Vol. 40 No. 5, September/Ocober 2003, Supplement 2
Pages 1 — 28
Smoking cessation care received by veterans with chronic obstructive pulmonary diseaseScott E. Sherman, MD, MPH; Andy B. Lanto, MA; Margaret Nield, RN, PhD; Elizabeth M. Yano, PhDDepartmdnt of Veterans Affairs (VA) Health Services Research & Development Center of Excellence for the Study of Healthcare Provider Behavior, VA Greater Los Angeles Healthcare System, Sepulveda, CA; Department of Medicine, University of California, Los Angeles, CA; Division of Pulmonary and Critical Care, Department of Medicine, VA Greater Los Angeles Healthcare System, Sepulveda, CA; Department of Health Services, School of Public Health,
University of California, Los Angeles, CAAbstract — Smoking is the main cause of chronic obstructive pulmonary disease (COPD), and smoking cessation is the only effective intervention to slow its progression. We examined whether smokers with COPD received more cessation services than smokers without COPD. Current smokers from 18 Veterans Health Administration primary care clinics completed baseline and 12 month follow-up surveys (baseline n = 1,941; 12 month n = 1,080), composed of validated questions on smoking habits, history, and attitudes; health/functional status; and sociodemographics. Both at baseline and 12 month follow-up, smokers with COPD were more likely to report that they had been advised to quit, prescribed nicotine patches, or referred to a smoking cessation program within the last year. However, the rate of quitting smoking was the same for smokers with COPD and smokers without COPD. The increase in cessation services received by smokers with COPD was noted primarily among smokers not interested in quitting. New approaches may be required, particularly to help smokers not interested in quitting.Key words: chronic obstructive pulmonary disease, counseling, smoking cessation.