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Long-term trends and predictors of smoking behaviors among men following first-ever ischemic stroke

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Summary

Continued smoking following stroke is associated with adverse outcomes including increased risk of mortality and secondary stroke. The aim of this study was to examine the long-term trends in smoking behaviors and factors associated with smoking relapse among men who survived their first-ever stroke. Data collection for this longitudinal study was conducted at baseline through face-to-face interviews and follow-up was completed every 3 months via telephone, beginning in 2010 and continuing through 2014. Cox proportional hazard regression models were used to identify predictors of smoking relapse behavior. At baseline, 372 male patients were recruited into the study. Totally, 155 (41.7%) of these patients stopped smoking for stroke, and 61 (39.3%) began smoking again within 57 months after discharge with an increasing trend in the number of cigarettes smoked per day. Exposure to environmental tobacco smoke at places outside of home and work (such as bars, restaurants) (HR, 2.34; 95% CI, 1.04–5.29, P=0.04), not having a spouse (HR, 0.12; 95% CI, 0.04–0.36; P=0.0002) and smoking at least 20 cigarettes per day before stroke (HR, 2.42; 95% CI, 1.14–5.14, P=0.02) were predictors of smoking relapse. It was concluded that environmental tobacco smoke is an important determinant of smoking relapse among men who survive their first stroke. Environmental tobacco smoke should be addressed by smoke-free policies in public places.

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Acknowledgments

We would like to thank Bryan Bassig for writing and editing assistance and helpful suggestions.

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Authors and Affiliations

  1. West China School of Public Health, Sichuan University, Chengdu, 610041, China

    Li-sha Hou  (侯利莎), Xu-dong Du  (杜旭东), Ji-jie Li  (李吉杰), Ping Zhu  (朱 萍), Pei-jing Yan  (闫沛静), Feng-yu Zhan  (詹凤羽) & Cai-rong Zhu  (朱彩蓉)

  2. West China Hospital of Sichuan University, Chengdu, 610041, China

    Mu-ke Zhou  (周沐科)

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  1. Li-sha Hou  (侯利莎)
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  2. Xu-dong Du  (杜旭东)
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  3. Ji-jie Li  (李吉杰)
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  4. Ping Zhu  (朱 萍)
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  5. Pei-jing Yan  (闫沛静)
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  6. Feng-yu Zhan  (詹凤羽)
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  7. Mu-ke Zhou  (周沐科)
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  8. Cai-rong Zhu  (朱彩蓉)
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Correspondence to Cai-rong Zhu  (朱彩蓉).

Additional information

This project was supported by National Natural Science Foundation of China (No. 30600511).

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Hou, Ls., Du, Xd., Li, Jj. et al. Long-term trends and predictors of smoking behaviors among men following first-ever ischemic stroke. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 37, 446–452 (2017). https://doi.org/10.1007/s11596-017-1755-3

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  • DOI: https://doi.org/10.1007/s11596-017-1755-3

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