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KMID : 1039620180080050788
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Korean Journal of Family Practice
2018 Volume.8 No. 5 p.788 ~ p.792
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Association between Accessibility to Health Care and Smoking Cessation in Adult Smokers with Disabilities: The Korean National Health and Nutrition Examination Survey VI 2013
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Kim Hee-Jeong
Kim Jin-Young
Jeong Ji-Yun
Kim Yeon-Pyo
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Abstract
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Background: Hospital utilization plays a role in smoking cessation. However, little is known regarding whether accessibility to healthcare utilization is associated with smoking cessation in adult smokers with disabilities. This study investigated the role of accessibility to healthcare utilization in the smoking status of disabled adult smokers.
Methods: This study was conducted as a cross-sectional study. We analyzed data from the Korean National Health and Nutrition Examination Survey conducted in 2013. Among 8,018 subjects who participated in this survey, we enrolled 178 disabled adult smokers aged older than 19 years who had a history of smoking regardless of current smoking status. We reviewed their history of hospital utilization and presence of the barriers to healthcare access.
Results: Among the disabled adults who had a history of smoking, former smokers were older than current smokers and were likely to have less non-financial barriers to healthcare access than current smokers. In the multivariable analyses, non-financial barriers to healthcare access were a significant predictor for failure of smoking cessation in adult smokers with disabilities (odds ratio 4.328, P=0.039).
Conclusion: In our study, accessibility to healthcare utilization tended to affect smoking cessation in adult smokers with disabilities. Healthcare providers should be more concerned about the non-financial barriers to healthcare access and smoking status in disabled adult smokers, and smoking cessation programs targeted to this population are needed. Furthermore, the role of primary care physicians should be emphasized in smoking cessation in disabled adult smokers.
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KEYWORD
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Disability, Smoking Cessation, Health Care, Accessibility
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