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Determinants of nicotine dependence in chronic obstructive pulmonary disease
- Title
- Determinants of nicotine dependence in chronic obstructive pulmonary disease
- Authors
- Sim Y.S.; Lee J.H.; Kim K.U.; Ra S.W.; Park H.Y.; Lee C.-H.; Kim D.K.; Shin K.-C.; Lee S.H.; Hwang H.G.; Ahn J.H.; Park Y.B.; Kim Y.-I.; Yoo K.H.; Jeong I.; Oh Y.-M.; Lee S.-D.
- Ewha Authors
- 이진화
- SCOPUS Author ID
- 이진화
- Issue Date
- 2017
- Journal Title
- Tuberculosis and Respiratory Diseases
- ISSN
- 1738-3536
- Citation
- Tuberculosis and Respiratory Diseases vol. 80, no. 3, pp. 277 - 283
- Keywords
- Chronic obstructive; Nicotine dependence; Pulmonary disease; Smoking cessation
- Publisher
- Korean National Tuberculosis Association
- Indexed
- SCOPUS; KCI
- Document Type
- Article
- Abstract
- Background: Smoking cessation is the most powerful intervention to modify progress of chronic obstructive pulmonary disease (COPD), and nicotine dependence is one of the most important determinants of success or failure in smoking cessation. We evaluated nicotine dependence status and investigated factors associated with moderate to high nicotine dependence in patients with COPD. Methods: We included 53 current smokers with COPD in the Korean Obstructive Lung Disease II cohort enrolled between January 2014 and March 2016. Nicotine dependence was measured by using Fagerstrom test for nicotine dependence (FTND). Cognitive function was assessed by Korean version of Montreal Cognitive Assessment. Results: The median FTND score was 3, and 32 patients (60%) had moderate to high nicotine dependence. The median smoking amount was 44 pack-years, which was not related to nicotine dependence. Multiple logistic regression analysis revealed that high education status (odds ratio, 1.286; 95% confidence interval, 1.036-1.596; p=0.023), age <70 (odds ratio, 6.407; 95% confidence interval, 1.376-29.830; p=0.018), and mild to moderate airflow obstruction (odds ratio, 6.969; 95% confidence interval, 1.388-34.998; p=0.018) were related to moderate to high nicotine dependence. Conclusion: Nicotine dependence does not correlate with smoking amount, but with education level, age, and severity of airflow obstruction. Physicians should provide different strategies of smoking cessation intervention for current smokers with COPD according to their education levels, age, and severity of airflow obstruction. Copyright © 2017 The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.
- DOI
- 10.4046/trd.2017.80.3.277
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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