scholarly journals A Review of the Impact of Smoking on Inhaled Insulin: Would You Stop Smoking if Insulin Can Be Inhaled?

Cureus ◽  
2020 ◽  
Author(s):  
Parul Malhotra ◽  
Radhika Akku ◽  
Thulasi Priya Jayaprakash ◽  
Olisaemeka D Ogbue ◽  
Safeera Khan
2019 ◽  
pp. tobaccocontrol-2018-054879 ◽  
Author(s):  
Fujian Song ◽  
Tim Elwell-Sutton ◽  
Felix Naughton

BackgroundThe English National Health Service NHS Stop Smoking Services (SSS), established in 2001, were the first such services in the world. An appropriate evaluation of the SSS has national and international significance. This modelling study sought to evaluate the impact of the SSS on changes in smoking prevalence in England.MethodsA discrete time state-transition model was developed to simulate changes in smoking status among the adult population in England during 2001–2016. Input parameters were based on data from national statistics, population representative surveys and published literature. The main outcome was the percentage point reduction in smoking prevalence attributable to the SSS.ResultsSmoking prevalence was reduced by 10.8 % in absolute terms during 2001–2016 in England, and 15.3 % of the reduction could be attributable to the SSS. The percentage point reduction in smoking prevalence each year was on average 0.72%, and 0.11 % could be attributable to the SSS. The proportion of SSS supported quit attempts increased from 5.5 % in 2001, to as high as 18.9 % in 2011, and then reduced to 8.2 % in 2016. Quit attempts with SSS support had a higher success rate than those without SSS support (15.1% vs 11.3%). Smoking prevalence in England continued to decline after the SSS was much reduced from 2013 onwards.ConclusionsApproximately 15% of the percentage point reduction in smoking prevalence during 2001–2016 in England may be attributable to the NHS SSS, although uncertainty remains regarding the actual impact of the formal smoking cessation services.


2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 1012-1012
Author(s):  
C. D. Figueroa-Moseley ◽  
G. C. Williams ◽  
G. R. Morrow ◽  
P. Jean-Pierre ◽  
J. Carroll ◽  
...  

1012 Background: Few studies have examined the potential influence of an empowering Self Determination Theory (SDT) intervention on reducing smoking behaviors and outcomes for Whites and Blacks. Objectives: To determine if empowerment to stop smoking is associated with smoking outcomes in Whites and Blacks, and to examine if empowerment to stop smoking improved under the SDT Intervention vs. Usual Care conditions. Methods: A longitudinal randomized trial study was conducted to examine the effect of a SDT and health behavior change intervention for tobacco cessation among adult smokers. Participants were randomized into the SDT Intervention or the Usual Care condition. The present study includes data from a sample of 821 Whites and 177 Blacks who completed anonymous surveys at 1, 6, and 18-months intervals on empowerment to stop smoking (Perceived Competence Scale, Treatment Self-Regulation Questionnaire), demographics, and smoking behaviors. Results: Stepwise logistic regressions showed that empowerment to stop smoking was associated with quitting smoking at 1, 6, and 18 month follow-up for both treatment conditions. At one month, participants in the SDT Intervention with the highest levels of empowerment were 6.3 times more likely to quit smoking as compared with those in the usual care condition who were only 3.15 times as likely to quit smoking. Similar findings were found at 6 months and at 18 months (6- month SDT Intervention Empowerment High: (OR = 8.66, 95% C.I. 4.6, 16.3); 6 month Usual Care Empowerment High: (OR = 3.10, 95% C.I. 1.4, 7.0); 18- month SDT Intervention Empowerment High: (OR = 4.10, 95% C.I. 2.2, 7.5); 18 month Usual Care Empowerment High: (OR = 3.11, 95% C.I. 1.3, 7.7). In the SDT Intervention at 6 months being Black increased successful quitting by 2.4 times. Conclusions: Findings indicate that at each time-point the SDT Intervention empowered more participants to stop smoking than usual care alone. Findings also suggest that Blacks may increase their ability to stop smoking in the SDT Intervention condition. These preliminary findings highlight the need to further investigate the possible roles of empowerment interventions in smoking cessation among Whites and Blacks, especially cancer patients. No significant financial relationships to disclose.


2018 ◽  
pp. tobaccocontrol-2018-054586 ◽  
Author(s):  
Fujian Song ◽  
Tim Elwell-Sutton ◽  
Felix Naughton

BackgroundThe English National Health Service (NHS) Stop Smoking Services (SSS), established in 2001, were the first such services in the world. An appropriate evaluation of the SSS has national and international significance. This modelling study sought to evaluate the impact of the SSS on changes in smoking prevalence in England.MethodsA discrete time state-transition model was developed to simulate changes in smoking status among the adult population in England during 2001–2016. Input parameters were based on data from national statistics, population representative surveys and published literature. The main outcome was the percentage point reduction in smoking prevalence attributable to the SSS.ResultsSmoking prevalence was reduced by 10.8% in absolute terms during 2001–2016 in England, and 15.1% of the reduction could be attributable to the SSS. The percentage point reduction in smoking prevalence each year was on average 0.72%, and 0.11% could be attributable to the SSS. The proportion of SSS supported quit attempts increased from 5.6% in 2001, to as high as 19.3% in 2011, and then reduced to 8.4% in 2016. Quit attempts with SSS support had a higher success rate than those without SSS support (15.1%vs11.7%). Smoking prevalence in England continued to decline after the SSS was much reduced from 2013 onwards.ConclusionsApproximately 15% of the percentage point reduction in smoking prevalence during 2001–2016 in England may be attributable to the NHS SSS, although uncertainty remains regarding the actual impact of the formal smoking cessation services.


Diabetes Care ◽  
2003 ◽  
Vol 26 (3) ◽  
pp. 677-682 ◽  
Author(s):  
A. Himmelmann ◽  
J. Jendle ◽  
A. Mellen ◽  
A. H. Petersen ◽  
U. L. Dahl ◽  
...  
Keyword(s):  

1979 ◽  
Vol 9 (4) ◽  
pp. 327-335 ◽  
Author(s):  
Barbara L. Seibel

This study attempted to evaluate a readily available comprehensive bibliotherapy smoking cessation program and the impact of smoking and nonsmoking behavior of a spouse on the individual to stop smoking. It provided a valuable source of client evaluation and stimulation for future investigation. The results suggest that motivation is an important variable in smoking cessation. Further, there is a need to develop a continuum of care to include: directed health education, self-administered treatment, therapist-administered group treatment, therapist-administered individual treatment, and detoxification coupled with continuing group support. Habit formation or resistance to change, and motivation may be primary factors in determining placement on this continuum. Finally, professional responsibility is important: What levels of success should a consumer and/or professional expect of a broadly available treatment program? What are the risks of failure?


Author(s):  
Crawford Moodie ◽  
Catherine Best ◽  
Nathan Critchlow ◽  
Martine Stead ◽  
Ann McNeill ◽  
...  

Abstract Introduction Since May 2017, all cigarettes and roll-your-own (RYO) tobacco in the UK must be sold in standardised packs with pictorial warnings displaying, for the first time, a stop-smoking website. Methods Data comes from three waves of a longitudinal online survey with smokers and ex-smokers conducted pre- and post-standardised packaging, with Wave 1 (W1) in April-May 2016, Wave 2 (W2) in October-November 2017, and Wave 3 (W3) in May-June 2019. Only smokers are included in the analysis: W1 (N=6233), W2 (N=3629) and W3 (N=2412). We explored any change in citing warnings on packs as a source of information about a stop-smoking website, and whether citing warnings as a source was associated with use of a stop-smoking website. As the warnings, and therefore the stop-smoking website, are larger on RYO packs than on cigarette packs due to the larger pack size, we explored differences in awareness of a stop-smoking website among exclusive cigarette smokers (W1=3142, W2=1884, W3=1247) and exclusive RYO smokers (W1=2046, W2=1119, W3=814). Results Among smokers recalling seeing information about a stop-smoking website, citing warnings as a source increased between waves (W1=14.0%, W2=24.2%, W3=25.1%) and was associated with having visited a stop-smoking website (OR=11.81, 95% CI 8.47-16.46). Citing warnings as a source of a stop-smoking website increased among exclusive RYO smokers at each wave (W1=15.5%, W2=26.3%, W3=32.1%), while for exclusive cigarette smokers it only increased at W2 (W1=10.5%, W2=22.4%, W3=19.9%). Conclusions Warnings are an important source of cessation resource information. Making this information more prominent may help sustain awareness. Implications The findings support the inclusion of a stop-smoking website on warnings as awareness among smokers increased and citing warnings as a source of information about a stop-smoking website was associated with having visited a stop-smoking website. We also explored whether the stop-smoking website on warnings on RYO packs, which is larger than on cigarette packs as a function of the larger size of RYO packs, would have any impact on awareness of this information. That exclusive RYO smokers were more likely than exclusive cigarette smokers to notice a stop-smoking website on warnings suggests that this information should be more prominent.


Author(s):  
Andrea Bowe ◽  
Louise Marron ◽  
John Devlin ◽  
Paul Kavanagh

The disproportionately high prevalence of tobacco use among prisoners remains an important public health issue. While Ireland has well-established legislative bans on smoking in public places, these do not apply in prisons. This study evaluates a multi-component tobacco control intervention in a medium security prison for adult males in Ireland. A stop-smoking intervention, targeting staff and prisoners, was designed, implemented, and evaluated with a before-and-after study. Analysis was conducted using McNemar’s test for paired binary data, Wilcoxon signed rank test for ordinal data, and paired T-tests for continuous normal data. Pre-intervention, 44.3% (n = 58) of the study population were current smokers, consisting of 60.7% of prisoners (n = 51) and 15.9% of staff (n = 7). Post-intervention, 45.1% of prisoners (n = 23/51) and 100% of staff (n = 7/7) who identified as current smokers pre-intervention reported abstinence from smoking. Among non-smokers, the proportion reporting being exposed to someone else’s cigarette smoke while being a resident or working in the unit decreased from 69.4% (n = 50/72) pre-intervention to 27.8% (n = 20/72) post-intervention (p < 0.001). This multicomponent intervention resulted in high abstinence rates, had high acceptability among both staff and prisoners, and was associated with wider health benefits across the prison setting.


2020 ◽  
Vol 13 (3) ◽  
Author(s):  
K Shama R Joshi ◽  
Ruta Furmonaviciene

Cigarette smoke contains around 7000 chemicals that are harmful to health and cause premature death. Most smokers acknowledge the harm they are doing to them yet continue to smoke. This pilot study was designed to understand the impact of cigarette smoking, the addictive effect of nicotine, and also hypothesize a recommendation for smoking cessation.  Methods: This study recruited English speaking adult participants who were either current, occasional, and ex-smokers from NHS stop smoking clinics in Leicester, United Kingdom, using a self-completed questionnaire. Results: Out of 32 participants, White British were thirteen & Asian were nine with majority of males. Stress, boredom, nervousness, and just like it, were the main reasons quoted for cigarette smoking.  Irritation & mood swings were the top reasons for craving. The visual stimuli and smell of smoking were reported as the top two strong cues. Majority of the participants reported having several effects due to cigarette smoking such as respiratory cough, feel like tightening of lungs, asthma, high blood pressure, difficulty in losing weight, excess fat accumulation near the waist, poor appetite, fatigue, sleep disturbances, darkened teeth as well as an inability to differentiate between taste. Conclusion: Our study suggested that cigarette smoking may be more like a habit than an addiction, therefore unable to relieve stress or boredom, but keep smokers hooked to the habit.


2011 ◽  
Vol 6 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Sylvia May ◽  
Andy McEwen

AbstractThis study reports client satisfaction in five UK National Health Service (NHS) Stop Smoking Services (SSS) and examines the impact of satisfaction on outcome four weeks postquit. Six services were selected on the basis of perceived ability to run the study from a pool of 11 who responded to a mailshot to volunteer. Advisors made one of two satisfaction surveys available to their clients two weeks after quitting smoking. The two surveys were a ‘brief’ three-item survey and a ‘full’ survey containing those items plus 19 others about specific aspects of the service. There were two key items: how satisfied respondents were with the support they received to stop smoking and would they recommend the service to another smoker. Surveys were completed anonymously but had unique identification numbers so they could be linked to individual demographic and outcome data. Overall 10% (554/5520) of treated smokers in the services completed a survey, 7% (390/5520) completed the ‘full’ survey. Responses were a strong endorsement of the participating services, with 93% (505/542) satisfied or very satisfied with the service and 99% (548/552) prepared to recommend the service. The sample was unrepresentative of the population of treated smokers in terms of eligibility for free prescriptions, ethnicity, age, type of treatment experienced, the type of advisor seen, medication use and end of treatment outcome. Satisfaction at week two was not related to abstinence at four weeks postquit. Limitations of the study and suggestions for service delivery are discussed.


2019 ◽  
Vol 4 (1) ◽  
pp. 113
Author(s):  
Ovi Tri Ariyani ◽  
Mury Ririanty ◽  
Iken Nafikadini

<p align="center"><strong><em>ABSTRACT</em></strong><strong><em></em></strong></p><p><strong> </strong></p><em>Vapor today has became a phenomenon among the public, especially students. This is in line with the finding of Jember University students who are members of the user community vapor 4 and 3 groups that selling tools and vapor liquid in social media, especially facebook. The factors of students using the vapor is following the development of lifestyle, steam vapor generated numerous and uniqe, has the flavors, and can eliminate the addiction to conventional cigarettes. This study aims to analyze the behavior of students who use vapor and its impact on health. The research method used is qualitative with the type of phenomenological research. This research was conducted on 4 students in University of Jember. The results of this study indicate that the behavior of vapor use by first informant is determined by lack of knowledge about the impact of vapor for health, a negative attitude that considers vapor safer than cigarettes, vapor as a tool to stop smoking, and personal references especially friends and youtuber in making decisions using vapor. With the result that, the main informants will continue to use vapor because of lack of knowledge, a negative attitudes, and strong of personal references.</em>


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