Back to Search
Start Over
Smoking Cessation in Stroke Survivors in the United States: A Nationwide Analysis
- Source :
- Stroke
- Publication Year :
- 2023
-
Abstract
- Background: Continued smoking after stroke is associated with a high risk of stroke recurrence and other cardiovascular disease. We sought to comprehensively understand the epidemiology of smoking cessation in stroke survivors in the United States. Furthermore, we compared smoking cessation in stroke and cancer survivors because cancer is another smoking-related condition in which smoking cessation is prioritized. Methods: We performed a cross-sectional analysis of data from the Centers for Disease Control and Prevention Behavioral Risk Factor Surveillance System, an annual, nationally representative health survey. Using pooled data from 2013 to 2019, we identified stroke and cancer survivors with a history of smoking. We used survey procedures to estimate frequencies and summarize quit ratios with attention to demographic and geographic (state-wise and rural-urban) factors for stroke survivors. The quit ratio is conventionally defined as the proportion of ever smokers who have quit. Then, we used multivariable logistic regression to compare quit ratios in stroke and cancer survivors while adjusting for demographics and smoking-related comorbidities. Results: Among 4 434 604 Americans with a history of stroke and smoking, the median age was 68 years (interquartile range, 59–76), and 45.4% were women. The overall quit ratio was 60.8% (95% CI, 60.1%–61.6%). Quit ratios varied by age group, sex, race and ethnicity, and several geographic factors. There was marked geographic variation in quit ratios, ranging from 48.3% in Kentucky to 71.5% in California. Furthermore, compared with cancer survivors, stroke survivors were less likely to have quit smoking (odds ratio, 0.72 [95% CI, 0.67–0.79]) after accounting for differences in demographics and smoking-related comorbidities. Conclusions: There were considerable demographic and geographic disparities in smoking quit ratios in stroke survivors, who were less likely to have quit smoking than cancer survivors. A targeted initiative is needed to improve smoking cessation for stroke survivors.
- Subjects :
- Male
medicine.medical_specialty
Stroke recurrence
medicine.medical_treatment
Disease
Article
Epidemiology
Medicine
Humans
Survivors
Stroke survivor
Stroke
Aged
Advanced and Specialized Nursing
Secondary prevention
business.industry
Smoking
medicine.disease
United States
Cross-Sectional Studies
Emergency medicine
Smoking cessation
Female
Smoking Cessation
Neurology (clinical)
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15244628
- Volume :
- 53
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Stroke
- Accession number :
- edsair.doi.dedup.....5a04431b1662f2d4760b7ec0ed404716