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. 2021 Apr;84(2):140-147.
doi: 10.4046/trd.2020.0158. Epub 2021 Jan 26.

Health-Promoting Behaviors, Health Literacy, and Levels of Knowledge about Smoking-Related Diseases among Smokers and Non-smokers: A Cross-Sectional Study

Cihat Celebi  1 , Ebru Calik-Kutukcu  2 , Melda Saglam  2 , Cemile Bozdemir-Ozel  3 , Deniz Inal-Ince  2 , Naciye Vardar-Yagli  2
Affiliations

Health-Promoting Behaviors, Health Literacy, and Levels of Knowledge about Smoking-Related Diseases among Smokers and Non-smokers: A Cross-Sectional Study

Cihat Celebi et al. Tuberc Respir Dis (Seoul). 2021 Apr.

Abstract

Background: For generations, cigarette smoking has presented an important public health concern. This study aimed to compare the health-promoting behavior, exercise capacity, physical activity level, health literacy, and knowledge level of smoking-related diseases between smokers and non-smokers.

Methods: The study included 71 smokers (mean age, 32.69±8.55 years) and 72 non-smokers (mean age, 31.88±9.94 years) between the ages of 20 and 60 years. Assessments included a 6-minute walking test (6MWT), Godin Leisure-Time Physical Activity Questionnaire, Health-Promoting Lifestyle Profile II (HPLP-II), Cardiovascular Risk Factors Knowledge Level Scale (CARRF-KL), Asthma/COPD Awareness Questionnaire, the World Health Organization Quality of Life-Bref questionnaire (WHOQoL-Bref [TR]), and Health Literacy Questionnaire (HLQ).

Results: The results from the study show that the number of coronary artery disease risk factors measured significantly higher among the smoker group members when compared to that of the non-smoker group members (p=0.001). Smokers had significantly lower %6MWT distance than non-smokers (84.83±4.72 and 93.45±7.16, respectively; p<0.05). However, there were no significant differences between the smokers and non-smokers in terms of physical activity, CARRF-KL, HLQ, WHOQoL-Bref, and HPLP-II subscales or total scores (p>0.05). Additionally, while only forty-one smokers (57.7%) were active, 48 of the non-smoker group was active (66.7%).

Conclusion: Smokers suffer greater negative effects to their exercise capacity in comparison to non-smokers. Although smokers and non-smokers have similar levels of health literacy and similar levels of knowledge about cardiovascular disease risk factors and obstructive lung diseases, health professionals could continue to further increase individuals' awareness of smoking-related risk factors and continue to emphasize the importance of physical activity and exercise for protecting cardiopulmonary health.

Keywords: Health Literacy; Healthy Lifestyle; Physical Activity; Smoking.

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Conflict of interest statement

Conflicts of Interest

No potential conflict of interest relevant to this article was reported.

Figures

Figure 1
Figure 1
Educational level of smokers and non-smokers.
See this image and copyright information in PMC

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References

    1. ICD-11 for mortality and morbidity statistics [Internet] Geneva: World Health Organization; 2019. [cited 2019 Nov 6]. Available from: https://icd.who.int/browse11/l-m/en.
    1. Onor IO, Stirling DL, Williams SR, Bediako D, Borghol A, Harris MB, et al. Clinical effects of cigarette smoking: epidemiologic impact and review of pharmacotherapy options. Int J Environ Res Public Health. 2017;14:1147. - PMC - PubMed
    1. Garcia-Quero C, Carreras J, Martinez-Ceron E, Casitas R, Galera R, Utrilla C, et al. Small airway dysfunction impairs quality of life among smokers with no airflow limitation. Arch Bronconeumol. 2020;56:9–17. - PubMed
    1. Heffernan KS, Karas RH, Patvardhan EA, Kuvin JT. Endothelium-dependent vasodilation is associated with exercise capacity in smokers and non-smokers. Vasc Med. 2010;15:119–25. - PMC - PubMed
    1. Stewart DW, Cano MA, Correa-Fernandez V, Spears CA, Li Y, Waters AJ, et al. Lower health literacy predicts smoking relapse among racially/ethnically diverse smokers with low socioeconomic status. BMC Public Health. 2014;14:716. - PMC - PubMed