@article {7811, title = {Predictors of Smoking Patterns After First Stroke}, journal = {Social Work in Health Care}, volume = {52}, year = {2013}, note = {Copyright - Copyright Taylor and Francis Group 2013 Last updated - 2013-06-04 CODEN - SWHCDO}, pages = {467}, publisher = {52}, abstract = {Persistent smoking following stroke is associated with poor outcomes including development of secondary stroke and increased mortality risk. This study uses longitudinal data from the U.S. Health and Retirement Study (1992-2008) to investigate whether depression and duration of inpatient hospital care impact smoking outcomes among stroke survivors (N = 745). Longer duration of care was associated with lower likelihood of persistent smoking. Depression was associated with greater cigarette consumption. Interaction effects were also significant, indicating that for survivors who experienced longer inpatient care there was a weaker association between depression and cigarette consumption. Implications for practice and research are discussed. PUBLICATION ABSTRACT}, keywords = {Health Conditions and Status, Public Policy}, url = {http://search.proquest.com.proxy.lib.umich.edu/docview/1364611528?accountid=14667http://mgetit.lib.umich.edu/?ctx_ver=Z39.88-2004andctx_enc=info:ofi/enc:UTF-8andrfr_id=info:sid/ProQ 3Apqrlandrft_val_fmt=info:ofi/fmt:kev:mtx:journalandrft.genre=articleandr}, author = {Michael J. McCarthy and Nathalie Huguet and Jason T Newsom and Mark S Kaplan and Bentson McFarland} } @article {7695, title = {Health behavior change following chronic illness in middle and later life.}, journal = {J Gerontol B Psychol Sci Soc Sci}, volume = {67}, year = {2012}, month = {2012 May}, pages = {279-88}, publisher = {67B}, abstract = {

OBJECTIVES: Understanding lifestyle improvements among individuals with chronic illness is vital for targeting interventions that can increase longevity and improve quality of life.

METHODS: Data from the U.S. Health and Retirement Study were used to examine changes in smoking, alcohol use, and exercise 2-14 years after a diagnosis of heart disease, diabetes, cancer, stroke, or lung disease.

RESULTS: Patterns of behavior change following diagnosis indicated that the vast majority of individuals diagnosed with a new chronic condition did not adopt healthier behaviors. Smoking cessation among those with heart disease was the largest observed change, but only 40\% of smokers quit. There were no significant increases in exercise for any health condition. Changes in alcohol consumption were small, with significant declines in excessive drinking and increases in abstention for a few health conditions. Over the long term, individuals who made changes appeared to maintain those changes. Latent growth curve analyses up to 14 years after diagnosis showed no average long-term improvement in health behaviors.

DISCUSSION: Results provide important new information on health behavior changes among those with chronic disease and suggest that intensive efforts are required to help initiate and maintain lifestyle improvements among this population.

}, keywords = {Age Factors, Aged, Aged, 80 and over, Alcohol Drinking, Chi-Square Distribution, Chronic disease, Diabetes Mellitus, Exercise, Female, Health Behavior, Heart Diseases, Humans, Longitudinal Studies, Lung Diseases, Male, Middle Aged, Neoplasms, Smoking, Stroke, Time Factors}, issn = {1758-5368}, doi = {10.1093/geronb/gbr103}, author = {Jason T Newsom and Nathalie Huguet and Michael J. McCarthy and Pamela Ramage-Morin and Mark S Kaplan and Julie Bernier and Bentson McFarland and Jillian Oderkirk} }