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.

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References

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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

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Associated data

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Medical