Cigarette smokers; Diabetes; Diabetes—Prevention; Diabetics; Interventions; Nevada; Smoking; Smoking--Health aspects; Smoking—Prevention; Smoking cessation


Community-Based Research | Community Health | Public Health | Substance Abuse and Addiction


Smoking and diabetes could both be prevented if individuals would abstain from smoking, eat healthy, and exercise regularly. Smokers with diabetes have an increased risk of serious health outcomes, hence effective smoking cessation interventions are critical. The transtheoretical model was used in this quantitative study analyzing secondary data from the state of Nevada Quitline to examine the relationships between smoking cessation method (counseling versus counseling and medication) and quitting smoking for 720 smokers with/without diabetes. Participants were Nevada residents, ages 18+, men and women, English or Spanish speakers. Descriptive statistics, logistic regression, and a test of two proportions were conducted. The majority of the participants had not quit (67.5%). Quit rates did not differ between smokers with/without diabetes, however, individuals who received counseling and medication were 1.94 times as likely to quit compared to those who received counseling alone. Among diabetes smokers, age was significantly related to quit status; for every 1 year, the likelihood of quitting increased by 1.03 times; and Hispanics were 7.50 times more likely to quit smoking compared to Caucasians. Findings from this study could help healthcare providers, public health practitioners, and scholars develop effective smoking cessation programs to meet the needs of smokers with diabetes.