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
Rahman, Muhammad Aziz, Edward, Karen-Leigh, Montgomery, Laura, McEvedy, Samantha Marie and Worrall-Carter, Linda. (2015) 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 Marie and Worrall-Carter, Linda|
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|
|Journal||Nicotine and Tobacco Research|
|Journal citation||18 (6), pp. 1399 - 1407|
|Digital Object Identifier (DOI)||https://doi.org/10.1093/ntr/ntv222|
|Open access||Open access|
|Page range||1399 - 1407|
|Research Group||Mary MacKillop Institute for Health Research|
|Author's accepted manuscript|
This is an accepted manuscript.
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