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Age Affects Motivation For Quitting Smoking
A new study shows that obstacles to
smoking cessation and motives for quitting smoking vary with age. The study
presented at CHEST 2007, the 73rd annual international scientific assembly
of the American College of Chest Physicians (ACCP), found that smokers over
age 65 reported quitting smoking due to physician pressure and stress due
to a major health problem, while smokers under age 65 reported cigarette
cost and tobacco odor as reasons for quitting.
"The current common perception among the medical community is that if
smokers age 65 and older haven't quit by now, they can't or won't quit -- a
perception which may lead physicians to focus less on their older patients'
smoking habit," said lead study author Virginia Reichert, NP, Center for
Tobacco Control, North Shore-LIJ Health System, Great Neck, New York. "Our
results show that older smokers are motivated to quit smoking by very
different factors compared with younger smokers. If these factors are
addressed, we may see cessation rates improve for both age groups."
Ms. Reichert and colleagues from the Center for Tobacco Control at
North Shore-LIJ compared health status and motives and obstacles for
quitting smoking between 1,909 smokers under age 65 (younger smokers) and
143 smokers over age 65 (older smokers) who were attending a 6-week
comprehensive cessation program. Older smokers were more likely than
younger smokers to have a recent hospitalization (23% vs 13%), comorbid
cardiac disease (78% vs 38%), cancer (20% vs 7%), and/or chronic
obstructive lung disease/asthma (37% vs 23%). Regarding motivation, older
smokers cited pressure by their physician and stress of a major health
problem as main reasons for quitting. Younger smokers attributed their
reasons for quitting to the cost of cigarettes, tobacco odor, and general
health concerns.
"If the cost of cigarettes hasn't made the older smoker quit by now,
they are not as likely to be affected by the rising costs as much as
younger smokers may be," said Ms. Reichert. "On the other hand, younger
smokers may not have experienced health effects from their smoking, but
they may have felt the impact of the cost of cigarettes/cigars."
Obstacles to smoking cessation also varied by age group. Younger
smokers were more likely than older smokers to report concerns of weight
gain (30% vs 15%), stress management (59% vs 45%), fear of failure (15% vs
8%), handling social situations (24% vs 7%), and cravings (44% vs 36%) as
obstacles to quitting smoking. Furthermore, 54% of older smokers and 69% of
younger smokers reported not wanting to give up their first cigarette in
the morning as an obstacle to quitting smoking.
Young smokers also believe that trying to quit "cold turkey" is best,
when in reality, only 7% of smokers achieve long-term abstinence without
professional help.
"To be most effective, treatment plans and education should be relevant
to each group's concerns," said Ms. Reichert. She suggests that health-care
providers offer weight management programs and stress management strategies
as part of the treatment and relapse prevention programs for younger
smokers, while older smokers may be more successful with physician
encouragement and knowledge of how smoking is influencing their current
health conditions.
"Tobacco-related diseases are major causes of death in the United
States," said Alvin V. Thomas, Jr., MD, FCCP, President of the American
College of Chest Physicians. "The more we know about what motivates smokers
to quit their habit and what personal obstacles they face in doing so, the
more we can tailor smoking cessation programs to fit the individual needs
of our patients."
CHEST 2007 is the 73rd annual international scientific assembly of the
American College of Chest Physicians, held October 20-25 in Chicago, IL.
ACCP represents 17,000 members who provide patient care in the areas of
pulmonary, critical care, and sleep medicine in the United States and
throughout the world. The ACCP's mission is to promote the prevention and
treatment of diseases of the chest through leadership, education, research,
and communication. For more information about the ACCP, please visit the
ACCP Web site at http://www.chestnet.org.
American College of Chest Physicians
http://www.chestnet.org
Vârsta Afecteazã motivatiei pentru renunti Fumatul - Age Affects Motivation For Quitting Smoking - articole medicale engleza - startsanatate