Effects of Disease Detection on Changes in Smoking Behavior - PubMed (original) (raw)

Effects of Disease Detection on Changes in Smoking Behavior

Jeoung A Kwon et al. Yonsei Med J. 2015 Jul.

Abstract

Purpose: This study was conducted to investigate the effect that detection of chronic disease via health screening programs has on health behaviors, particularly smoking.

Materials and methods: We analyzed national health insurance data from 2007 and 2009. Subjects who were 40 years of age in 2007 and eligible for the life cycle-based national health screening program were included. The total study population comprised 153,518 individuals who participated in the screening program in 2007 and follow-up screening in 2009. Multiple logistic regression analyses were conducted by sex, with adjustment for health insurance type, socioeconomic status, body mass index, diabetes, hypertension, hyperlipidemia, and family history of cardiovascular and/or neurovascular disease.

Results: Among men with smoking behavior changes, those newly diagnosed with hyperlipidemia were more likely to show a positive health behavior change, such as smoking cessation, and were less likely to have a negative behavior change (e.g., smoking initiation). Additionally, men newly diagnosed with diabetes showed lower rates of negative health behavior changes compared to those without disease. Body mass index (BMI)≥25, compared to BMI<23, showed higher rates of positive health behavior changes and lower rates of negative health behavior changes. Newly diagnosed chronic disease did not influence smoking behavior in women.

Conclusion: Smoking behavior changes were only detected in men who participated in health screening programs. In particular, those newly diagnosed with hyperlipidemia were more likely to stop smoking and less likely to start smoking.

Keywords: Smoking; behavior change; life cycle-based; national; screening program.

PubMed Disclaimer

Conflict of interest statement

The authors have no financial conflicts of interest.

Figures

Fig. 1

Fig. 1. Flowchart of study design.

Similar articles

Cited by

References

    1. Lee WC, Lee SY. National Health Screening Program of Korea. J Korean Med Assoc. 2010;53:363–370.
    1. Kim HS, Shin DW, Lee WC, Kim YT, Cho B. National screening program for transitional ages in Korea: a new screening for strengthening primary prevention and follow-up care. J Korean Med Sci. 2012;27:S70–S75. - PMC - PubMed
    1. UK National Screening Committee. Screening programmes across the UK. [accessed on 2013 October 10]. Available at: http://www.screening.nhs.uk/programmes.
    1. Kim YT, Lee WC, Cho B. National screening program for the transitional ages in Korea. J Korean Med Assoc. 2010;53:371–376. - PMC - PubMed
    1. Park IB, Baik SH. Epidemiologic characteristics of diabetes mellitus in Korea: current status of diabetic patients using Korean Health Insurance Database. Korean Diabetes J. 2009;33:357–362.

MeSH terms

LinkOut - more resources