Abstract: Poster Presentations |

The Cost of Smoking and Its Impact on a Cohort of Patients Undergoing the Process of Smoking Cessation FREE TO VIEW

Virginia C. Reichert, NP; L Villano, NP; P Folan, RN; N Kohn, MA; A Fein, MD; D Schulman, RN; NFN Arunabh, MD
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Academic, North Shore University Hospital, Manhasset, NY


Chest. 2003;124(4_MeetingAbstracts):231S-c-232S. doi:10.1378/chest.124.4_MeetingAbstracts.231S-c
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PURPOSE:  Smoking results in a financial and a health burden to individuals and society. We studied the effect of participant’s attitude about financial cost of smoking and its influence on quitting.

METHODS:  On day one, participants were asked about “reasons for quitting” with multiple reasons listed. Participants checked off all that applied, one choice being “cost of cigarettes”. Participants self-rated on “readiness-to-quit” scale between 1-10. On last day, participants who quit smoking were surveyed for “perceived benefits since quitting”. Participants checked many; with one choice “money saved”. Data was collected 1999–2003.

RESULTS:  473 participants were studied, 227 [48.0%] cited “cost of cigarettes” as reason for quitting. There was no significant association between citing cost as a reason and high readiness-to-quit, (≥7 on a scale of 1-10), (chi-square test) ). Of those who reported high readiness-to-quit, only 46.0% considered cost as a significant factor, whereas 56.4% of those who reported low readiness-to-quit did consider cost as a reason to quit. There was no significant association between citing cost, and sex, (chi-square test), age or pack years (Mann-Whitney test). 209 (51.9%) participants successfully quit. Survey of quitters revealed only 14.4% reported, “money saved” as a benefit. Majority of participants reported immediate improvement in their health as the most tangible quitting benefit.CONCLUSIONS: Participants who are more ready to quit [score ≥7 out of 10) are no more likely to report the cost of cigarettes as a reason for quitting. Although nearly half of all participants initially saw cost as a factor for quitting, few were able to appreciate a tangible financial benefit of money saved after quitting. Participants realize the gain in health improvement as a much more important apparent benefit immediately after quitting than any financial saving.

CLINICAL IMPLICATIONS:  Clinicians cannot rely upon patient attitudes about cost of cigarettes as a serious indicator for their readiness-to-quit. Further studies are needed to elucidate the impact of financial costs on smoking and its effect on the process of quitting.

DISCLOSURE:  V.C. Reichert, None.

Wednesday, October 29, 2003

12:30 PM - 2:00 PM




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