Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Prevalence and Effects of Cigarette Smoking, Cannabis Consumption, and Co-use in Adults From 15 Countries With Congenital Heart Disease
University of Cape Town, Cape Town, South Africa .
KU Leuven, 3000 Leuven, Belgium.
Oregon Health and Science University, Portland, United States.
Children's Hospital of Philadelphia, Philadelphia, United States .
Show others and affiliations
2019 (English)In: Canadian Journal of Cardiology, ISSN 0828-282X, E-ISSN 1916-7075, Vol. 35, no 12, p. 1842-1850Article in journal (Refereed) Published
Abstract [en]

Background: The prevalence and effects of cigarette smoking and cannabis use in persons with congenital heart disease (CHD) are poorly understood. We (1) described the prevalence of cigarette smoking, cannabis consumption, and co-use in adults with CHD; (2) investigated intercountry differences; (3) tested the relative effects on physical functioning, mental health, and quality of life (QOL); and (4) quantified the differential effect of cigarette smoking, cannabis use, or co-use on those outcomes. Methods: APPROACH-IS was a cross-sectional study, including 4028 adults with CHD from 15 countries. Patients completed questionnaires to measure physical functioning, mental health, and QOL. Smoking status and cannabis use were assessed by means of the Health Behaviour Scale—Congenital Heart Disease. Linear models with doubly robust estimations were computed after groups were balanced with the use of propensity weighting. Results: Overall, 14% of men and 11% of women smoked cigarettes only; 8% of men and 4% of women consumed cannabis only; and 4% of men and 1% of women used both substances. Large intercountry variations were observed, with Switzerland having the highest prevalence for smoking cigarettes (24% of men, 19% of women) and Canada the highest for cannabis use (19% of men, 4% of women). Cigarette smoking had a small negative effect on patient-reported outcomes, and the effect of cannabis was negligible. The effect of co-use was more prominent, with a moderate negative effect on mental health. Conclusions: We found significant intercountry variability in cigarette and cannabis use in adults with CHD. Co-use has the most detrimental effects on patient-reported outcomes. © 2019 Canadian Cardiovascular Society

Place, publisher, year, edition, pages
2019. Vol. 35, no 12, p. 1842-1850
Keywords [en]
adult; anxiety; Article; Canada; cannabis use; cigarette smoking; congenital heart disease; cross-sectional study; depression; female; human; life satisfaction; major clinical study; male; patient-reported outcome; questionnaire; Switzerland
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-14838DOI: 10.1016/j.cjca.2019.07.635ISI: 000500935900029Scopus ID: 2-s2.0-85075917363OAI: oai:DiVA.org:hv-14838DiVA, id: diva2:1389171
Funder
Swedish Heart Lung Foundation, 20130607
Note

Funding: Research Fund—KU Leuven (Belgium) through grant OT/11/033.  University of Gothenburg Centre for Person-Centred Care (Sweden). Cardiac Children’s Foundation (Taiwan) through grant CCF2013_02 to H.L.Y.

Available from: 2020-01-29 Created: 2020-01-29 Last updated: 2020-01-30Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textScopus

Authority records BETA

Berghammer, Malin

Search in DiVA

By author/editor
Berghammer, Malin
By organisation
Section for nursing - graduate level
In the same journal
Canadian Journal of Cardiology
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 4 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf