. 2021 Dec;44(6):772-783.

doi: 10.1007/s10865-021-00239-5. Epub 2021 Jun 29.

Smoking among adult congenital heart disease survivors in the United States: Prevalence and relationship with illness perceptions

Kristen R Fox¹, Rose Y Hardy², Philip Moons^{3

4

5}, Adrienne H Kovacs^{6

7}, Koen Luyckx^{8

9}, Silke Apers³, Stephen C Cook¹⁰, Gruschen Veldtman¹¹, Susan M Fernandes¹², Kamila White^{13

14}, Shelby Kutty^{15

16}, Jamie L Jackson¹⁷; APPROACH-IS Consortium and the International Society for Adult Congenital Heart Disease (ISACHD)

Affiliations

¹ Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, USA. kristen.fox@nationwidechildrens.org.
² Center for Innovation in Pediatric Practice, Nationwide Children's Hospital, Columbus, OH, USA.
³ Department of Public Health and Primary Care, KU Leuven University of Leuven, Leuven, Belgium.
⁴ Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
⁵ Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
⁶ Peter Munk Cardiac Center, University of Toronto, Toronto, Canada.
⁷ Knight Cardiovascular Institute, Oregon Health & Science University, Portland, OR, USA.
⁸ School Psychology and Development in Context, KU Leuven - University of Leuven, Leuven, Belgium.
⁹ UNIBS, University of the Free State, Bloemfontein, South Africa.
¹⁰ Adult Congenital Heart Disease Center, Helen DeVos Children's Hospital, Grand Rapids, MI, USA.
¹¹ Heart Centre, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
¹² Adult Congenital Heart Program at Stanford, Lucile Packard Children's Hospital and Stanford Health Care, Palo Alto, CA, USA.
¹³ Adult Congenital Heart Disease Center, Washington University, St. Louis, MO, USA.
¹⁴ Barnes Jewish Heart and Vascular Center, University of Missouri, Columbia, MO, USA.
¹⁵ Adult Congenital Heart Disease Center, University of Nebraska Medical Center, Omaha, NE, USA.
¹⁶ Taussig Heart Center, Johns Hopkins School of Medicine, Baltimore, MD, USA.
¹⁷ Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, USA.

PMID: 34185220
DOI: 10.1007/s10865-021-00239-5

Smoking among adult congenital heart disease survivors in the United States: Prevalence and relationship with illness perceptions

Kristen R Fox et al. J Behav Med. 2021 Dec.

. 2021 Dec;44(6):772-783.

doi: 10.1007/s10865-021-00239-5. Epub 2021 Jun 29.

Authors

Affiliations

¹ Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, USA. kristen.fox@nationwidechildrens.org.
² Center for Innovation in Pediatric Practice, Nationwide Children's Hospital, Columbus, OH, USA.
³ Department of Public Health and Primary Care, KU Leuven University of Leuven, Leuven, Belgium.
⁴ Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
⁵ Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
⁶ Peter Munk Cardiac Center, University of Toronto, Toronto, Canada.
⁷ Knight Cardiovascular Institute, Oregon Health & Science University, Portland, OR, USA.
⁸ School Psychology and Development in Context, KU Leuven - University of Leuven, Leuven, Belgium.
⁹ UNIBS, University of the Free State, Bloemfontein, South Africa.
¹⁰ Adult Congenital Heart Disease Center, Helen DeVos Children's Hospital, Grand Rapids, MI, USA.
¹¹ Heart Centre, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
¹² Adult Congenital Heart Program at Stanford, Lucile Packard Children's Hospital and Stanford Health Care, Palo Alto, CA, USA.
¹³ Adult Congenital Heart Disease Center, Washington University, St. Louis, MO, USA.
¹⁴ Barnes Jewish Heart and Vascular Center, University of Missouri, Columbia, MO, USA.
¹⁵ Adult Congenital Heart Disease Center, University of Nebraska Medical Center, Omaha, NE, USA.
¹⁶ Taussig Heart Center, Johns Hopkins School of Medicine, Baltimore, MD, USA.
¹⁷ Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, USA.

PMID: 34185220
DOI: 10.1007/s10865-021-00239-5

Abstract

The relationship between smoking and illness perceptions among congenital heart disease (CHD) survivors is unknown. The primary aims of the present study were to compare the smoking prevalence among CHD survivors to a nationally representative U.S. sample and examine the relationship between smoking and illness perceptions. CHD survivors (N = 744) from six U.S. sites participated in the study. The smoking prevalence among CHD survivors (9.3%) was lower than the general population (15.3%). However, 23.3% of CHD survivors with severe functional limitations smoked. Smoking prevalence differed by U.S. region, with a greater proportion of those attending CHD care in the Midwest reporting smoking (11.8%). The illness perception dimensions of Concern and Emotional Response were independently associated with smoking. Differences in illness perceptions enhance our understanding of smoking among CHD survivors and may guide interventions promoting positive health behaviors. The protocol for the study from which the present analyses were conducted was recorded at ClinicalTrials.gov: NCT02150603.

Keywords: Cigarettes; Congenital heart disease; Health behaviors; Illness perceptions; Smoking; Tobacco.

PubMed Disclaimer

Cited by

Atherosclerotic Risk Factor Prevalence in Adults With Congenital Heart Disease: A Meta-Analysis.
Papazoglou AS, Kyriakoulis KG, Barmpagiannos K, Moysidis DV, Kartas A, Chatzi M, Baroutidou A, Kamperidis V, Ziakas A, Dimopoulos K, Giannakoulas G. Papazoglou AS, et al. JACC Adv. 2024 Oct 19;3(11):101359. doi: 10.1016/j.jacadv.2024.101359. eCollection 2024 Nov. JACC Adv. 2024. PMID: 39497945 Free PMC article.
The Association of Global and Disease-Related Stress With Susceptibility to and Use of E-Cigarettes and Marijuana Among Adolescents With Congenital Heart Disease.
Fox KR, Ferketich AK, Groner JA, Rausch JR, Garg V, Grant VR, Neville SP, Cua CL, Jackson JL. Fox KR, et al. J Pediatr Psychol. 2023 May 20;48(5):458-467. doi: 10.1093/jpepsy/jsad005. J Pediatr Psychol. 2023. PMID: 36810676 Free PMC article.
Impact of smoking on cardiovascular health: Mechanisms, epidemiology and specific concerns regarding congenital heart disease.
Alhindal M, Janahi J, D'Angelo EC, Lisignoli V, Palmieri R, Cutrì A, Butera G, Gatzoulis MA, Montanaro C. Alhindal M, et al. Int J Cardiol Congenit Heart Dis. 2025 Apr 2;20:100581. doi: 10.1016/j.ijcchd.2025.100581. eCollection 2025 Jun. Int J Cardiol Congenit Heart Dis. 2025. PMID: 40242035 Free PMC article. Review.
Difficulties With Executive Function Are Associated With Risky Health Behaviors Among Young Adult Congenital Heart Defect Survivors.
Fox KR, Vannatta K, Jackson JL. Fox KR, et al. J Cardiovasc Nurs. 2023 Jan-Feb 01;38(1):60-69. doi: 10.1097/JCN.0000000000000941. Epub 2022 Aug 29. J Cardiovasc Nurs. 2023. PMID: 36037294 Free PMC article.
Determining Association between Lung Cancer Mortality Worldwide and Risk Factors Using Fuzzy Inference Modeling and Random Forest Modeling.
Wu X, Denise BB, Zhan FB, Zhang J. Wu X, et al. Int J Environ Res Public Health. 2022 Oct 29;19(21):14161. doi: 10.3390/ijerph192114161. Int J Environ Res Public Health. 2022. PMID: 36361041 Free PMC article.

See all "Cited by" articles

References

1. Aboyans, V., Pinet, P., Lacroix, P., & Laskar, M. (2009). Knowledge and management of smoking-cessation strategies among cardiologists in France: A nationwide survey. Archives of Cardiovascular Diseases, 102, 193–199. https://doi.org/10.1016/j.acvd.2009.01.005 - DOI - PubMed
1. Agarwal, S., Sud, K., Khera, S., Kolte, D., Fonarow, G. C., Panza, J. A., & Menon, V. (2016). Trends in the burden of adult congenital heart disease in US emergency departments. Clinical Cardiology, 39, 391–398. https://doi.org/10.1002/clc.22541 - DOI - PubMed - PMC
1. Apers, S., Kovacs, A. H., Luyckx, K., Alday, L., Berghammer, M., Budts, W., & Moons, P. . (2015). Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease - International Study (APPROACH-IS): Rationale, design, and methods. International Journal of Cardiology, 179, 334–342. https://doi.org/10.1016/j.ijcard.2014.11.084 - DOI - PubMed
1. Bokma, J. P., Zegstroo, I., Kuijpers, J. M., Konings, T. C., van Kimmenade, R. R. J., van Melle, J. P., & Bouma, B. J. (2018). Factors associated with coronary artery disease and stroke in adults with congenital heart disease. Heart, 104, 574–580. https://doi.org/10.1136/heartjnl-2017-311620 - DOI - PubMed
1. Britton, G. R., Brinthaupt, J., Stehle, J. M., & James, G. D. (2004). Comparison of self-reported smoking and urinary cotinine levels in a rural pregnant population. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 33, 306–311. https://doi.org/10.1177/0884217504264866 - DOI - PubMed

Publication types

Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Associated data

Actions
- Search in PubMed
- Search in ClinicalTrials.gov

LinkOut - more resources

Full Text Sources
- Springer
Medical
- ClinicalTrials.gov
- MedlinePlus Health Information

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Smoking among adult congenital heart disease survivors in the United States: Prevalence and relationship with illness perceptions

Affiliations

Smoking among adult congenital heart disease survivors in the United States: Prevalence and relationship with illness perceptions

Authors

Affiliations

Abstract

Similar articles

Cited by

References

Publication types

MeSH terms

Associated data

LinkOut - more resources

Full Text Sources

Medical

Abstract

Similar articles

Cited by

References

Publication types

MeSH terms

Associated data

Related information

LinkOut - more resources

Full Text Sources

Medical