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A recent study published in the Journal of the American Heart Association (AHA) found that many adults with a history of cardiovascular disease (CVD) continue to smoke, despite being aware of the cardiovascular risks associated with the habit.

The study, titled "Prevalence and Transition of Tobacco Use From 2013 to 2018 Among Adults With a History of Cardiovascular Disease," analyzed survey responses from the Population Assessment of Tobacco and Health (PATH) study to compare tobacco use rates over time. Participants included 2,615 adults (18 years or older) with a self-reported history of heart attack, heart failure, stroke, or other heart disease, and they all completed four surveys over four to five years.

Cigarettes are still the most commonly used tobacco product among CVD sufferers

Unfortunately, researchers found that cigarettes were the most commonly used form of tobacco product among CVD sufferers, at 82.8%, and e-cigarette use remained relatively low at 23.3%. Additionally, e-cigarette use without concurrent cigarette use among participants with CVD was rare at 1.1%.

“Factors associated with tobacco use were younger age, male gender, lower education level, and lack of knowledge about the relationship between smoking and CVD. Men with prevalent CVD were less likely to use e-cigarettes compared to women. Among cigarette users with CVD, transition rates between Waves 1 and 4 showed a <5% decrease in cigarettes, with a 0.5% increase in e-cigarette use. Only 10% participated in a formal tobacco cessation program,” the researchers added.

After analyzing all the data, the researchers concluded that despite being aware of all the harmful cardiovascular effects that come with smoking, approximately a quarter of adults with prevalent CVD use tobacco products and only a small number quit smoking during the 4 waves of the PATH dataset.

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