Status of smoking and smoking cessation among patients withhypertension in Nanshan District / 预防医学

ABSTRACT

Objective@#To investigate the prevalence of current smoking and smoking cessation, and identify the influencing factors among hypertensive patients in Nanshan District, Shenzhen City, so as to provide insights into smoking control among hypertensive patients.@*Methods@#The demographic features, life style, status of smoking and smoking cessation in hypertensive patients were collected from 69 community health centers in Nanshan District from 2017 to 2019. The gender- and age-specific prevalence of smoking and smoking cessation was estimated among hypertensive patients, and the factors affecting hypertensive patients' smoking and smoking cessation were identified using a multivariable logistic regression model.@*Results@#Totally 4 385 patients with hypertension were enrolled, with a mean age of (58.41±11.19) years, and the participants included 2 265 men (51.65%) and 2 120 women (48.35%). There were 724 current smokers, and the prevalence of current smoking was 16.51%, with 29.71% prevalence in males and 2.41% in females. There were 424 hypertensive patients quitting smoking, and the prevalence of smoking cessation was 36.93%, with 38.20% prevalence in males. Multivariable logistic regression analysis identified male ( OR=12.885, 95%CI 9.567-17.354 ) and drinking ( OR=2.567, 95%CI 2.118-3.111 ) as facilitating factors for current smoking among hypertensive patients, and increasing age (OR=0.723, 95%CI 0.642-0.815) and high exercise frequency (OR=0.881, 95%CI 0.817-0.950) as barrier factors, while male ( OR=7.309, 95%CI 3.304-16.165), increasing age ( OR=1.381, 95%CI 1.120-1.703 ), unmarried ( OR=1.819, 95%CI 1.329-2.490 ), divorced ( OR=7.837, 95%CI 1.254-48.975 ), retired ( OR=1.545, 95%CI 1.095-2.180 ), unemployed (OR=1.801, 95%CI 1.057-3.066), and high exercise frequency ( OR=1.221, 95%CI 1.096-1.360 ) were identified as facilitating factors for smoking cessation among hypertensive patients and widowed ( OR=0.285, 95%CI 0.089-0.906 ), high educational level ( OR=0.766, 95%CI 0.619-0.949 ), and drinking ( OR=0.488, 95%CI 0.368-0.647 ) as barrier factors.@*Conclusions@#The prevalence of smoking is lower, and the prevalence of smoking cessation is higher among hypertensive patients than among general populations in Nanshan District. Young and middle-aged, employed, widowed men with a high educational level are key populations for tobacco control, and alcohol consumption control and intensified exercises are important measures to reduce the prevalence of smoking and improve the prevalence of smoking cessation.