Yonsei Med J.  2015 Jul;56(4):1143-1149. 10.3349/ymj.2015.56.4.1143.

Effects of Disease Detection on Changes in Smoking Behavior

• Kwon JA
• Jeon W
• Park EC
• Kim JH
• Kim SJ
• Yoo KB
• Lee M
• Lee SG

• KMID: 2366359
• DOI: http://doi.org/10.3349/ymj.2015.56.4.1143

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 153518 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)> or =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.

Keyword

Smoking; behavior change; life cycle-based; national; screening program

MeSH Terms

Adult
Body Mass Index
Female
*Health Behavior
Health Surveys
Humans
Hyperlipidemias/diagnosis
Hypertension
Male
Mass Screening/*methods
Middle Aged
*Motivation
Regression Analysis
Smoking/epidemiology/*psychology
Smoking Cessation/*psychology/statistics & numerical data
Social Class

Figure

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  Fig. 1 Flowchart of study design.

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