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A comparison of smoking patterns between counseling assisted and unassisted heavy smokers with early chronic obstructive pulmonary disease

Smoking patterns were described and compared
retrospectively for 5395 participants in the Lung Health
Study at 12 and 24 months. 3592 participants were assigned
to a special intervention (SI) group that received a
counseling assisted smoking cessation intervention that
included nicotine gum and 1803 participants were assigned to
a usual care (UC) group that received no assistance in
quitting smoking. Participants were smokers diagnosed with
mild to moderate chronic obstructive pulmonary disease
(COPD) and averaged 31.4 cigarettes/day at entry.
Significant differences were found regarding smoking
outcomes and smoking patterns between groups as well as
within each group. Counseling assisted participant's
continuous abstinence rate at 24 months was 25.1% compared
to 3.5% for unassisted smokers. Counseling assisted men were
more successful at remaining abstinent at 24 months (27.1%)
compared to (21.8%) for counseling assisted women. No gender
differences were found for unassisted smokers. Abstinence
rates were biochemically validated.
Differences were also found in smoking patterns between
groups for those unable to achieve continuous abstinence at
24 months. Counseling assisted participants smoked fewer
cigarettes, made more quit attempts, smoked fewer months and
stayed quit longer. Mixed results were found for baseline
demographic and smoking history variables. Age started
smoking, other smokers in the household, education and
social support were not significant. Cigarettes smoked per
day, previous quit attempts, longest period quit and
alcoholic drinks per week were significant. / Graduation date: 1992

Identiferoai:union.ndltd.org:ORGSU/oai:ir.library.oregonstate.edu:1957/36344
Date27 November 1991
CreatorsGonzales, David H.
ContributorsSendelbaugh, Joseph W.
Source SetsOregon State University
Languageen_US
Detected LanguageEnglish
TypeThesis/Dissertation

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