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Smoking Cessation After Hospital Discharge: Factors Associated With Abstinence
Author(s) -
Streck Joanna M.,
Chang Yuchiao,
Tindle Hilary A.,
Regan Susan,
Park Elyse R.,
Levy Douglas E.,
Singer Daniel E.,
Ylioja Thomas,
Rigotti Nancy A.
Publication year - 2018
Publication title -
journal of hospital medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.128
H-Index - 65
eISSN - 1553-5606
pISSN - 1553-5592
DOI - 10.12788/jhm.2997
Subject(s) - medicine , abstinence , confidence interval , smoking cessation , odds ratio , logistic regression , randomized controlled trial , quit smoking , hospital discharge , emergency medicine , psychiatry , pathology
Hospitalization offers tobacco smokers an opportunity to quit smoking, but factors associated with abstinence from tobacco after hospital discharge are poorly understood. We analyzed data from a multisite, randomized controlled trial testing a smoking cessation intervention for 1,357 hospitalized cigarette smokers who planned to quit. Using multiple logistic regression, we assessed factors identifiable in the hospital that were independently associated with biochemically confirmed tobacco abstinence six months after discharge. Biochemically confirmed abstinence at six months (n = 218, 16%) was associated with a smoking‐related primary discharge diagnosis (Adjusted Odds Ratio [AOR] = 1.98, 95% CI: 1.41‐2.77), greater confidence in the ability to quit smoking (AOR = 1.31, 95% CI: 1.07‐1.60), and stronger intention to quit (plan to quit after discharge vs try to quit; AOR=1.68, 95% CI: 1.19‐2.38). In conclusion, smokers hospitalized with a tobacco‐related illness and those with greater confidence and intention to quit after discharge are more likely to sustain abstinence in the long term. Hospital clinicians' efforts to promote smoking cessation should target smokers' confidence and motivation to quit. Funding Source: The study was funded by NIH/NHLBI [grant #R01‐HL11821].