Korean J Fam Pract. 2018; 8(5): 788-792  https://doi.org/10.21215/kjfp.2018.8.5.788
Association between Accessibility to Health Care and Smoking Cessation in Adult Smokers with Disabilities: The Korean National Health and Nutrition Examination Survey VI 2013
Hee Jeong Kim, Jin Young Kim, Ji Yun Jeong, Yeon Pyo Kim*
Department of Family Medicine, Chonnam National University Hwasun Hospital, Hwasun, Korea
Yeon Pyo Kim
Tel: +82-61-379-7290, Fax: +82-61-379-7289
E-mail: reusable@hanmail.net
ORCID: http://orcid.org/0000-0002-7311-942X
Received: July 21, 2017; Accepted: August 7, 2017; Published online: October 20, 2018.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
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.
Keywords: Disability; Smoking Cessation; Health Care; Accessibility
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