Neglecting the neglected: Tobacco cessation support is 'essential' for the management of asthma and COPD

Introduction Asthma and COPD management have a broad framework, and smoking cessation plays an essential role. We examine the management of asthma and COPD patients not only for inhaler treatment options but also for essential interventions, such as smoking cessation support. Methods Data were coll...

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Main Authors: Dilek Karadogan, İlknur Kaya, Merve Yumrukuz Şenel, Esin Bilgin Konyalıhatipoğlu, Tahsin Gökhan Telatar, Metin Akgün
Format: Article
Language:English
Published: European Publishing 2024-01-01
Series:Tobacco Induced Diseases
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Online Access:https://www.tobaccoinduceddiseases.org/Neglecting-the-neglected-Tobacco-cessation-support-is-essential-for-the-management,176228,0,2.html
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author Dilek Karadogan
İlknur Kaya
Merve Yumrukuz Şenel
Esin Bilgin Konyalıhatipoğlu
Tahsin Gökhan Telatar
Metin Akgün
author_facet Dilek Karadogan
İlknur Kaya
Merve Yumrukuz Şenel
Esin Bilgin Konyalıhatipoğlu
Tahsin Gökhan Telatar
Metin Akgün
author_sort Dilek Karadogan
collection DOAJ
description Introduction Asthma and COPD management have a broad framework, and smoking cessation plays an essential role. We examine the management of asthma and COPD patients not only for inhaler treatment options but also for essential interventions, such as smoking cessation support. Methods Data were collected cross-sectionally from pulmonology departments of three government hospitals in Türkiye between May and September 2022. Patients aged ≥18 years who had been diagnosed with asthma or COPD for at least a year, were included in the study. The demographic and clinical characteristics of the patients were investigated. Routine cessation interventions were implemented for current smokers, and they were followed via phone calls after one month regarding their quit status and access to cessation clinics. Results Data from 145 patients with asthma and 148 patients with COPD were analyzed. The rate of current smoking among patients with asthma and COPD was 18.8% and 34.5%, respectively. Current smoking was negatively associated with age (<65 years) and disease duration (years) for both diseases (p<0.05). In addition, for asthmatics, presence of pulmonary disease in the family (OR:0.28, 95% CI: 0.10-0.79) and for COPD patients presence of hospitalization (OR: 0.26, 95% CI: 0.07-0.93) were negatively associated with current smoking. After one month, 85.1% of current asthmatic smokers had not tried to call a quitline, while 14.8% had tried to contact a quitline. Among current smoker COPD patients, only 1.9% had visited a smoking cessation clinic. Conclusions Tobacco cessation support seems to be neglected in asthma and COPD management. Instead, pulmonologists and patients focus on pharmaceutical treatments, which constitute the other component of care.
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publishDate 2024-01-01
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series Tobacco Induced Diseases
spelling doaj-art-6f50736ee5e046df897f2a124f6a80e02025-01-24T15:26:48ZengEuropean PublishingTobacco Induced Diseases1617-96252024-01-0122January1810.18332/tid/176228176228Neglecting the neglected: Tobacco cessation support is 'essential' for the management of asthma and COPDDilek Karadogan0https://orcid.org/0000-0001-5321-3964İlknur Kaya1https://orcid.org/0000-0002-0227-9215Merve Yumrukuz Şenel2https://orcid.org/0000-0003-0205-5075Esin Bilgin Konyalıhatipoğlu3https://orcid.org/0000-0002-4276-5998Tahsin Gökhan Telatar4https://orcid.org/0000-0002-3261-3464Metin Akgün5https://orcid.org/0000-0003-3404-4274Department of Chest Diseases, School of Medicine, Recep Tayyip Erdoğan University, Rize, TürkiyeDepartment of Chest Diseases, School of Medicine, Kütahya Health Sciences University, Kütahya, TürkiyeDepartment of Chest Diseases, School of Medicine, Balıkesir University, Balıkesir, TürkiyeDepartment of Chest Diseases, School of Medicine, Recep Tayyip Erdoğan University, Rize, TürkiyeDepartment of Public Health, School of Medicine, Recep Tayyip Erdoğan University, Rize, TürkiyeDepartment of Chest Diseases, School of Medicine, Ağrı İbrahim Çeçen University, Ağrı, TürkiyeIntroduction Asthma and COPD management have a broad framework, and smoking cessation plays an essential role. We examine the management of asthma and COPD patients not only for inhaler treatment options but also for essential interventions, such as smoking cessation support. Methods Data were collected cross-sectionally from pulmonology departments of three government hospitals in Türkiye between May and September 2022. Patients aged ≥18 years who had been diagnosed with asthma or COPD for at least a year, were included in the study. The demographic and clinical characteristics of the patients were investigated. Routine cessation interventions were implemented for current smokers, and they were followed via phone calls after one month regarding their quit status and access to cessation clinics. Results Data from 145 patients with asthma and 148 patients with COPD were analyzed. The rate of current smoking among patients with asthma and COPD was 18.8% and 34.5%, respectively. Current smoking was negatively associated with age (<65 years) and disease duration (years) for both diseases (p<0.05). In addition, for asthmatics, presence of pulmonary disease in the family (OR:0.28, 95% CI: 0.10-0.79) and for COPD patients presence of hospitalization (OR: 0.26, 95% CI: 0.07-0.93) were negatively associated with current smoking. After one month, 85.1% of current asthmatic smokers had not tried to call a quitline, while 14.8% had tried to contact a quitline. Among current smoker COPD patients, only 1.9% had visited a smoking cessation clinic. Conclusions Tobacco cessation support seems to be neglected in asthma and COPD management. Instead, pulmonologists and patients focus on pharmaceutical treatments, which constitute the other component of care.https://www.tobaccoinduceddiseases.org/Neglecting-the-neglected-Tobacco-cessation-support-is-essential-for-the-management,176228,0,2.htmlasthmacopdmanagementsmoking cessation
spellingShingle Dilek Karadogan
İlknur Kaya
Merve Yumrukuz Şenel
Esin Bilgin Konyalıhatipoğlu
Tahsin Gökhan Telatar
Metin Akgün
Neglecting the neglected: Tobacco cessation support is 'essential' for the management of asthma and COPD
Tobacco Induced Diseases
asthma
copd
management
smoking cessation
title Neglecting the neglected: Tobacco cessation support is 'essential' for the management of asthma and COPD
title_full Neglecting the neglected: Tobacco cessation support is 'essential' for the management of asthma and COPD
title_fullStr Neglecting the neglected: Tobacco cessation support is 'essential' for the management of asthma and COPD
title_full_unstemmed Neglecting the neglected: Tobacco cessation support is 'essential' for the management of asthma and COPD
title_short Neglecting the neglected: Tobacco cessation support is 'essential' for the management of asthma and COPD
title_sort neglecting the neglected tobacco cessation support is essential for the management of asthma and copd
topic asthma
copd
management
smoking cessation
url https://www.tobaccoinduceddiseases.org/Neglecting-the-neglected-Tobacco-cessation-support-is-essential-for-the-management,176228,0,2.html
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