Nicotine dependence and smoking cessation after hospital discharge among inpatients with coronary heart attacks |
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Authors: | Atsuhiko Ota Yoshio Mino Hiroshi Mikouchi Norito Kawakami |
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Institution: | (1) Department of Hygiene and Preventiye Medicine, Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata-cho, 700-8558 Okayama, Japan;(2) College of Social Welfare, Osaka Prefecture University, Osaka;(3) Department of Diseases of the Circulatory System, National Okayama Medical Center, Okayama |
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Abstract: | This study focuses on the predictability of two alternative questionnaires for nicotine dependence, i.e., the Fagerstrom Tolerance
Questionnaire (FTQ) and the Tobacco Dependence Screener (TDS), each of which represents a different aspect of dependence,
among patients with coronary heart disease (CHD). Twenty-nine male inpatients that had been newly diagnosed as CHD were followed
up for 30 weeks after hospital discharge. The baseline information included age, number of cigarettes per day, years of smoking,
disease type (angina pectoris AP] or acute myocardial infarction AMI), whether they had received a briefing on smoking cessation,
the FTQ, and the TDS. At 30 weeks after hospital discharge, 19 (66%) were abstainers. The group with a high TDS score (of
6 or greater) was significantly less likely to quit smoking than the group with a low TDS score (p=0.046). The FTQ score was
not significantly different between the abstainers and non-abstainers. The subjects with AP were significantly less likely
to quit smoking than those with AMI (p=0.021). Multiple logistic regression analysis showed that belonging to the high-TDS
group and being diagnosed as AP were significantly associated with failure in smoking cessation (p<0.05). The present study
suggests that the TDS may have higher predictability than the FTQ concerning smoking cessation among CHD inpatients. |
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Keywords: | coronary heart disease (CHD) smoking nicotine dependence the Fagerstrom Tolerance Questionnaire (FTQ) the Tobacco Dependence Sereener (TDS) |
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