Knowledge and perceived risk of smoking-related conditions: a survey of cigarette smokers.
BACKGROUND
Previous studies suggest that smokers minimize the personal health risk of smoking. Smokers may not be aware of the various smoking-related disease risks or believe that they are susceptible to them.


METHODS
We presented 537 adult treatment-seeking smokers with a list of 34 medical conditions, of which 25 were smoking-related conditions, and 9 were nonsmoking-related items. Subjects were asked to identify which medical conditions were smoking-related, and to rate their perceived risk (using a 7-point Likert scale) of developing various smoking-related conditions if they continued to smoke.


RESULTS
The average percentage of knowledge items correct for each disease category included cardiovascular (93%), pulmonary (94%), oral health diseases (89%), smoking-related cancers (71%), and reproductive risks (44%). Premature death was identified as a risk by 95% of smokers yet only 63.5% reported that disability could also result from smoking. Knowledge was associated with perceived risk of smoking-related illnesses across disease categories.


CONCLUSIONS
Knowledge and perceived risk of cardiovascular, pulmonary, and oral disease was high among current smokers; knowledge and perceived risk of reproductive-related problems, and cancers other than lung cancer was much lower. Smokers recognize that smoking may result in premature death, but are less likely to acknowledge that smoking could result in a disability significantly affecting their quality of life.
Oncken
Cheryl
C
Department of Medicine, University of Connecticut School of Medicine, 263 Farmington Avenue, Farmington, CT 06030-3940, USA. oncken@nso2.uchc.edu
McKee
Sherry
S
Krishnan-Sarin
Suchitra
S
O'Malley
Stephanie
S
Mazure
Carolyn M
CM
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D016009:Chi-Square Distribution; D003237:Connecticut / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011336:Probability; D018570:Risk Assessment; D012309:Risk-Taking; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology*; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires; D015996:Survival Rate; D014029:Tobacco Use Disorder / Q000401:mortality / Q000517:prevention & control*