Cardiovascular disease outcomes among established cigar users 40 years and older: Findings from the population assessment of tobacco and health (PATH) study, waves 1–5 (2013–2019)
This study examined associations between established cigar use and prevalence and incidence of cardiovascular diseases (CVD; congestive heart failure, stroke, or heart attack/needed bypass surgery) among U.S. adults, 40 years or older. Using Waves 1–5 (2013–2019) of the Population Assessment of Toba...
| Main Authors: | , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-01-01
|
| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335523004606 |
| _version_ | 1797376197782405120 |
|---|---|
| author | Eva Sharma Zhiqun Tang Kristin Lauten Marushka L. Silveira Cristine D. Delnevo Kathryn C. Edwards Daniela Marshall Diann E. Gaalema Izabella Zandberg Bria Graham-Glover Derick L. Rivers Omoye E. Imoisili Kirstie Neal Raymond Niaura Maansi Bansal-Travers Andrew Hyland K. Michael Cummings |
| author_facet | Eva Sharma Zhiqun Tang Kristin Lauten Marushka L. Silveira Cristine D. Delnevo Kathryn C. Edwards Daniela Marshall Diann E. Gaalema Izabella Zandberg Bria Graham-Glover Derick L. Rivers Omoye E. Imoisili Kirstie Neal Raymond Niaura Maansi Bansal-Travers Andrew Hyland K. Michael Cummings |
| author_sort | Eva Sharma |
| collection | DOAJ |
| description | This study examined associations between established cigar use and prevalence and incidence of cardiovascular diseases (CVD; congestive heart failure, stroke, or heart attack/needed bypass surgery) among U.S. adults, 40 years or older. Using Waves 1–5 (2013–2019) of the Population Assessment of Tobacco and Health (PATH) Study, incidence (Nindividuals (Nind) = 6,692; Nobservations (Nobs) = 23,738) and prevalence (Nind = 7,819; Nobs = 33,952) of CVD outcomes were examined using weighted generalized estimating equations (WGEEs) among adults who were exclusive current/former established cigar smokers (ever cigar smokers who have smoked fairly regularly), exclusive current/former established cigarette smokers (lifetime smokers of 100 or more cigarettes), dual current/former established cigarette and cigar smokers compared with never smokers of cigars or cigarettes, adjusting for covariates. The population-averaged incidence of CVD from one wave to next among exclusive current/former established cigar smokers during a six-year period based on WGEEs was low (overall average rate of 3.0 %; 95 % CI: 1.2, 7.0). Compared with never users, exclusive current/former established cigar smokers (OR = 1.67, 95 % CI: 1.11, 2.51) and exclusive current/former established cigarette smokers (OR = 2.12, 95 % CI: 1.45, 3.09) were more likely to have any CVD outcome in unadjusted analyses. When adjusted for covariates, only exclusive current/former established cigarette use was associated with CVD outcomes (AOR = 1.60, CI: 1.07, 2.40). Results suggest that exclusive established use of cigars or duration of exclusive cigar use was not associated with lifetime CVD prevalence compared with never cigar or cigarette smokers, which is important in understanding health outcomes in cigar users. |
| first_indexed | 2024-03-08T19:35:08Z |
| format | Article |
| id | doaj.art-384900d6805a43bd91b2c79d91928a65 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-03-08T19:35:08Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-384900d6805a43bd91b2c79d91928a652023-12-26T04:03:44ZengElsevierPreventive Medicine Reports2211-33552024-01-0137102569Cardiovascular disease outcomes among established cigar users 40 years and older: Findings from the population assessment of tobacco and health (PATH) study, waves 1–5 (2013–2019)Eva Sharma0Zhiqun Tang1Kristin Lauten2Marushka L. Silveira3Cristine D. Delnevo4Kathryn C. Edwards5Daniela Marshall6Diann E. Gaalema7Izabella Zandberg8Bria Graham-Glover9Derick L. Rivers10Omoye E. Imoisili11Kirstie Neal12Raymond Niaura13Maansi Bansal-Travers14Andrew Hyland15K. Michael Cummings16Westat, Rockville, MD, USA; Corresponding author at: 1600 Research Blvd, Rockville, MD 20850, USA.Westat, Rockville, MD, USAWestat, Rockville, MD, USANational Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD, USA; Kelly Government Solutions, Rockville, MD, USARutgers Center for Tobacco Studies, Rutgers Biomedical and Health Sciences, Rutgers University, New Brunswick, NJ, USAWestat, Rockville, MD, USANational Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, USA; Axle Informatics, Rockville, MD, USADepartment of Psychiatry, University of Vermont, Burlington, VT, USACenter for Tobacco Products, Food and Drug Administration, Silver Spring, MD, USACenter for Tobacco Products, Food and Drug Administration, Silver Spring, MD, USACenter for Tobacco Products, Food and Drug Administration, Silver Spring, MD, USACenter for Tobacco Products, Food and Drug Administration, Silver Spring, MD, USACenter for Tobacco Products, Food and Drug Administration, Silver Spring, MD, USADepartment of Social and Behavioral Sciences, NYU College of Global Public Health, New York University, NY, USADepartment of Health Behavior, Division of Cancer Prevention & Population Sciences, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USADepartment of Health Behavior, Division of Cancer Prevention & Population Sciences, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USADepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USAThis study examined associations between established cigar use and prevalence and incidence of cardiovascular diseases (CVD; congestive heart failure, stroke, or heart attack/needed bypass surgery) among U.S. adults, 40 years or older. Using Waves 1–5 (2013–2019) of the Population Assessment of Tobacco and Health (PATH) Study, incidence (Nindividuals (Nind) = 6,692; Nobservations (Nobs) = 23,738) and prevalence (Nind = 7,819; Nobs = 33,952) of CVD outcomes were examined using weighted generalized estimating equations (WGEEs) among adults who were exclusive current/former established cigar smokers (ever cigar smokers who have smoked fairly regularly), exclusive current/former established cigarette smokers (lifetime smokers of 100 or more cigarettes), dual current/former established cigarette and cigar smokers compared with never smokers of cigars or cigarettes, adjusting for covariates. The population-averaged incidence of CVD from one wave to next among exclusive current/former established cigar smokers during a six-year period based on WGEEs was low (overall average rate of 3.0 %; 95 % CI: 1.2, 7.0). Compared with never users, exclusive current/former established cigar smokers (OR = 1.67, 95 % CI: 1.11, 2.51) and exclusive current/former established cigarette smokers (OR = 2.12, 95 % CI: 1.45, 3.09) were more likely to have any CVD outcome in unadjusted analyses. When adjusted for covariates, only exclusive current/former established cigarette use was associated with CVD outcomes (AOR = 1.60, CI: 1.07, 2.40). Results suggest that exclusive established use of cigars or duration of exclusive cigar use was not associated with lifetime CVD prevalence compared with never cigar or cigarette smokers, which is important in understanding health outcomes in cigar users.http://www.sciencedirect.com/science/article/pii/S2211335523004606Cigar useCardiovascular disease outcomesCardiovascular risk factorsCigar use durationAdults |
| spellingShingle | Eva Sharma Zhiqun Tang Kristin Lauten Marushka L. Silveira Cristine D. Delnevo Kathryn C. Edwards Daniela Marshall Diann E. Gaalema Izabella Zandberg Bria Graham-Glover Derick L. Rivers Omoye E. Imoisili Kirstie Neal Raymond Niaura Maansi Bansal-Travers Andrew Hyland K. Michael Cummings Cardiovascular disease outcomes among established cigar users 40 years and older: Findings from the population assessment of tobacco and health (PATH) study, waves 1–5 (2013–2019) Preventive Medicine Reports Cigar use Cardiovascular disease outcomes Cardiovascular risk factors Cigar use duration Adults |
| title | Cardiovascular disease outcomes among established cigar users 40 years and older: Findings from the population assessment of tobacco and health (PATH) study, waves 1–5 (2013–2019) |
| title_full | Cardiovascular disease outcomes among established cigar users 40 years and older: Findings from the population assessment of tobacco and health (PATH) study, waves 1–5 (2013–2019) |
| title_fullStr | Cardiovascular disease outcomes among established cigar users 40 years and older: Findings from the population assessment of tobacco and health (PATH) study, waves 1–5 (2013–2019) |
| title_full_unstemmed | Cardiovascular disease outcomes among established cigar users 40 years and older: Findings from the population assessment of tobacco and health (PATH) study, waves 1–5 (2013–2019) |
| title_short | Cardiovascular disease outcomes among established cigar users 40 years and older: Findings from the population assessment of tobacco and health (PATH) study, waves 1–5 (2013–2019) |
| title_sort | cardiovascular disease outcomes among established cigar users 40 years and older findings from the population assessment of tobacco and health path study waves 1 5 2013 2019 |
| topic | Cigar use Cardiovascular disease outcomes Cardiovascular risk factors Cigar use duration Adults |
| url | http://www.sciencedirect.com/science/article/pii/S2211335523004606 |
| work_keys_str_mv | AT evasharma cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT zhiquntang cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT kristinlauten cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT marushkalsilveira cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT cristineddelnevo cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT kathryncedwards cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT danielamarshall cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT diannegaalema cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT izabellazandberg cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT briagrahamglover cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT dericklrivers cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT omoyeeimoisili cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT kirstieneal cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT raymondniaura cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT maansibansaltravers cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT andrewhyland cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 AT kmichaelcummings cardiovasculardiseaseoutcomesamongestablishedcigarusers40yearsandolderfindingsfromthepopulationassessmentoftobaccoandhealthpathstudywaves1520132019 |