Trends in the smoking habits of young adults with diabetes
I MacFarlane, G Gill, T Grove, M Wallymahmed
Department of
Diabetes and Endocrinology, University Hospital Aintree, Liverpool
L9 1AE, UK
Correspondence to: Dr Gill g.gill{at}liv.ac.uk
Submitted 16 October
2000;
Accepted 24 January 2001
OBJECTIVES
To examine changes in
the prevalence of smoking in young adult diabetic patients between 1990 and 1999.
SETTING
Walton Diabetes Centre,
University Hospital Aintree, Liverpool, UK.
DESIGN
Direct questioning as well
as the urinary cotinine:creatinine ratio were used to assess the
smoking habits of 99 young type 1 diabetic patients in 1991 (mean age
21.5 years, duration of diabetes 7.3 years), and in 112 similar
patients in 1999 (mean age 23.4 years, duration of diabetes 9.6 years).
RESULTS
The admitted smoking rate
was 31/99 (31%) in 1990 compared with 31/112 (28%) in 1999 (not
significant). However, in 1990 there were an additional 17 "covert"
smokers (patients who denied smoking, but had an unequivocally raised
urinary cotinine:creatinine ratio), but only three in 1999 (p<0.05).
This gave a corrected validated smoking rate of 48/99 (48%) in 1990 and 34/112 (30%) in 1999, representing a significant fall (p<0.02).
CONCLUSION
Smoking rates in young
type 1 diabetic patients appear to have fallen during the last decade,
and reporting of smoking behaviour is now more honest.
Keywords: smoking; diabetes mellitus; type 1 diabetes; cotinine
© 2001 by The Fellowship of Postgraduate Medicine
This article has been cited by other articles:
-
Bloomgarden, Z. T.
(2004). Type 2 Diabetes in the Young: The evolving epidemic. Diabetes Care
27: 998-1010
[Full Text]
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
