title: [Smoking cessation in older smokers. A retrospective study in 181 older smokers managed in a smoking cessation clinic].
abstract: BACKGROUND
  Smoking is a factor associated with premature death, including in older people. Stopping smoking reduces related mortality even after the age of 60. The aim of this study, conducted in a smoking cessation clinic, was to describe the characteristics of these older smokers and their quit attempts.
  
  
  METHODS
  A retrospective study was performed from the patient files of a smoking cessation clinic between 1999/01/01 and 2009/12/31; "older" smokers (≥60 years; n=181) were compared to "young" smokers (<60 years; n=1425).
  
  
  RESULTS
  Compared to young smokers, older smokers had a higher frequency of cardio-pulmonary diseases (82.3 % vs. 46.7 %; P<0.0001) and current depressions (45.3% vs. 35.7%; P=0.012); their abstinence rate at 12 months was higher (44.2% vs. 32.9%; P=0.0025). An age over 60 years was associated with a higher success rate (OR=1.83; CI 95%: 1.29-2.59).
  
  
  CONCLUSIONS
  Cessation smoking attempts are as likely to be successful in older smokers as in younger smokers. Physicians should advise and assist older smokers to quit and if necessary refer them to smoking cessation clinics. Smoking cessation guidelines therefore will apply without reserve in seniors.
authors.affiliation: Service de médecine à orientation cardiologique, centre hospitalier de Riom, 63200 Riom, France.
authors.forename: A
authors.initials: A
authors.lastname: Croizet
authors.affiliation: Centre de tabacologie, dispensaire Émile-Roux, CLAT, 11, rue Vaucanson, 63100 Clermont-Ferrand, France. Electronic address: jean.perriot@puy-de-dome.fr.
authors.forename: J
authors.initials: J
authors.lastname: Perriot
authors.affiliation: Centre de tabacologie, dispensaire Émile-Roux, CLAT, 11, rue Vaucanson, 63100 Clermont-Ferrand, France.
authors.forename: F
authors.initials: F
authors.lastname: Merson
authors.affiliation: Département d'informatique médicale, CHU de Clermont-Ferrand, 63003 Clermont-Ferrand, France.
authors.forename: B
authors.initials: B
authors.lastname: Aublet-Cuvelier
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D005602:France / Q000453:epidemiology; D006782:Hospitals, Special; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D029424:Pulmonary Disease, Chronic Obstructive / Q000453:epidemiology; D012189:Retrospective Studies; D016540:Smoking Cessation / Q000706:statistics & numerical data*; D014029:Tobacco Use Disorder / Q000453:epidemiology*
keywords: Dépendance tabagique; Elderly; Fumeurs âgés; Older smokers; Personnes âgées; Sevrage tabagique; Smoking; Smoking cessation; Tabagisme; Tobacco dependence