Young-Hoon Lee1,2, Jum Suk Ko3
1Department of Preventive Medicine and Institute of Wonkwang Medical Science, Wonkwang University
School of Medicine, Iksan, Korea
2Jeonbuk Tobacco Control Center, Iksan, Korea
3Department of Cardiology, Wonkwang University Hospital, Wonkwang University School of Medicine, Iksan, Korea
Background: Smoking increases the risk of diabetic
complications, but the prevalence of smoking in diabetes
is similar to non-diabetes. We aimed to investigate factors
associated with smoking cessation intentions (SCI)
in current smokers with diabetes.
Methods: In the 2013 Community Health Survey, information
about current smokers has been collected among
people who are over 30 years old with diabetes. Chi-
squared test and logistic regression analysis were used to
examine the association between socio-demographic
indicators, health behaviors, comorbidities, smoking-
related factors, diabetes-related factors and SCI. A total of
3,511 current smokers with diabetes were included
in the final analysis.
Results: Among current smokers with diabetes, 13.4%
reported having SCI (within six months). In multivariate
logistic regression analysis, gender, education, marital
status and occupation were found to be significantly related
to SCI. Moreover, lower amounts of smoking, previous
attempts to smoking cessation (odds ratio [OR]
3.66, 95% confidence interval [CI] 2.94-4.56), experience
of smoking cessation recommendations from acquaintances
(OR 1.87, 95% CI 1.38-2.52), experience of smoking
cessation education (OR 1.57, 95% CI
1.12-2.20), and experience of diabetic education (OR 1.33,
95% CI 1.06-1.66) were significantly associated
with SCI in current smokers with diabetes.
Conclusion: In order to lower the smoking rate of
community-dwelling adults with diabetes, effective anti-
smoking
interventions are needed, taking into account SCI-related
factors, including smoking cessation education
and diabetes education.
Korean J Health Promot 2017;17(3):184-192
Keywords: Smoking cessation, Intention, Community health
planning, Diabetes mellitus |