Introduction
More than 3 of 5 U.S. adults who have ever smoked cigarettes have quit. This study
assesses the latest estimates of smoking cessation among U.S. adults with and without
chronic obstructive pulmonary disease who have ever smoked cigarettes (ever smokers).
Methods
Data from 161,233 ever smokers (12.8% with chronic obstructive pulmonary disease)
in the 2018 Behavioral Risk Factor Surveillance System were analyzed in 2020. Weighted
percentages of quit ratios (percentage of ever smokers who quit smoking), past-year
quit attempts (≥1 day), and recent successful cessation (quit ≥6 months ago) by self-reported
physician-diagnosed chronic obstructive pulmonary disease status were obtained from
multivariable logistic regression analyses, with adjustment for sociodemographic characteristics,
health risk behaviors, depression, and asthma.
Results
Adults with chronic obstructive pulmonary disease who smoked had greater age-adjusted
past-year quit attempts (68.8% vs 64.3%) but lower recent successful cessation (4.5%
vs 5.8%) and quit ratio (53.2% vs 63.9%) than those without chronic obstructive pulmonary
disease. After adjusting for covariates, adults with chronic obstructive pulmonary
disease who smoked had a significantly higher percentage of past-year quit attempts
but similar recent successful cessation and a significantly lower lifetime quit ratio
than their counterparts without chronic obstructive pulmonary disease.
Conclusions
These findings suggest that individuals with chronic obstructive pulmonary disease
who try to quit smoking may be less likely to succeed than those without chronic obstructive
pulmonary disease. Evidence-based treatments for smoking cessation remain an important
component of a comprehensive approach to helping all adults to quit and are a particularly
important element of chronic obstructive pulmonary disease management and care.
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Article Info
Publication History
Published online: February 01, 2022
Identification
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Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.
