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Eur J Prev Cardiol. 2015 Sep;22(9):1212-9. doi: 10.1177/2047487314564728. Epub 2014 Dec 16.

Readiness for smoking cessation in coronary heart disease patients across Europe: Results from the EUROASPIRE III survey.

Author information

1
INSERM, Paris Cardiovascular Research Centre, University Paris Descartes, Sorbonne Paris Cité, France christof.prugger@inserm.fr.
2
Institute of Epidemiology and Social Medicine, University of Münster, Germany.
3
Institute of Epidemiology and Social Medicine, University of Münster, Germany Epidemiological Cancer Registry North Rhine-Westphalia, Germany.
4
Department of Public Health, University of Ghent, Belgium.
5
INSERM, Paris Cardiovascular Research Centre, University Paris Descartes, Sorbonne Paris Cité, France.
6
Department of Internal Medicine, University of Zagreb, Croatia.
7
Department of Vascular Medicine, Preventive Cardiology Unit, University Medical Centre Ljubljana, Slovenia Internal Medicine, Faculty of Medicine, University of Ljubljana, Slovenia.
8
Cardiovascular Medicine, Imperial College London, UK.

Abstract

BACKGROUND:

Readiness for smoking cessation is an important predictor of quit attempts and cessation success. We aimed to investigate the prevalence and correlates of readiness for smoking cessation in coronary heart disease (CHD) patients.

DESIGN:

The EUROpean Action on Secondary and Primary Prevention by Intervention to Reduce Events III (EUROASPIRE III) survey is a cross-sectional study conducted in 2006-2007 among CHD patients <80 years of age from 22 European regions.

METHODS:

Patients were interviewed on average 15 months after hospital admission for an acute coronary event or procedure. Readiness for smoking cessation was assessed using the smoking stages of change (SSC) short form questionnaire. Breath carbon monoxide was measured to validate self-reported non-smoking.

RESULTS:

Among 2585 patients who were smoking prior to hospital admission, 25.6%, 16.8%, 8.1%, 5.6% and 44.0% were in the precontemplation (no intention to quit), contemplation (thinking of quitting), preparation (planning to quit), action (having quit within six months) and maintenance (having quit more than six months ago) stages, respectively. Significant multivariable correlates of advancement in SSC showed positive associations of older age and attended cardiac rehabilitation and negative associations of severe depressive symptoms, longer smoking duration and environmental tobacco smoke (ETS) exposure.

CONCLUSIONS:

One-quarter of CHD patients across Europe who were smoking prior to hospitalisation have no intention to quit, and an additional quarter is thinking of quitting or planning to quit. Patients who are younger, do not attend cardiac rehabilitation, have severe depressive symptoms, have been smoking for longer periods of time and are exposed to ETS may need to be specifically targeted in cessation interventions.

KEYWORDS:

Stages of change; coronary artery disease; epidemiology; smoking cessation

PMID:
25516535
DOI:
10.1177/2047487314564728
[Indexed for MEDLINE]
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