Social Smoking Environment and Associations With Cardiac Rehabilitation Attendance.
Journal
Journal of cardiopulmonary rehabilitation and prevention
ISSN: 1932-751X
Titre abrégé: J Cardiopulm Rehabil Prev
Pays: United States
ID NLM: 101291247
Informations de publication
Date de publication:
01 01 2021
01 01 2021
Historique:
pubmed:
15
9
2020
medline:
3
11
2021
entrez:
14
9
2020
Statut:
ppublish
Résumé
Continued cigarette smoking after a major cardiac event predicts worse health outcomes and leads to reduced participation in cardiac rehabilitation (CR). Understanding which characteristics of current smokers are associated with CR attendance and smoking cessation will help improve care for these high-risk patients. We examined whether smoking among social connections was associated with CR participation and continued smoking in cardiac patients. Participants included 149 patients hospitalized with an acute cardiac event who self-reported smoking prior to the hospitalization and were eligible for outpatient CR. Participants completed a survey on their smoking habits prior to hospitalization and 3 mo later. Participants were dichotomized into two groups by the proportion of friends or family currently smoking ("None-Few" vs "Some-Most"). Sociodemographic, health, secondhand smoke exposure, and smoking measures were compared using t tests and χ2 tests (P < .05). ORs were calculated to compare self-reported rates of CR attendance and smoking cessation at 3-mo follow-up. Compared with the "None-Few" group, participants in the "Some-Most" group experienced more secondhand smoke exposure (P < .01) and were less likely to attend CR at follow-up (OR = 0.40; 95% CI, 0.17-0.93). Participants in the "Some-Most" group tended to be less likely to quit smoking, but this difference was not statistically significant. Social environments with more smokers predicted worse outpatient CR attendance. Clinicians should consider smoking within the social network of the patient as an important potential barrier to pro-health behavior change.
Identifiants
pubmed: 32925296
pii: 01273116-202101000-00009
doi: 10.1097/HCR.0000000000000518
pmc: PMC7755730
mid: NIHMS1579990
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
46-51Subventions
Organisme : NIDA NIH HHS
ID : U54 DA036114
Pays : United States
Organisme : NHLBI NIH HHS
ID : R33 HL143305
Pays : United States
Organisme : NIDA NIH HHS
ID : T32 DA007242
Pays : United States
Organisme : NIGMS NIH HHS
ID : P20 GM103644
Pays : United States
Organisme : NCATS NIH HHS
ID : KL2 TR003168
Pays : United States
Informations de copyright
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
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