Smoking among women following heart transplantation

Should we be concerned?

Lorraine Evangelista, Alvina Ter-Galstanyan, Debra K. Moser, Kathleen Dracup

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The serious detrimental effects of smoking after heart transplantation (HTX) are well established, but data that demonstrate the effects on female HTX recipients are scarce. The purpose of this study was to describe tobacco use, exposure to second hand smoke (ESHS), and health perceptions of female HTX recipients and examine relationships between these variables of interest and demographic and clinical characteristics of women following HTX. Seventy-two women (mean age, 54.3±12.7 years; mean time since transplant, 5.5±4.5 years) were enrolled from a single HTX center. Demographic and clinical data, tobacco use, ESHS, and health perceptions were obtained through self-report and chart reviews. Tobacco use was verified by measurement of urine cotinine levels. Twenty-four women were nonsmokers before and after HTX. Eighteen (37.5%) of the 48 women who were former smokers before HTX had returned to tobacco abuse. Only 4 of the 18 accurately reported their smoking behaviors. Forty percent of nonsmokers reported ESHS. Tobacco use and ESHS were highest among African American women. Forty percent of the sample perceived their health status as fair-poor; the remaining 60% reported good-excellent health. In a multivariate analysis, current tobacco use (odds ratio [OR], 5.20; confidence interval [CI], 3.83-9.13) and ESHS (OR, 1.82; CI, 1.17-2.82) were independent predictors of lower health perceptions. Although a majority of the female recipients who used tobacco ceased smoking before HTX, a substantial proportion demonstrated recurrent tobacco use after HTX. Our findings suggest the need for aggressive screening and risk factor interventions to promote smoking cessation before and after HTX in this unique population of female HTX recipients.

Original languageEnglish (US)
Pages (from-to)119-123
Number of pages5
JournalProgress in Cardiovascular Nursing
Volume24
Issue number4
DOIs
StatePublished - Dec 1 2009
Externally publishedYes

Fingerprint

Tobacco Use
Heart Transplantation
Tobacco Smoke Pollution
Smoking
Health
Odds Ratio
Demography
Confidence Intervals
Cotinine
Smoking Cessation
African Americans
Self Report
Health Status
Tobacco
Multivariate Analysis
Urine
Transplants
Population

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Nursing (miscellaneous)

Cite this

Smoking among women following heart transplantation : Should we be concerned? / Evangelista, Lorraine; Ter-Galstanyan, Alvina; Moser, Debra K.; Dracup, Kathleen.

In: Progress in Cardiovascular Nursing, Vol. 24, No. 4, 01.12.2009, p. 119-123.

Research output: Contribution to journalArticle

Evangelista, Lorraine ; Ter-Galstanyan, Alvina ; Moser, Debra K. ; Dracup, Kathleen. / Smoking among women following heart transplantation : Should we be concerned?. In: Progress in Cardiovascular Nursing. 2009 ; Vol. 24, No. 4. pp. 119-123.
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