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Prevalence And Factors Associated With Persistent Smoking After Diagnosis Of CKD | 102470
ISSN: 2161-0711
Journal of Community Medicine & Health Education
Open Access
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Background: Chronic kidney disease can increase the risk for cardiovascular diseases, and
cardiovascular diseases contribute to a signifi cant proportion of morbidity and mortality
in CKD patients. While smoking is a strong risk factor for CVD complications, currently
no population-based studies are available examining change in smoking habit behavior in
newly diagnosed CKD patients. Therefore, this study aimed to examine the prevalence of
sustained smoking among patients recently diagnosed with CKD, and factors associated
with persistent smoking.
Patients & Methods: Data was collected from a cohort study using representative samples
in the Korean National Health Insurance database. A total of 10,473 male CKD patients
who were fi rst diagnosed between January 1, 2004 and December 31, 2011 were included
in the study. Change in smoking status, and demographic, socioeconomic and clinical
variables were examined for association with sustained smoking.
Results: Out of 935 male smokers newly diagnosed with CKD, 628 (67%) continued
smoking while 307 (33%) quit. Multivariate logistic regression analysis showed that
persistent smoking after diagnosis of CKD was associated with younger age at diagnosis
and higher fasting blood glucose levels. Conclusion: Almost two-thirds of men continue
to smoke after being diagnosed with CKD, suggesting that more can be done to encourage
and help men recently diagnosed with CKD to quit smoking. Men who are younger, and
who may benefi t most from early interventions for smoking cessation, are less likely to
quit, suggesting that future smoking cessation policies should take into consideration this
population.
Biography
In Young Cho has her expertise in chronic disease care and is dedicated to improving the health and wellbeing of her patients. She has been responsible for treating patients with tobacco dependence at the smoking cessation clinic in Seoul National University Bundang Hospital.