このエントリーをはてなブックマークに追加
ID 30976
JaLCDOI
フルテキストURL
著者
Ota, Atsuhiko Departments of Public Health, Kochi Medical School
Yasuda, Nobufumi Departments of Public Health, Kochi Medical School
Kawai, Kazuya Section of Cardiovascular Medicine, Chikamori Hospital
Tanioka, Katsutoshi Departments of Medicine and Geriatrics, Kochi Medical School
Doi, Yoshinori Departments of Medicine and Geriatrics, Kochi Medical School
Ohara, Hiroshi Departments of Public Health, Kochi Medical School
Ono, Yuichiro Department of Public Health, Fujita Health University School of Medicine
抄録

In this prospective cohort study for Japanese patients with established ischemic heart disease (IHD), the authors investigated the rate of success of smoking cessation 3 months after hospital discharge and its related factors. The subjects included 90 current smokers admitted for IHD. A total of 58 subjects (64%) had quit smoking for 3 months after being discharged. In comparison with subjects with acute myocardial infarction, those with stable angina (SA) showed a significantly lower frequency of smoking cessation (relative risk of resuming smoking (95% confidence interval):2.06 (1.09, 3.92), p=0.036). This relationship remained significant even after controlling for sex, age, and scores of the Fagerstrom Test for Nicotine Dependence (adjusted odds ratio:3.39 (1.01, 11.37), p=0.048). However, it became insignificant when hospital admission followed by emergency medical service (EMS) care was additionally adjusted (adjusted odds ratio:2.48 (0.36, 16.97), p=0.356). The smoking cessation rate in this study was identical to that observed in studies conducted in Japan prior to the recent social changes with regard to tobacco use. SA still appears to be a risk factor for smoking resumption after discharge. Experiencing EMS care would be an intermediate variable in this relationship.

キーワード
ischemic heart disease
smoking
prospective cohort study
Japan
Amo Type
Original Article
発行日
2008-06
出版物タイトル
Acta Medica Okayama
62巻
3号
出版者
Okayama University Medical School
開始ページ
151
終了ページ
157
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Science KeyUT