![[ Visit Client Website ]](images/banner.jpg)
BACKGROUND: Among adults with diabetes, cigarette smoking is associated with an increased risk of cardiovascular disease, stroke, serious complications like lower extremity amputation, and mortality. Smoking cessation is recommended for people with diabetes. This analysis seeks to describe the prevalence of current and former cigarette smoking, and quit attempts among adults with and without diabetes in Texas.
METHODS: The Texas Behavioral Risk Factor Surveillance System 2011-2013 data was used to calculate prevalence estimates of current and former smoking and quit attempts among adults with and without diabetes by demographics (age group (18-44, 45-64, 65+), sex, race/ethnicity (white only, non-Hispanic (NH); black only, NH; Hispanic; other only, NH or multiracial), education (<high school diploma, high school diploma, some college or more), and marital status (married; divorced, widowed, or separated; never married or a member of an unmarried couple)). Diagnosed diabetes was defined by an affirmative response to: “Has a doctor, nurse, or other health professional ever told you that you have diabetes?” A quit attempt was defined by an affirmative response to: “During the past 12 months, have you stopped smoking for one day or longer because you were trying to quit smoking?”. Log linear regression models were used to obtain adjusted prevalence ratios (APRs) for cigarette smoking and quit attempts among current cigarette smoking adults by diabetes status after adjustment for demographic characteristics.
RESULTS: The unadjusted prevalence of cigarette smoking was lower among Texas adults with diabetes than those without diabetes (15.0% vs. 18.0%, p=.004). This was true specifically for those over age 65, both men and women, white NH, adults with less than a high school diploma, and those previously married (p≤0.05). The percent of former smokers was higher overall among adults with diabetes than those without diabetes (32.4% vs. 20.5%, p<.0001). Quit attempts were higher overall for adults with diabetes than those without diabetes (67.6% vs. 61.3%, p=0.05) and specifically for women, Hispanics, and adults with less than a high school diploma (p≤0.05). Log linear regression analysis showed that the APR for smoking was 9% lower among adults with diabetes than those without diabetes. The APR for a quit attempt was 14% higher among adults with diabetes than those without diabetes.
CONCLUSIONS: Cigarette smoking prevalence was lower and the prevalence of a quit attempt was higher among adults with diabetes compared to those without diabetes. Compared to adults without diabetes, a larger percentage of adults with diabetes had already quit smoking.