The members of the VISN 11 Tobacco Tactics Team, in alphabetical order, are Timothy Carmody, Gregory Dalack, Lee Ewing, Petra Flanagan, Christopher Hermann, Thomas Hicks, Samantha Louzon, David Ronis, Patricia Smith and Richard White.
Post-discharge tobacco cessation rates among hospitalized US veterans with and without diabetes
Version of Record online: 19 JUN 2012
© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK
Volume 29, Issue 7, pages e96–e101, July 2012
How to Cite
Duffy, S. A., Munger, A., Karvonen-Gutierrez, C. A., Piette, J. D., Kao, T. A. and the Veterans Integrated Service Network (VISN) 11 Tobacco Tactics Team (2012), Post-discharge tobacco cessation rates among hospitalized US veterans with and without diabetes. Diabetic Medicine, 29: e96–e101. doi: 10.1111/j.1464-5491.2012.03635.x
- Issue online: 19 JUN 2012
- Version of Record online: 19 JUN 2012
- Accepted manuscript online: 21 MAR 2012 05:20AM EST
- Accepted 7 March 2012
Diabet. Med. 29, e96–e101 (2012)
Aims Smoking is a major risk factor for cardiovascular complications among patients with diabetes. Hospitalization has been shown to enhance cessation rates. The purpose of this study was to compare 6-month post-hospitalization tobacco cessation rates among US veterans with and without diabetes.
Methods This was a longitudinal study among inpatient veterans who used tobacco in the past month (n = 496). Patients were recruited and surveyed from three Midwestern Department of Veterans Affairs hospitals during an acute-care hospitalization. They were also asked to complete a follow-up survey 6 months post-discharge. Bivariate- and multivariable-adjusted analyses were conducted to determine differences in tobacco cessation rates between patients with and without a diagnosis of diabetes.
Results The mean age of patients was 55.2 years and 62% were white. Twenty-nine per cent had co-morbid diabetes. A total of 18.8% of patients with diabetes reported tobacco cessation at 6 months compared with 10.9% of those without diabetes (P = 0.02). Cotinine-verified cessation rates were 12.5 vs. 7.4% in the groups with and without diabetes, respectively (P = 0.07). Controlling for psychiatric co-morbidities, depressive symptoms, age, self-rated health and nicotine dependence, the multivariable-adjusted logistic regression showed that patients with diabetes had three times higher odds of 6-month cotinine-verified tobacco cessation as compared with those without diabetes (odds ratio 3.17, P = 0.005).
Conclusions Post-hospitalization rates of smoking cessation are high among those with diabetes. Intensive tobacco cessation programmes may increase these cessation rates further.