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Smoking behavior among coronary heart disease patients in Jordan: a model from a developing country
Nesrin N Abu-Baker1, Linda Haddad, Omar Mayyas
1School of Nursing, Jordan University of Science & Technology, Irbid, Jordan. nesrin@just.edu.jo
Insights
Many Coronary Heart Disease (CHD) patients continue smoking after diagnosis due to lack of motivation and craving. The study highlights the need for intensive smoking cessation programs in Jordan.
Area of Science:
- Cardiology
- Public Health
- Behavioral Science
Background:
- Coronary Heart Disease (CHD) is a significant health concern.
- Smoking is a major risk factor for CHD.
- Effective smoking cessation strategies are crucial for CHD patient outcomes.
Purpose of the Study:
- To compare smoking prevalence before and after CHD diagnosis.
- To identify barriers to smoking cessation in CHD patients.
- To explore demographic factors influencing smoking behaviors.
Main Methods:
- A convenient sample of 300 CHD patients was recruited from cardiac outpatient clinics.
- Smoking status (nonsmoker, former smoker, current smoker) was assessed before and after diagnosis.
- Reasons for not quitting and sources of cessation advice were collected.
Main Results:
- Before CHD diagnosis, 48.3% of participants were current smokers.
- After diagnosis, only 29.7% quit, while 60.7% continued smoking.
- Lack of inclination (25.6%) and craving (25%) were primary cessation barriers; doctors were key motivators (19.0%).
Conclusions:
- A high percentage of CHD patients persist in smoking post-diagnosis.
- Current smoking cessation interventions in Jordan may be insufficient.
- Systematic, intensive smoking cessation programs are needed for CHD patients.
Abstract:
The purpose of this study was to compare the frequency of cigarette smoking before and after diagnosis of Coronary Heart Disease (CHD), detect the reasons that discourage quitting smoking and resources of advice about quitting, and investigate the relationship between smoking behaviors and demographic variables. A convenient sample of 300 CHD patients from cardiac outpatient clinics participated. Before disease occurrence, nonsmokers composed 40% of all participants, former smokers 11.7%, and current smokers 48.3%. Surprisingly, after disease occurrence only 29.7% of the patients quit smoking, while 60.7% continued smoking, and 9.6% relapsed. The most frequent reasons given by smokers for not quitting smoking were "do not incline to stop smoking" (25.6%) and "craving for a cigarette" (25%). Doctors were cited most frequently as the reason individuals quit smoking (19.0%). The Jordanian health care system needs to implement systematic intensive smoking cessation programs to maintain and promote CHD patients' motivation to quit smoking.
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