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당뇨병 환자에서 지속적 흡연 유지와 관련된 요인: 제7기 국민건강영양조사 자료를 이용하여

Factors Associated with Persistent Smoking in Diabetic Patients: The Seventh Korea National Health and Nutrition Examination Survey

가정의학 2020년 10권 5호 p.386 ~ 392
김정현, 박용순, 김정현, 임한결,
소속 상세정보
김정현 ( Kim Jeong-Hyun ) - Hallym University Chuncheon Sacred Heart Hospital Department of Family Medicine
박용순 ( Park Yong-Soon ) - Hallym University Chuncheon Sacred Heart Hospital Department of Family Medicine
김정현 ( Kim Jeong-Hyeon ) - Hallym University Chuncheon Sacred Heart Hospital Department of Family Medicine
임한결 ( Lim Han-Kyul ) - Hallym University Chuncheon Sacred Heart Hospital Department of Family Medicine

Abstract


Background: Smoking increases total mortality and the risk of complications in patients with diabetes; however, smokers tend to smoke persistently even after the diagnosis of diabetes mellitus. The purpose of this study was to analyze risk factors predicting persistent smoking in Korean adults with diabetes.

Methods: This study included 265 persistent-smokers and 146 quit-smokers among the participants with diabetes from the seventh Korea National Health and Nutrition Examination Survey. The subjects were smokers at the time of diagnosis of diabetes and were categorized into two groups according to the change in smoking status between the time of diabetes diagnosis and survey. Factors associated with persistent smoking were evaluated using multiple logistic regression analysis.

Results: The prevalence of persistent-smokers with diabetes in this study was 65.3%. After adjusting for covariates, persistent smoking in Korean adults with diabetes was significantly associated with a history of cancer (adjusted odds ratio [aOR], 0.322; 95% confidence interval [CI], 0.116?0.889), strength exercise (aOR, 2.753; 95% CI, 1.361?5.566), stress (aOR, 2.036; 95% CI, 1.046?3.950), non-medical treatment for diabetes (aOR, 6.814; 95% CI, 1.661?27.957), and duration of diabetes (aOR, 0.952; 95% CI, 0.919?0.987).

Conclusion: Identifying the risk factors related to persistent smoking among Korean adults with diabetes can help in developing effective smoking cessation strategies.

키워드

Diabetes Mellitus; Cigarette Smoking; Smoking Cessation; Korea National Health and Nutrition Examination Survey

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