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Smoking among veterans with multiple sclerosis: prevalence correlates, quit attempts, and unmet need for services.
Arch Phys Med Rehabil. 2007 Nov; 88(11):1394-9.AP

Abstract

OBJECTIVE

To describe the prevalence and correlates of smoking as well as quit attempts and unmet need for smoking cessation services in a national sample of veterans with multiple sclerosis (MS).

DESIGN

Cross-sectional cohort study linking computerized medical record information to mailed survey data from 1999.

SETTING

Veterans Health Administration (VHA).

PARTICIPANTS

Sixty-four percent (2994/4685) of veterans with MS who received services in VHA and also returned survey questionnaires, as well as a 20% random subsample (n=569) who completed a more extensive assessment of smoking.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Items assessing smoking, quit attempts, and unmet need for smoking services.

RESULTS

Among all survey respondents with MS, 28.5% (95% confidence interval [CI], 26.9-30.2) endorsed current smoking. Of extended survey respondents, 54.5% (95% CI, 46.6-62.1) reported a quit attempt in the past year, and 59.0% (95% CI, 51.1-66.4) reported not getting needed services for smoking in the past year. In fully adjusted logistic regression, smoking was associated with younger age, lower levels of education, being unmarried, higher levels of physical pain, and poorer mental health. A quit attempt was associated with higher levels of education and greater pain intensity.

CONCLUSIONS

Smoking among veterans with MS is common, with rates similar to those for other veterans. There is substantial need for cessation services. Cessation interventions should address correlates of smoking including pain, poorer mental health, and social isolation.

Authors+Show Affiliations

VA Puget Sound Health Care System, Seattle, WA, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

17964878

Citation

Turner, Aaron P., et al. "Smoking Among Veterans With Multiple Sclerosis: Prevalence Correlates, Quit Attempts, and Unmet Need for Services." Archives of Physical Medicine and Rehabilitation, vol. 88, no. 11, 2007, pp. 1394-9.
Turner AP, Kivlahan DR, Kazis LE, et al. Smoking among veterans with multiple sclerosis: prevalence correlates, quit attempts, and unmet need for services. Arch Phys Med Rehabil. 2007;88(11):1394-9.
Turner, A. P., Kivlahan, D. R., Kazis, L. E., & Haselkorn, J. K. (2007). Smoking among veterans with multiple sclerosis: prevalence correlates, quit attempts, and unmet need for services. Archives of Physical Medicine and Rehabilitation, 88(11), 1394-9.
Turner AP, et al. Smoking Among Veterans With Multiple Sclerosis: Prevalence Correlates, Quit Attempts, and Unmet Need for Services. Arch Phys Med Rehabil. 2007;88(11):1394-9. PubMed PMID: 17964878.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Smoking among veterans with multiple sclerosis: prevalence correlates, quit attempts, and unmet need for services. AU - Turner,Aaron P, AU - Kivlahan,Daniel R, AU - Kazis,Lewis E, AU - Haselkorn,Jodie K, PY - 2007/10/30/pubmed PY - 2007/12/7/medline PY - 2007/10/30/entrez SP - 1394 EP - 9 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 88 IS - 11 N2 - OBJECTIVE: To describe the prevalence and correlates of smoking as well as quit attempts and unmet need for smoking cessation services in a national sample of veterans with multiple sclerosis (MS). DESIGN: Cross-sectional cohort study linking computerized medical record information to mailed survey data from 1999. SETTING: Veterans Health Administration (VHA). PARTICIPANTS: Sixty-four percent (2994/4685) of veterans with MS who received services in VHA and also returned survey questionnaires, as well as a 20% random subsample (n=569) who completed a more extensive assessment of smoking. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Items assessing smoking, quit attempts, and unmet need for smoking services. RESULTS: Among all survey respondents with MS, 28.5% (95% confidence interval [CI], 26.9-30.2) endorsed current smoking. Of extended survey respondents, 54.5% (95% CI, 46.6-62.1) reported a quit attempt in the past year, and 59.0% (95% CI, 51.1-66.4) reported not getting needed services for smoking in the past year. In fully adjusted logistic regression, smoking was associated with younger age, lower levels of education, being unmarried, higher levels of physical pain, and poorer mental health. A quit attempt was associated with higher levels of education and greater pain intensity. CONCLUSIONS: Smoking among veterans with MS is common, with rates similar to those for other veterans. There is substantial need for cessation services. Cessation interventions should address correlates of smoking including pain, poorer mental health, and social isolation. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/17964878/Smoking_among_veterans_with_multiple_sclerosis:_prevalence_correlates_quit_attempts_and_unmet_need_for_services_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(07)01340-8 DB - PRIME DP - Unbound Medicine ER -