Is there any gender difference for smoking persistence or relapse following diagnosis or hospitalization for coronary heart disease? Evidence from a systematic review and meta-analysis
Journal article
Rahman, Muhammad Aziz, Edward, Karen-Leigh, Montgomery, Laura, McEvedy, Samantha, Wilson, Andrew and Worrall-Carter, Linda. (2016). Is there any gender difference for smoking persistence or relapse following diagnosis or hospitalization for coronary heart disease? Evidence from a systematic review and meta-analysis. Nicotine and Tobacco Research. 18(6), pp. 1399 - 1407. https://doi.org/10.1093/ntr/ntv222
Authors | Rahman, Muhammad Aziz, Edward, Karen-Leigh, Montgomery, Laura, McEvedy, Samantha, Wilson, Andrew and Worrall-Carter, Linda |
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Abstract | Introduction: Persistent smoking in patients diagnosed with coronary heart disease (CHD) has a significant effect on morbidity and mortality. Although there has been considerable debate around gender differences in smoking cessation, conclusive evidence on how gender impacts rates of smoking cessation and/or relapse following CHD diagnosis is lacking. Aims and Methods: Our aim was to test the hypothesis that female smokers with CHD were more likely to persist in smoking or relapse post-diagnosis or hospitalization than male smokers. We searched PubMed and Web of Science databases for studies published in the last 10 years. Meta-analyses were conducted using a random effects model. Results: Sixteen studies met the inclusion criteria. The aggregated sample size was 36 591, 20 617 (56%) were smokers of which 2564 (12%) were female. Meta-analyses of eight studies where smoking prevalence could be measured, showed that females were less likely to be smokers at baseline than males ( OR = 0.30, 95% CI = 0.13 to 0.70). Overall, one in two (47%) smokers persisted in smoking/relapsed following a diagnosis or hospitalization for CHD; but there was no gender difference in the rate of persistent smoking/relapse ( OR = 1.07, 95% CI = 0.95 to 1.21). Conclusions: Female smokers with CHD were relatively uncommon in the included study populations. However, the rate of persistent smoking/relapse was high in both female and male smokers following a diagnosis or hospitalization for CHD. Therefore similar, sustained smoking cessation efforts are warranted for both genders. Implications: There was no gender difference for persistent smoking/relapse following a diagnosis or hospitalization for CHD, but the rate was high in both female and male smokers. Therefore, similar, sustained smoking cessation efforts are warranted for both genders. |
Keywords | smoking; smoking cessation; diagnosis; gender; persistence; coronary heart disease; gender differences |
Year | 2016 |
Journal | Nicotine and Tobacco Research |
Journal citation | 18 (6), pp. 1399 - 1407 |
Publisher | Oxford University Press |
ISSN | 1462-2203 |
Digital Object Identifier (DOI) | https://doi.org/10.1093/ntr/ntv222 |
Scopus EID | 2-s2.0-84973110394 |
Open access | Published as green open access |
Research or scholarly | Research |
Page range | 1399-1407 |
Research Group | Mary MacKillop Institute for Health Research |
Author's accepted manuscript | File Access Level Open |
Publisher's version | License All rights reserved File Access Level Controlled |
https://acuresearchbank.acu.edu.au/item/8v189/is-there-any-gender-difference-for-smoking-persistence-or-relapse-following-diagnosis-or-hospitalization-for-coronary-heart-disease-evidence-from-a-systematic-review-and-meta-analysis
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Author's accepted manuscript
AM_McEvedy_2015_Is_there_any_gender_difference.pdf | |
File access level: Open |
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