The impact of executive cognitive functioning on rates of smoking cessation in the San Luis Valley Health and Aging Study
Cigarette smoking is one of the leading preventable causes of death. Previous research has shown that many common smoking cessation interventions are effective with older smokers; a few interventions have been tailored to this population. To our knowledge, however, no smoking cessation research or i...
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| Veröffentlicht in: | Age and ageing 2008-09, Vol.37 (5), p.521-525 |
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| creator | Brega, Angela G. Grigsby, Jim Kooken, Robert Hamman, Richard F. Baxter, Judith |
| description | Cigarette smoking is one of the leading preventable causes of death. Previous research has shown that many common smoking cessation interventions are effective with older smokers; a few interventions have been tailored to this population. To our knowledge, however, no smoking cessation research or interventions targeted at older adults have addressed the influence of cognition on successful smoking cessation. We hypothesized that impairment of executive cognitive functioning (ECF), which is relatively prevalent among older adults, would negatively influence smoking cessation rates among older smokers. The relationship of ECF to smoking cessation was examined in a population-based sample of 1,338 community-dwelling older persons in Colorado's San Luis Valley, 204 of whom were current smokers. As predicted, current ECF did not predict early smoking behaviour, but was a significant predictor of successful smoking cessation. Older persons suffering from executive dysfunction were less likely to have quit smoking than were their cognitively intact counterparts (OR = 1.10, 95% CI 1.04–1.17, P |
| doi_str_mv | 10.1093/ageing/afn121 |
| format | Article |
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Previous research has shown that many common smoking cessation interventions are effective with older smokers; a few interventions have been tailored to this population. To our knowledge, however, no smoking cessation research or interventions targeted at older adults have addressed the influence of cognition on successful smoking cessation. We hypothesized that impairment of executive cognitive functioning (ECF), which is relatively prevalent among older adults, would negatively influence smoking cessation rates among older smokers. The relationship of ECF to smoking cessation was examined in a population-based sample of 1,338 community-dwelling older persons in Colorado's San Luis Valley, 204 of whom were current smokers. As predicted, current ECF did not predict early smoking behaviour, but was a significant predictor of successful smoking cessation. Older persons suffering from executive dysfunction were less likely to have quit smoking than were their cognitively intact counterparts (OR = 1.10, 95% CI 1.04–1.17, P < 0.01). Among those with normal ECF, 73.7% had quit smoking, compared with 65.1% of participants showing any level of ECF impairment. Limiting the sample to individuals who were active smokers at or after the age of 65, when executive impairment is relatively common, produced similar results. Individuals with better executive functioning were more likely to have quit smoking (OR = 1.12, 95% CI 1.02–1.23, P = 0.02).</description><identifier>ISSN: 0002-0729</identifier><identifier>EISSN: 1468-2834</identifier><identifier>DOI: 10.1093/ageing/afn121</identifier><identifier>PMID: 18515287</identifier><identifier>CODEN: AANGAH</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; ageing ; Aging ; Behavior, Addictive ; Behavioral Dyscontrol Scale ; Cessation ; Clinical trials ; Cognition ; Cognition & reasoning ; Cognition Disorders - psychology ; Cognitive functioning ; Colorado - epidemiology ; Elderly ; Elderly people ; Evaluation ; executive cognitive functioning ; Executive function (Psychology) ; Female ; Health aspects ; Humans ; Interventions ; Logistic Models ; Male ; Middle Aged ; Odds Ratio ; Older people ; Population Surveillance ; Predictions ; Psychiatric Status Rating Scales ; Psychological aspects ; Risk Assessment ; San Luis Valley Health and Aging Study ; Smokers ; Smoking ; Smoking - adverse effects ; Smoking - epidemiology ; Smoking - psychology ; Smoking cessation ; Smoking Cessation - psychology ; Smoking cessation programs ; Smoking Prevention</subject><ispartof>Age and ageing, 2008-09, Vol.37 (5), p.521-525</ispartof><rights>Copyright © The Author 2008. Published by Oxford University Press on behalf of the British Geriatrics Society. 2008</rights><rights>Copyright © The Author 2008. Published by Oxford University Press on behalf of the British Geriatrics Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c489t-3d711e8fe005976117c2f3bd681acfc039d4e8f27270e31e11c126dcc92754f13</citedby><cites>FETCH-LOGICAL-c489t-3d711e8fe005976117c2f3bd681acfc039d4e8f27270e31e11c126dcc92754f13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1583,27923,27924,30998,30999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18515287$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brega, Angela G.</creatorcontrib><creatorcontrib>Grigsby, Jim</creatorcontrib><creatorcontrib>Kooken, Robert</creatorcontrib><creatorcontrib>Hamman, Richard F.</creatorcontrib><creatorcontrib>Baxter, Judith</creatorcontrib><title>The impact of executive cognitive functioning on rates of smoking cessation in the San Luis Valley Health and Aging Study</title><title>Age and ageing</title><addtitle>Age Ageing</addtitle><addtitle>Age Ageing</addtitle><description>Cigarette smoking is one of the leading preventable causes of death. Previous research has shown that many common smoking cessation interventions are effective with older smokers; a few interventions have been tailored to this population. To our knowledge, however, no smoking cessation research or interventions targeted at older adults have addressed the influence of cognition on successful smoking cessation. We hypothesized that impairment of executive cognitive functioning (ECF), which is relatively prevalent among older adults, would negatively influence smoking cessation rates among older smokers. The relationship of ECF to smoking cessation was examined in a population-based sample of 1,338 community-dwelling older persons in Colorado's San Luis Valley, 204 of whom were current smokers. As predicted, current ECF did not predict early smoking behaviour, but was a significant predictor of successful smoking cessation. Older persons suffering from executive dysfunction were less likely to have quit smoking than were their cognitively intact counterparts (OR = 1.10, 95% CI 1.04–1.17, P < 0.01). Among those with normal ECF, 73.7% had quit smoking, compared with 65.1% of participants showing any level of ECF impairment. Limiting the sample to individuals who were active smokers at or after the age of 65, when executive impairment is relatively common, produced similar results. Individuals with better executive functioning were more likely to have quit smoking (OR = 1.12, 95% CI 1.02–1.23, P = 0.02).</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>ageing</subject><subject>Aging</subject><subject>Behavior, Addictive</subject><subject>Behavioral Dyscontrol Scale</subject><subject>Cessation</subject><subject>Clinical trials</subject><subject>Cognition</subject><subject>Cognition & reasoning</subject><subject>Cognition Disorders - psychology</subject><subject>Cognitive functioning</subject><subject>Colorado - epidemiology</subject><subject>Elderly</subject><subject>Elderly people</subject><subject>Evaluation</subject><subject>executive cognitive functioning</subject><subject>Executive function (Psychology)</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Interventions</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Odds Ratio</subject><subject>Older people</subject><subject>Population Surveillance</subject><subject>Predictions</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychological aspects</subject><subject>Risk Assessment</subject><subject>San Luis Valley Health and Aging Study</subject><subject>Smokers</subject><subject>Smoking</subject><subject>Smoking - adverse effects</subject><subject>Smoking - epidemiology</subject><subject>Smoking - psychology</subject><subject>Smoking cessation</subject><subject>Smoking Cessation - psychology</subject><subject>Smoking cessation programs</subject><subject>Smoking Prevention</subject><issn>0002-0729</issn><issn>1468-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqF0s1v0zAUAPAIgVgZHLkiiwPaJczPTuzk2FWMIlXssDIQF8tzXjJvqV1iB63_PQ6tmMSlJ3_9_Oz39LLsLdCPQGt-rju0rjvXrQMGz7IZFKLKWcWL59mMUspyKll9kr0K4T4toQT2MjuBqoSSVXKW7dZ3SOxmq00kviX4iGaM9jcS4ztn_87a0ZlovUvPEO_IoCOGyYaNf5j2DIagJ0CsIzGFu9aOrEYbyI3ue9yRJeo-3hHtGjLvphvXcWx2r7MXre4DvjmMp9m3y0_rxTJfXX3-spivclNUdcx5IwGwapHSspYCQBrW8ttGVKBNayivmyIdM8kkRQ4IYICJxpiaybJogZ9mH_Zxt4P_NWKIamODwb7XDv0YlKgLKTgVR2EpWVGVNT8KGS1KAbVM8P1_8N6Pg0vZKgYFsCIllFC-R53uUVlnvIv4GI1PtetQpVosrtQcKlGCYII9eTP4EAZs1XawGz3sFFA1tYTat4Tat0Ty7w6fGG832DzpQw8kcLYHftwejXV424b0x39YDw9KSC5LtfzxU31lq-_yZn2hGP8DEn7PBg</recordid><startdate>20080901</startdate><enddate>20080901</enddate><creator>Brega, Angela G.</creator><creator>Grigsby, Jim</creator><creator>Kooken, Robert</creator><creator>Hamman, Richard F.</creator><creator>Baxter, Judith</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20080901</creationdate><title>The impact of executive cognitive functioning on rates of smoking cessation in the San Luis Valley Health and Aging Study</title><author>Brega, Angela G. ; Grigsby, Jim ; Kooken, Robert ; Hamman, Richard F. ; Baxter, Judith</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c489t-3d711e8fe005976117c2f3bd681acfc039d4e8f27270e31e11c126dcc92754f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>ageing</topic><topic>Aging</topic><topic>Behavior, Addictive</topic><topic>Behavioral Dyscontrol Scale</topic><topic>Cessation</topic><topic>Clinical trials</topic><topic>Cognition</topic><topic>Cognition & reasoning</topic><topic>Cognition Disorders - psychology</topic><topic>Cognitive functioning</topic><topic>Colorado - epidemiology</topic><topic>Elderly</topic><topic>Elderly people</topic><topic>Evaluation</topic><topic>executive cognitive functioning</topic><topic>Executive function (Psychology)</topic><topic>Female</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Interventions</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Odds Ratio</topic><topic>Older people</topic><topic>Population Surveillance</topic><topic>Predictions</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychological aspects</topic><topic>Risk Assessment</topic><topic>San Luis Valley Health and Aging Study</topic><topic>Smokers</topic><topic>Smoking</topic><topic>Smoking - adverse effects</topic><topic>Smoking - epidemiology</topic><topic>Smoking - psychology</topic><topic>Smoking cessation</topic><topic>Smoking Cessation - psychology</topic><topic>Smoking cessation programs</topic><topic>Smoking Prevention</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brega, Angela G.</creatorcontrib><creatorcontrib>Grigsby, Jim</creatorcontrib><creatorcontrib>Kooken, Robert</creatorcontrib><creatorcontrib>Hamman, Richard F.</creatorcontrib><creatorcontrib>Baxter, Judith</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Age and ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brega, Angela G.</au><au>Grigsby, Jim</au><au>Kooken, Robert</au><au>Hamman, Richard F.</au><au>Baxter, Judith</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of executive cognitive functioning on rates of smoking cessation in the San Luis Valley Health and Aging Study</atitle><jtitle>Age and ageing</jtitle><stitle>Age Ageing</stitle><addtitle>Age Ageing</addtitle><date>2008-09-01</date><risdate>2008</risdate><volume>37</volume><issue>5</issue><spage>521</spage><epage>525</epage><pages>521-525</pages><issn>0002-0729</issn><eissn>1468-2834</eissn><coden>AANGAH</coden><abstract>Cigarette smoking is one of the leading preventable causes of death. Previous research has shown that many common smoking cessation interventions are effective with older smokers; a few interventions have been tailored to this population. To our knowledge, however, no smoking cessation research or interventions targeted at older adults have addressed the influence of cognition on successful smoking cessation. We hypothesized that impairment of executive cognitive functioning (ECF), which is relatively prevalent among older adults, would negatively influence smoking cessation rates among older smokers. The relationship of ECF to smoking cessation was examined in a population-based sample of 1,338 community-dwelling older persons in Colorado's San Luis Valley, 204 of whom were current smokers. As predicted, current ECF did not predict early smoking behaviour, but was a significant predictor of successful smoking cessation. Older persons suffering from executive dysfunction were less likely to have quit smoking than were their cognitively intact counterparts (OR = 1.10, 95% CI 1.04–1.17, P < 0.01). Among those with normal ECF, 73.7% had quit smoking, compared with 65.1% of participants showing any level of ECF impairment. Limiting the sample to individuals who were active smokers at or after the age of 65, when executive impairment is relatively common, produced similar results. Individuals with better executive functioning were more likely to have quit smoking (OR = 1.12, 95% CI 1.02–1.23, P = 0.02).</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>18515287</pmid><doi>10.1093/ageing/afn121</doi><tpages>5</tpages></addata></record> |
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| ispartof | Age and ageing, 2008-09, Vol.37 (5), p.521-525 |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Age Factors Aged Aged, 80 and over ageing Aging Behavior, Addictive Behavioral Dyscontrol Scale Cessation Clinical trials Cognition Cognition & reasoning Cognition Disorders - psychology Cognitive functioning Colorado - epidemiology Elderly Elderly people Evaluation executive cognitive functioning Executive function (Psychology) Female Health aspects Humans Interventions Logistic Models Male Middle Aged Odds Ratio Older people Population Surveillance Predictions Psychiatric Status Rating Scales Psychological aspects Risk Assessment San Luis Valley Health and Aging Study Smokers Smoking Smoking - adverse effects Smoking - epidemiology Smoking - psychology Smoking cessation Smoking Cessation - psychology Smoking cessation programs Smoking Prevention |
| title | The impact of executive cognitive functioning on rates of smoking cessation in the San Luis Valley Health and Aging Study |
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