Tobacco Cessation |

Clinical and Demographic Factors Associated With Tobacco Smoking in United States Military Veterans Returning From Iraq and Afghanistan FREE TO VIEW

Adnan Abbasi, MBBS
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Syracuse VA Medical Center, Jamesville, NY

Chest. 2015;148(4_MeetingAbstracts):1071A. doi:10.1378/chest.2281668
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SESSION TITLE: Tobacco Cessation and Prevention Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 28, 2015 at 01:30 PM - 02:30 PM

PURPOSE: Military service and combat exposure are risk factors for tobacco smoking. The objective of this study was to determine the association between clinical and demographic factors with tobacco smoking in the US military veterans returning from Iraq and Afghanistan.

METHODS: We used data from three years (2011, 2012 and 2013) of the National Health Interview Survey (NHIS) obtained from the website of Integrated Health Interview Series of the U.S. National Health Interview Survey (Minnesota Population Center). Subjects were 18 years and older who served on active-duty in US Armed Forces in September 2001 or later. We assessed the age, gender, education, employment status, alcohol use, and symptoms of depression and anxiety. Based on their response subjects were divided into three categories: current, former or never smokers. Individual's general health was divided in 3 categories- excellent, good and poor. We compared the characteristics of the subgroups of subjects using the chi-square test for categorical variables and the Student’s t-test for continuous variables.

RESULTS: A total of 1089 subjects were identified who served on active duty in US Armed Forces in September 2001 or later. There were 585 never smokers, 209 former smokers and 295 current smokers. Mean (SD) age was 34.7 (10.3) years. 78.6% were male. Current smokers (32.7 years) were younger compared to never (35.4 years) or former smokers (36 years) p-value < 0.001. Male subjects were significantly more likely to be current smokers compared to female subjects (29.1% vs. 19.7%, p-value=0.0012). Current smokers reported poor health more frequently compared to former or never smokers (p value= 0.017). Current smokers were more likely to be consuming alcohol compared to never or former smokers (p-value < 0.001). There was no significant association of smoking status with employment (p-value 0.09). Current smokers were more likely to be high school graduate vs. higher education when compared to former or never smokers (p-value <0.001). There were 56 subjects who reported functional limitation from depression, anxiety or emotional problem; there was, however, no significant difference between the groups.

CONCLUSIONS: Current smoking status is associated with male gender, younger age, self-reported poor health, alcohol use, and high school vs. higher education.

CLINICAL IMPLICATIONS: Recognition of factors associated with tobacco smoking in veterans will help in developing strategies for smoking cessation in this population.

DISCLOSURE: The following authors have nothing to disclose: Adnan Abbasi

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