Department of Chronic Disease Epidemiology, Yale University, New Haven, CT.
Department of Biostatistics, University of Michigan, Ann Arbor.
Ann Epidemiol. 2020 Mar;43:66-70. doi: 10.1016/j.annepidem.2020.01.007. Epub 2020 Jan 21.
Although stroke survivors who continue smoking face increased risk for subsequent strokes, little is known about U.S. poststroke smoking patterns. We examined smoking prevalence in U.S. stroke survivors and what sociodemographic factors are associated with continuation of smoking in these individuals.
We determined the prevalence of smoking in U.S. stroke survivors (n = 56,523) using 2016-2018 Behavioral Risk Factor Surveillance System data. A logistic regression was created to identify associations between sociodemographic factors and poststroke smoking continuation.
20.4% of stroke survivors continued to smoke after their stroke (14.7% smokes every day, 5.7% smokes some days). Older age, being male (OR: 1.15, 95% CI: 1.05-1.27), Asian (OR: 2.79, 95% CI: 1.52-5.11) or Hispanic (OR: 1.31, 95% CI: 1.06-1.63) ethnicity, higher income, higher educational attainment, and access to health care (OR: 1.27, 95% CI: 1.02-1.59) and a personal doctor (one doctor OR: 1.51, 95% CI: 1.25-1.83; more than one doctor OR: 1.59, 95% CI: 1.27-1.99) corresponded with increased odds of smoking continuation after a stroke.
A greater push for smoking cessation by clinicians and support programs to aid with cessation in U.S. stroke survivors is needed to decrease the high prevalence of poststroke smoking in this population.
尽管继续吸烟的中风幸存者面临更高的中风复发风险，但人们对美国中风后吸烟模式知之甚少。我们调查了美国中风幸存者的吸烟流行情况，以及哪些社会人口因素与这些人继续吸烟有关。
我们利用 2016-2018 年行为风险因素监测系统的数据，确定了美国中风幸存者的吸烟流行率。建立了逻辑回归模型，以确定社会人口因素与中风后继续吸烟之间的关系。
20.4%的中风幸存者在中风后继续吸烟（14.7%每天吸烟，5.7%偶尔吸烟）。年龄较大、男性（比值比[OR]：1.15，95%置信区间[CI]：1.05-1.27）、亚裔（OR：2.79，95%CI：1.52-5.11）或西班牙裔（OR：1.31，95%CI：1.06-1.63）、收入较高、教育程度较高、获得医疗保健（OR：1.27，95%CI：1.02-1.59）和有私人医生（一名医生 OR：1.51，95%CI：1.25-1.83；多名医生 OR：1.59，95%CI：1.27-1.99）与中风后继续吸烟的几率增加有关。
需要临床医生和支持计划加大戒烟力度，并提供戒烟援助，以降低美国中风幸存者中风后吸烟的高流行率。
