RESEARCH PAPER
Predictors of tobacco smoking among acutely ill patients in a Moscow hospital: A cross-sectional study
 
More details
Hide details
1
Moscow Research and Practical Centre on Addictions, Moscow Department of Public Health, Moscow, Russia
2
Russian Medical Academy of Continuous Professional Education, Ministry of Health, Moscow, Russia
3
Department of Forensic Sciences, Oslo University Hospital, Oslo, Norway
4
Sechenov First Moscow State Medical University, Moscow, Russia
5
Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway
CORRESPONDING AUTHOR
Benedicte Joergenrud   

Department of Forensic Sciences, Oslo University Hospital, Sognsvannsveien 20, Oslo 0372, Norway
Publication date: 2020-03-06
Submission date: 2019-10-17
Final revision date: 2020-01-17
Acceptance date: 2020-02-05
 
Tob. Prev. Cessation 2020;6(March):18
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Tobacco smoking is a major preventable risk factor for noncommunicable diseases. The aim of this study was to investigate predictors of tobacco smoking among acute medically ill patients admitted to a Moscow hospital, and the association between smoking and alcohol use.

Methods:
Patients admitted to the V. P. Demikhov hospital in Moscow from November 2016 through December 2017 were asked to participate in this study (inclusion criteria were acute medically ill patients aged ≥18 years). Sociodemographic data were collected, in addition to questionnaires on mental distress (Hopkins Symptom Checklist 5), alcohol use (Alcohol Use Disorder Identification Test 4, AUDIT-4) and smoking (Fagerström Test for Nicotine Dependence).

Results:
A total of 3009 patients were recruited to the study. Using a binary logistic regression model adjusted for all variables, it was found that living without a partner resulted in a higher risk of smoking tobacco compared to being married or living with a partner (odds ratio, OR=1.60 for divorced, p=0.001; and OR=1.62 for single, p=0.002), and being economically non-active resulted in a higher risk compared to being economically active (OR=1.47; p=0.003). Harmful alcohol use (AUDIT-4 score ≥5 [for females] / 7 [for males]) resulted in a higher risk of smoking compared to those without harmful alcohol use (OR=4.04; p<0.001).

Conclusions:
Smoking was highly prevalent and associated with other adverse sociodemographic and lifestyle factors such as harmful alcohol use.

CONFLICTS OF INTEREST
The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none was reported.
FUNDING
This work was supported by funding from the Norwegian Ministry of Health, for Norwegian-Russian collaboration in health and social issues (Grant B-1408). The Norwegian Ministry of Health had no role in the study design, data collection, analyses or interpretation, or in the writing of the report and the decision to submit the article for publication.
PROVENANCE AND PEER REVIEW
Not commissioned; externally peer reviewed.
 
REFERENCES (40)
1.
West R. Tobacco smoking: Health impact, prevalence, correlates and interventions. Psychol Health. 2017;32(8):1018-1036. doi:10.1080/08870446.2017.1325890
 
2.
GBD 2015 Tobacco Collaborators. Smoking prevalence and attributable disease burden in 195 countries and territories, 1990-2015: a systematic analysis from the Global Burden of Disease Study 2015. Lancet. 2017;389(10082):1885-1906. doi:10.1016/s0140-6736(17)30819-x
 
3.
Shaw M, Mitchell R, Dorling D. Time for a smoke? One cigarette reduces your life by 11 minutes. BMJ. 2000;320(7226):53-53. doi:10.1136/bmj.320.7226.53
 
4.
World Health Organization. WHO report on the global tobacco epidemic, 2013: enforcing bans on tobacco advertising, promotion and sponsorship. 2013. https://apps.who.int/iris/bits.... Accessed September 10, 2019.
 
5.
World Health Organization. Global Adult Tobacco Survey. Russian Federation 2016. 2017. http://www.euro.who.int/en/cou.... Accessed September 11, 2019.
 
6.
Gowing LR, Ali RL, Allsop S, et al. Global statistics on addictive behaviours: 2014 status report. Addiction. 2015;110(6):904-919. doi:10.1111/add.12899
 
7.
Bahtin Y, Suhorukov D, Sorokina L. [Prevalence of alcohol use and tobacco smoking among students of the pedagogical university] [Article in Russian]. Molodoj Uchenyj. 2014;14:267-270.
 
8.
Shepeleva E, Esaulov V. [On the features of the combined use of alcohol and tobacco in young people aged 18 to 20 years] [Article in Russian]. Molodoj Uchenyj. 2018;1-1(187):38-41.
 
9.
Tihomirova L, Basov A. [Modern research methods for attitudes regarding alcohol use and smoking among adolescents and students] [Article in Russian]. Yaroslavskij Pedagogicheskij Vestnik. 2015;4:152-156.
 
10.
Makhov M, Nadezhdin A. [Clinical features of tobacco dependence in patients with alcoholism] [Article in Russian]. Narkologiya. 2016;15(1):39-50.
 
11.
Bobak M, Marmot M. East-West mortality divide and its potential explanations: proposed research agenda. BMJ. 1996;312(7028):421-425. doi:10.1136/bmj.312.7028.421
 
12.
Marquez P, Suhrcke M, McKee M, Rocco L. Adult health in the Russian Federation: more than just a health problem. Health Aff. 2007;26(4):1040-1051. doi:10.1377/hlthaff.26.4.1040
 
13.
World Health Organization. WHO Report on the Global Tobacco Epidemic, 2011: The MPOWER package. Geneva, Switzerland: World Health Organization; 2012. https://apps.who.int/iris/bits.... Accessed September 13, 2019.
 
14.
Lunze K, Migliorini L. Tobacco control in the Russian Federation-a policy analysis. BMC public health. 2013;13(1):64. doi:10.1186/1471-2458-13-64
 
15.
World Health Organization. Global Adult Tobacco Survey (GATS) - Russian Federation 2009 and 2016. Geveva, Switzerland: World Health Organization; 2017. http://www.euro.who.int/en/cou.... Accessed September 11, 2019.
 
16.
Batel P, Pessione F, Maitre C, Rueff B. Relationship between alcohol and tobacco dependencies among alcoholics who smoke. Addiction. 1995;90(7):977-980. doi:10.1111/j.1360-0443.1995.tb03507.x
 
17.
Prochaska JJ, Das S, Young-Wolff KC. Smoking, Mental Illness, and Public Health. Annu Rev Public Health. 2017;38(1):165-185. doi:10.1146/annurev-publhealth-031816-044618
 
18.
Boudreaux ED. Multicenter Study of Smoking, Nicotine Dependence, and Intention to Quit among Emergency Department Patients and Visitors. Acad Emerg Med. 2004;11(5):548-549. doi:10.1197/j.aem.2004.02.153
 
19.
Boudreaux ED, Kim S, Hohrmann JL, Clark S, Camargo CA, Jr. Interest in smoking cessation among emergency department patients. Health Psychol. 2005;24(2):220-224. doi:10.1037/0278-6133.24.2.220
 
20.
Lowenstein SR, Tomlinson D, Koziol-McLain J, Prochazka A. Smoking habits of emergency department patients: an opportunity for disease prevention. Acad Emerg Med. 1995;2(3):165-171. doi:10.1111/j.1553-2712.1995.tb03189.x
 
21.
Lightwood J, Glantz SA. Smoking Behavior and Healthcare Expenditure in the United States, 1992–2009: Panel Data Estimates. PLOS Medicine. 2016;13(5):e1002020. doi:10.1371/journal.pmed.1002020
 
22.
Tverdal A, Thelle D, Stensvold I, Leren P, Bjartveit K. Mortality in relation to smoking history: 13 years' follow-up of 68,000 Norwegian men and women 35–49 years. J Clin Epidemiol. 1993;46(5):475-487. doi:10.1016/0895-4356(93)90025-V
 
23.
Piper ME, Kenford S, Fiore MC, Baker TB. Smoking cessation and quality of life: changes in life satisfaction over 3 years following a quit attempt. Ann Behav Med. 2012;43(2):262-270. doi:10.1007/s12160-011-9329-2
 
24.
Clark BJ, Moss M. Secondary prevention in the intensive care unit: does intensive care unit admission represent a "teachable moment?". 2011;39(6):1500-1506. doi:10.1097/CCM.0b013e31821858bb
 
25.
Tambs K, Moum T. How well can a few questionnaire items indicate anxiety and depression? Acta Psychiatr Scand. 1993;87(5):364-367. doi:10.1111/j.1600-0447.1993.tb03388.x
 
26.
Hoffmann C, McFarland BH, Kinzie JD, et al. Psychological distress among recent Russian immigrants in the United States. Int J Soc Psychiatry. 2006;52(1):29-40. doi:10.1177/0020764006061252
 
27.
Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. Addiction. 1993;88(6):791-804. doi:10.1111/j.1360-0443.1993.tb02093.x
 
28.
Gual A, Segura L, Contel M, Heather N, Colom J. Audit-3 and audit-4: effectiveness of two short forms of the alcohol use disorders identification test. Alcohol Alcohol. 2002;37(6):591-596. doi:10.1093/alcalc/37.6.591
 
29.
World Health Organization. The Alcohol Use Disorders Identification Test. Guidelines for Use in Primary Care. Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. Geneva, Switzrland: World Health Organization; 2001. https://apps.who.int/iris/bits.... Accessed September 10, 2019.
 
30.
Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire. Br J Addict. 1991;86(9):1119-1127. doi:10.1111/j.1360-0443.1991.tb01879.x
 
31.
Fagerstrom KO. Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment. Addict Behav. 1978;3(3-4):235-241. doi:10.1016/0306-4603(78)90024-2
 
32.
Schnoll RA, Engstrom PF, Subramanian S, Demidov L, Wielt DB, Tighiouart M. Prevalence and correlates of tobacco use among Russian cancer patients: implications for the development of smoking cessation interventions at a cancer center in Russia. Int J Behav Med. 2006;13(1):16-25. doi:10.1207/s15327558ijbm1301_3
 
33.
Weiland T, Jelinek GA, Taylor SE, Taylor DM. Tobacco smoking by adult emergency department patients in Australia: a point-prevalence study. Public Health Res Pract. 2016;26(3):2631634. doi:10.17061/phrp2631634
 
34.
Centers for Disease Control and Prevention. Cigarette smoking among adults and trends in smoking cessation - United States, 2008. In Morb Mortal Wkly Rep 2009:58(44)1227-1232. PMID:19910909.
 
35.
Waldron I. Patterns and causes of gender differences in smoking. Soc Sci Med. 1991;32(9):989-1005. doi:10.1016/0277-9536(91)90157-8
 
36.
Ramsey MW, Chen-Sankey JC, Reese-Smith J, Choi K. Association between marital status and cigarette smoking: Variation by race and ethnicity. Prev Med. 2019;119:48-51. doi:10.1016/j.ypmed.2018.12.010
 
37.
De Vogli R, Santinello M. Unemployment and smoking: does psychosocial stress matter? Tobacco control. 2005;14(6):389-395. doi:10.1136/tc.2004.010611
 
38.
Anthony JC, Echeagaray-Wagner F. Epidemiologic analysis of alcohol and tobacco use. Alcohol Res Health. 2000;24(4):201-208. PMID:15986714.
 
39.
Smith PH, Bessette AJ, Weinberger AH, Sheffer CE, McKee SA. Sex/gender differences in smoking cessation: A review. Prev Med. 2016;92:135-140. doi:10.1016/j.ypmed.2016.07.013
 
40.
Rigotti NA, Clair C, Munafo MR, Stead LF. Interventions for smoking cessation in hospitalized patients. Cochrane Database Syst Rev. 2012;(5):CD001837. doi:10.1002/14651858.CD001837.pub3
 
eISSN:2459-3087