sch, Dept Psychiat, Newark, NJ 07103 USA
关键词
D O I
10.1007/BF02879900
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Background. Experiencing a serious adverse behavior-related consequence may motivate behavior change. Purpose: To examine how a sentinel health event is associated with changes in smoking. Methods: We used a prospective cohort design. Adult emergency department (ED) patients provided demographic data, a smoking history, ratings of quit intentions, and endorsement of self-identified smoking-related health problems. A chart review collected data on acuity, ED disposition, and medical diagnoses. Smoking was reassessed I month postvisit. Hierarchical regression analyses were conducted to predict (a) intention to quit, (b) any quit attempt of 24 hr or more, and (3) 7-day abstinence. Results: Of 717 smokers enrolled, 189 (26%) intended to quit within the next month. Of the 253 participants reached I month postvisit, 126 (50%) reported they had attempted to quit, with 44 (19%) reporting 7-day abstinence. After controlling for other predictors, several event-related variables, such as having a smoking-related ED visit and being admitted to the hospital, were strong predictors of outcomes. Conclusion: Compared to community-based estimates, many more smokers in our sample attempted to quit and achieved 7-day abstinence. This was especially true among smokers who attributed their ED visit to a smoking-related health problem and who were admitted to the hospital. We discuss the implications for tobacco intervention design in medical settings.
引用
收藏
页码:189 / 199
页数:11
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