Association between a diagnosis of diabetes mellitus and smoking abstinence: An analysis of the National Health Interview Survey (2006-2018).
Prev Med
; 187: 108085, 2024 Oct.
Article
in En
| MEDLINE
| ID: mdl-39053517
ABSTRACT
OBJECTIVE:
Both diabetes and smoking significantly increase the risk of cardiovascular disease (CVD). Understanding whether a diagnosis of diabetes can be leveraged to promote smoking cessation is a gap in the literature.METHODS:
We used data from the US National Health Interview Survey, 2006 to 2018, to investigate the relationship between self-report of diagnosis of diabetes and subsequent smoking abstinence among 142,884 respondents who reported regular smoking at baseline. Effect sizes were presented as hazard ratios (HRs) derived from multivariable Cox regression models adjusted for potential confounders using diabetes as a time-dependent covariate. Subgroup-specific estimates were obtained using interaction terms between diabetes and variables of interest.RESULTS:
A self-reported diagnosis of diabetes was associated with smoking abstinence (HR 1.21; 95% CI 1.16 to 1.27). The strength of the association varied based on race (P for interaction 0.004), where it was strongest in African Americans (HR 1.44; 95% CI 1.29 to 1.60); income (P for interaction <0.001), where it was strongest in those with a yearly income less than $35,000 (HR 1.45; 95% CI 1.36 to 1.53); and educational attainment (P for interaction <0.001), where it was strongest in those who did not attend college (HR 1.48; 95% CI 1.40 to 1.57).CONCLUSION:
Among adults who smoke, a diagnosis of diabetes is significantly associated with subsequent smoking abstinence. The association is strongest in socially disadvantaged demographics, including African Americans, low-income individuals, and those who did not attend college.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Health Surveys
/
Smoking Cessation
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Diabetes Mellitus
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
America do norte
Language:
En
Journal:
Prev Med
/
Prev. med
/
Preventive medicine
Year:
2024
Document type:
Article
Affiliation country:
Estados Unidos
Country of publication:
Estados Unidos