Adults with coronary heart disease were less likely to be current smokers (23.8% vs 29.3%) but showed higher motivation to quit (OR 1.41) and more quit attempts (OR 2.90) than those without CHD.
Cross-Sectional (n=11,069)
Yes
Does having coronary heart disease affect tobacco dependence, motivation to quit, and quit attempts among adult smokers?
Although smokers with CHD have higher tobacco dependence, they also demonstrate greater motivation and more frequent attempts to quit compared to smokers without CHD, emphasizing the need for targeted cessation interventions.
Absolute Event Rate: 23.8% vs 29.3%
BACKGROUND: Smoking worsens the prognosis of patients with coronary heart disease (CHD). Only limited population-based data are available on smoking cessation and its characteristics in people with CHD. We compared smokers with and without CHD. METHODS: We analyzed pooled data from nine waves (June 2023-August 2024) of two representative cross-sectional surveys in Germany (DEBRA and OptiCor). We included adults aged 35 years and above who provided information on their smoking behavior and CHD status (n = 11 069; 994 9% with CHD). The endpoints included smoking status, tobacco dependence, motivation to quit smoking, and attempts to do so, as well as the use of electronic inhalation products (e-cigarettes, tobacco heaters). Regression models with CHD as an independent variable were adjusted for age, sex, education, and income. RESULTS: People with CHD were less likely to be current smokers (23.8%, 95% confidence interval 21.2; 26.6, versus 29.3% 28.5; 30.2), but they were more likely to be former smokers (32.2% 29.3; 35.3 versus 18.9% 18.1; 19.6). Being a smoker with CHD was associated with the use of electronic inhalation products (odds ratio OR = 2.53 1.43; 4.48), higher motivation to quit smoking (OR = 1.41 1.02; 1.96), and greater tobacco dependence (OR = 1.63 1.05; 2.53). Among current smokers and those who smoked in the past year, those with CHD were also more likely than those without CHD to have made at least one attempt to quit in the past year (OR = 2.90 1.98; 4.25). CONCLUSION: One-quarter of people with CHD smoke. Despite a greater degree of tobacco dependence, they show higher motivation and make more attempts to quit smoking compared with smokers without CHD. As smoking cessation is crucial in this group, healthcare professionals should consistently assess the smoking status of people with CHD and offer them evidence-based support for smoking cessation.
Klosterhalfen et al. (Fri,) conducted a cross-sectional in Coronary heart disease (n=11,069). Coronary heart disease vs. Without coronary heart disease was evaluated on Current smoking status. Adults with coronary heart disease were less likely to be current smokers (23.8% vs 29.3%) but showed higher motivation to quit (OR 1.41) and more quit attempts (OR 2.90) than those without CHD.