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Conference Paper: A study on the factors affecting smoking behavior during hospitalization among patients with cardiovascular disease (CVD) in mainland China

TitleA study on the factors affecting smoking behavior during hospitalization among patients with cardiovascular disease (CVD) in mainland China
Authors
Issue Date2009
Citation
The 2009 Joint conference of the Society for Research on Nicotine and Tobacco (SRNT) and SRNT-Europe, Dublin, Ireland, 27-30 April 2009. How to Cite?
AbstractBACKGROUND: China has the largest population of smokers in the world. Hospitalization in a smoke-free hospital is considered to be a unique opportunity for patients with a smoking-related illness, such as CVD, to quit smoking. This study aims to explore the factors affecting patients’ smoking behaviour during hospitalization in a smoke-free hospital in Mainland China. METHODS: A cross-sectional survey using a self-administered questionnaire was conducted in 4 medical wards and 5 surgical wards of a CVD hospital in Beijing, China from September to November 2008. All hospitalized CVD patients who (1) smoked at least one cigarette within the 30 days prior to their admission; (2) hospitalized in cardiology medical or surgical wards; (3) had stayed in the hospital for at least 48 hours, and were to be discharged within 24 hours; (4) were 18 years of age or older; were invited to participate in the study. RESULTS: A total of 325 patients completed the questionnaire, with 26.2% (95%CI: 21.35%30.96%) reported to continue smoking during their hospital stay. Univariable regression analysis showed the following factors significantly associated with smoking during hospitalization: (1) before admission: higher daily cigarettes consumption and higher nicotine dependence; (2) during hospitalization: shorter length of hospital stay and unawareness of the smoke-free hospital policy; (3) psychological factors: lower motivation in succeeding in future attempts, perceived more difficulties in quitting smoking, lower confidence in their abilities to quit smoking and lower self-efficacy in resisting smoking. In the multivariable regression model, smoking during hospitalization was associated with the shorter length of hospital stay and lower confidence in their abilities to quit smoking. CONCLUSIONS: This is the first study to examine the smoking behaviour and factors affecting such behaviour during hospitalization among CVD patients in a smoke-free hospital in Mainland China. Some smokers still continue to smoke in spite of staying in a smoke-free hospital, and hospitalization is a teachable moment for providing smoking cessation interventions.
DescriptionPoster Session 5: 5-16
Persistent Identifierhttp://hdl.handle.net/10722/61897

 

DC FieldValueLanguage
dc.contributor.authorZhang, JYen_HK
dc.contributor.authorChan, SSCen_HK
dc.contributor.authorFong, DYTen_HK
dc.contributor.authorLam, THen_HK
dc.date.accessioned2010-07-13T03:49:34Z-
dc.date.available2010-07-13T03:49:34Z-
dc.date.issued2009en_HK
dc.identifier.citationThe 2009 Joint conference of the Society for Research on Nicotine and Tobacco (SRNT) and SRNT-Europe, Dublin, Ireland, 27-30 April 2009.en_HK
dc.identifier.urihttp://hdl.handle.net/10722/61897-
dc.descriptionPoster Session 5: 5-16en_HK
dc.description.abstractBACKGROUND: China has the largest population of smokers in the world. Hospitalization in a smoke-free hospital is considered to be a unique opportunity for patients with a smoking-related illness, such as CVD, to quit smoking. This study aims to explore the factors affecting patients’ smoking behaviour during hospitalization in a smoke-free hospital in Mainland China. METHODS: A cross-sectional survey using a self-administered questionnaire was conducted in 4 medical wards and 5 surgical wards of a CVD hospital in Beijing, China from September to November 2008. All hospitalized CVD patients who (1) smoked at least one cigarette within the 30 days prior to their admission; (2) hospitalized in cardiology medical or surgical wards; (3) had stayed in the hospital for at least 48 hours, and were to be discharged within 24 hours; (4) were 18 years of age or older; were invited to participate in the study. RESULTS: A total of 325 patients completed the questionnaire, with 26.2% (95%CI: 21.35%30.96%) reported to continue smoking during their hospital stay. Univariable regression analysis showed the following factors significantly associated with smoking during hospitalization: (1) before admission: higher daily cigarettes consumption and higher nicotine dependence; (2) during hospitalization: shorter length of hospital stay and unawareness of the smoke-free hospital policy; (3) psychological factors: lower motivation in succeeding in future attempts, perceived more difficulties in quitting smoking, lower confidence in their abilities to quit smoking and lower self-efficacy in resisting smoking. In the multivariable regression model, smoking during hospitalization was associated with the shorter length of hospital stay and lower confidence in their abilities to quit smoking. CONCLUSIONS: This is the first study to examine the smoking behaviour and factors affecting such behaviour during hospitalization among CVD patients in a smoke-free hospital in Mainland China. Some smokers still continue to smoke in spite of staying in a smoke-free hospital, and hospitalization is a teachable moment for providing smoking cessation interventions.-
dc.languageengen_HK
dc.relation.ispartof2009 Joint conference of the Society for Research on Nicotine and Tobacco (SRNT) and SRNT-Europe-
dc.titleA study on the factors affecting smoking behavior during hospitalization among patients with cardiovascular disease (CVD) in mainland Chinaen_HK
dc.typeConference_Paperen_HK
dc.identifier.emailZhang, JY: jingyu@HKUSUA.hku.hken_HK
dc.identifier.emailChan, SSC: nssophia@hkucc.hku.hken_HK
dc.identifier.emailFong, DYT: dytfong@hku.hken_HK
dc.identifier.emailLam, TH: hrmrlth@hkucc.hku.hk-
dc.identifier.hkuros165187en_HK
dc.description.otherThe 2009 Joint conference of the Society for Research on Nicotine and Tobacco (SRNT) and SRNT-Europe, Dublin, Ireland, 27-30 April 2009.-

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