Characteristics of and reasons for patients with chronic obstructive pulmonary disease to continue smoking, quit smoking, and switch to heated tobacco products

被引：8

作者：

Hirai, Kuniaki ^{[1
]}

Tanaka, Akihiko ^{[1
]}

Homma, Tetsuya ^{[1
]}

Kawahara, Tomoko ^{[2
]}

Oda, Naruhito ^{[2
]}

Mikuni, Hatsuko ^{[3
]}

Uchida, Yoshitaka ^{[3
]}

Saito, Haruhisa ^{[3
]}

Fukuda, Yosuke ^{[4
]}

Fujiwara, Akiko ^{[5
]}

Sato, Yoko ^{[1
]}

Uno, Tomoki ^{[1
]}

Inoue, Hideki ^{[1
]}

Ohta, Shin ^{[1
]}

Yamaguchi, Fumihiro ^{[6
]}

Suzuki, Shintaro ^{[1
]}

Ohnishi, Tsukasa ^{[1
]}

Sagara, Hironori ^{[1
]}

机构：

[1] Showa Univ, Dept Med, Div Resp Med & Allergol, Sch Med, Tokyo, Japan

[2] Yamanashi Red Cross Hosp, Dept Med, Div Resp Med, Fujikawaguchiko, Yamanashi, Japan

[3] Kokuho Asahi Chuo Hosp, Dept Med, Div Resp Med, Chiba, Japan

[4] Ebara Hosp, Dept Med, Div Resp Med, Tokyo, Japan

[5] Odawara Municipal Hosp, Dept Med, Div Resp Med, Odawara, Kanagawa, Japan

[6] Showa Univ Fujigaoka Hosp, Dept Med, Div Resp Med, Fujigaoka, Japan

来源：

TOBACCO INDUCED DISEASES | 2021年 / 19卷

关键词：

chronic obstructive pulmonary; disease; cigarettes; smoking; heated; tobacco products; AIR-FLOW OBSTRUCTION; COPD; CESSATION; PREVALENCE; IMPACT; PROPIONATE; PREVENTION; MORTALITY; DIAGNOSIS; DYSPNEA;

D O I：

10.18332/tid/142848

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

INTRODUCTION Smoking is the leading cause of chronic obstructive pulmonary disease (COPD), and smoking cessation is the most effective treatment for patients with COPD. However, few studies have investigated the continuation/cessation of smoking and heated tobacco products (HTP) in patients with COPD. The objective of this study was to examine the characteristics of patients with COPD, those who are current smokers and those who switched from cigarettes to HTP, and to examine the reason for the continuation or cessation of smoking. METHODS This multicenter, cross-sectional study included 411 outpatients with COPD. Data for this study were part of a study conducted for a comprehensive evaluation of the smoking status and clinical factors in patients with COPD and their families. RESULTS Logistic regression analysis revealed that a younger age, longer duration of smoking, fewer daily cigarettes, and lower modified Medical Research Council (mMRC) dyspnea score, and a lower Simplified Nutritional Appetite Questionnaire (SNAQ) score for appetite, were characteristics of current smokers (age OR=0.94; duration of smoking OR=1.07; number of cigarettes per day OR=0.94; mMRC OR=0.68; SNAQ OR=0.83; p<0.05). The logistic regression analysis model showed that a younger age and higher education level were associated with the use of HTP (age OR=0.83; higher education level OR=4.63; p<0.05). Many of the current smokers displayed smoking behaviors that are not guaranteed to be safe, such as reducing smoking or switching to lighter cigarettes or HTP. CONCLUSIONS Patients with COPD who continue smoking tended to have low appetite as well as smoking behaviors that are not guaranteed to be safe. Physicians should provide appropriate guidance to these patients on smoking cessation.

引用

页数：10

共 46 条

[41] Predictors of long-term smoking cessation in patients with COPD: results from a randomised controlled trial [J].