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[Tobacco smoking among hospitalised patients with arterial hypertension]
Izabella Kara1, Monika Zysnarska, Dorota Bernad
1Zakiad Zdrowia Publicznego, Katedry Medycyny Społecznej, Uniwersytetu Medycznego im. K. Marcinkowskiego w Poznaniu.
Insights
Despite knowing smoking cessation is vital for arterial hypertension (AH) management, nearly two-thirds of AH patients continue to smoke. This highlights a critical gap in addressing tobacco use in cardiovascular disease care.
Area of Science:
- Cardiology
- Public Health
- Behavioral Science
Context:
- High prevalence of tobacco smoking in Poland (33% of adults).
- Significant link between smoking and cardiovascular diseases.
- Focus on arterial hypertension (AH) patients, a high-risk group.
Purpose:
- To investigate the prevalence of tobacco smoking among patients hospitalized with arterial hypertension.
- To identify demographic and lifestyle factors associated with smoking in this patient group.
- To assess patient awareness of smoking cessation necessity and barriers to quitting.
Summary:
- A survey of 100 AH patients (46 males, 54 females) revealed 46% were current smokers.
- Smoking was more prevalent in males, urban dwellers, individuals over 50, and those with secondary education.
- Despite awareness of smoking's risks for AH, a majority failed to quit, indicating a significant challenge in behavior change.
Impact:
- Tobacco smoking is a critical issue among arterial hypertension patients, directly impacting cardiovascular health.
- Physicians are not consistently the primary source of knowledge regarding smoking cessation.
- The high rate of non-compliance with cessation recommendations underscores the need for improved interventions and patient support.
Abstract:
Currently 33% of the Polish adult population smoke tobacco (42% males and 25% females), which is a serious issue, particularly in the context of cardiovascular diseases. A study of the extent of smoking among patients with arterial hypertension (AH) served as the basis for the present article. The studied group comprised 100 patients hospitalised due to AH, 46 males and 54 females. A survey, aided by a specially designed questionnaire, was the method of the medical part of the study. It concentrated on health-related behaviour patterns conducive, or not, to AH treatment such as: systematic control of blood pressure, proper diet, physical activity, and tobacco smoking. The respondents were also asked to indicate the sources of their knowledge on the proper, in this context, lifestyle. The study revealed that 46.0% of the subjects smoked; most of them males, inhabitants of a large city (both genders), over 50-year-old, and with secondary school education. The majority of the group, while declaratively fully aware, thanks to the received information, of the necessity of the cessation of smoking - fails to react appropriately. Tobacco smoking constitutes a vital issue among the AH patients. The physician is not always the source of knowledge on the threats, associated with the addiction. The fact that 2/3 of the patients aware of the necessity of smoking cessation fails to do so is a reason for concern.
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