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, Wilson, Andrew 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 & tobacco research, vol. 18, no. 6, pp. 1399-1407, doi: 10.1093/ntr/ntv222.

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Title 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
Author(s) Rahman, Muhammad Aziz
Edward, Karen-Leigh
Montgomery, Laura
McEvedy, Samantha
Wilson, Andrew
Worrall-Carter, Linda
Journal name Nicotine & tobacco research
Volume number 18
Issue number 6
Start page 1399
End page 1407
Total pages 9
Publisher Oxford University Press
Place of publication Oxford, Eng.
Publication date 2015-10-26
ISSN 1469-994X
Summary 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.
Language eng
DOI 10.1093/ntr/ntv222
Field of Research 1117 Public Health And Health Services
1103 Clinical Sciences
1505 Marketing
Socio Economic Objective 920103 Cardiovascular System and Diseases
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, The Author
Persistent URL http://hdl.handle.net/10536/DRO/DU:30083305

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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