Prevalence and Effects of Cigarette Smoking, Cannabis Consumption, and Co-use in Adults From 15 Countries With Congenital Heart Disease.

Philip Moons; Koen Luyckx; Koen Luyckx; Adrienne H. Kovacs; Adrienne H. Kovacs; Christina E. Holbein; Corina Thomet; Corina Thomet; Werner Budts; Junko Enomoto; Maayke A. Sluman; Maayke A. Sluman; Hsiao-Ling Yang; Jamie L. Jackson; Paul Khairy; Stephen. C. Cook; Shanthi Chidambarathanu; Luis Eduardo Alday; Katrine Eriksen; Mikael Dellborg; Mikael Dellborg; Malin Berghammer; Malin Berghammer; Malin Berghammer; Bengt Erik Johansson; Andrew S. Mackie; Samuel A. Menahem; Maryanne Caruana; Gruschen R. Veldtman; Alexandra Soufi; Susan M. Fernandes; Kamila S. White; Edward Callus; Shelby Kutty; Shelby Kutty; Silke Apers

doi:10.1016/J.CJCA.2019.07.635

Prevalence and Effects of Cigarette Smoking, Cannabis Consumption, and Co-use in Adults From 15 Countries With Congenital Heart Disease.

Philip Moons, Koen Luyckx, Koen Luyckx, Adrienne H. Kovacs, Adrienne H. Kovacs, Christina E. Holbein, Corina Thomet, Corina Thomet, Werner Budts, Junko Enomoto, Maayke A. Sluman, Maayke A. Sluman, Hsiao-Ling Yang, Jamie L. Jackson, Paul Khairy, Stephen. C. Cook, Shanthi Chidambarathanu, Luis Eduardo Alday, Katrine Eriksen, Mikael DellborgMikael Dellborg, Malin Berghammer, Malin Berghammer, Malin Berghammer, Bengt Erik Johansson, Andrew S. Mackie, Samuel A. Menahem, Maryanne Caruana, Gruschen R. Veldtman, Alexandra Soufi, Susan M. Fernandes, Kamila S. White, Edward Callus, Shelby Kutty, Shelby Kutty, Silke Apers

University of Missouri-St. Louis

Research output: Contribution to journal › Article › peer-review

Abstract

 Background
 The prevalence and effects of cigarette smoking and cannabis use in persons with congenital heart disease (CHD) are poorly understood. We (1) described the prevalence of cigarette smoking, cannabis consumption, and co-use in adults with CHD; (2) investigated intercountry differences; (3) tested the relative effects on physical functioning, mental health, and quality of life (QOL); and (4) quantified the differential effect of cigarette smoking, cannabis use, or co-use on those outcomes.
 
 Methods
 APPROACH-IS was a cross-sectional study, including 4028 adults with CHD from 15 countries. Patients completed questionnaires to measure physical functioning, mental health, and QOL. Smoking status and cannabis use were assessed by means of the Health Behaviour Scale—Congenital Heart Disease. Linear models with doubly robust estimations were computed after groups were balanced with the use of propensity weighting.
 
 Results
 Overall, 14% of men and 11% of women smoked cigarettes only; 8% of men and 4% of women consumed cannabis only; and 4% of men and 1% of women used both substances. Large intercountry variations were observed, with Switzerland having the highest prevalence for smoking cigarettes (24% of men, 19% of women) and Canada the highest for cannabis use (19% of men, 4% of women). Cigarette smoking had a small negative effect on patient-reported outcomes, and the effect of cannabis was negligible. The effect of co-use was more prominent, with a moderate negative effect on mental health.
 
 Conclusions
 We found significant intercountry variability in cigarette and cannabis use in adults with CHD. Co-use has the most detrimental effects on patient-reported outcomes.
 
 

Original language	American English
Journal	Canadian Journal of Cardiology
Volume	35
DOIs	https://doi.org/10.1016/J.CJCA.2019.07.635
State	Published - Aug 14 2019

Disciplines

Medicine and Health Sciences
Endocrinology, Diabetes, and Metabolism
Cardiology
Internal Medicine
Demography, Population, and Ecology

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Moons, P., Luyckx, K., Luyckx, K., Kovacs, A. H., Kovacs, A. H., Holbein, C. E., Thomet, C., Thomet, C., Budts, W., Enomoto, J., Sluman, M. A., Sluman, M. A., Yang, H.-L., Jackson, J. L., Khairy, P., Cook, S. C., Chidambarathanu, S., Alday, L. E., Eriksen, K., ... Apers, S. (2019). Prevalence and Effects of Cigarette Smoking, Cannabis Consumption, and Co-use in Adults From 15 Countries With Congenital Heart Disease. Canadian Journal of Cardiology, 35. https://doi.org/10.1016/J.CJCA.2019.07.635

Moons, P, Luyckx, K, Luyckx, K, Kovacs, AH, Kovacs, AH, Holbein, CE, Thomet, C, Thomet, C, Budts, W, Enomoto, J, Sluman, MA, Sluman, MA, Yang, H-L, Jackson, JL, Khairy, P, Cook, SC, Chidambarathanu, S, Alday, LE, Eriksen, K, Dellborg, M, Dellborg, M, Berghammer, M, Berghammer, M, Berghammer, M, Johansson, BE, Mackie, AS, Menahem, SA, Caruana, M, Veldtman, GR, Soufi, A, Fernandes, SM, White, KS, Callus, E, Kutty, S, Kutty, S & Apers, S 2019, 'Prevalence and Effects of Cigarette Smoking, Cannabis Consumption, and Co-use in Adults From 15 Countries With Congenital Heart Disease.', Canadian Journal of Cardiology, vol. 35. https://doi.org/10.1016/J.CJCA.2019.07.635

@article{4d9e615d722b46f98391337ba191e0e3,

title = "Prevalence and Effects of Cigarette Smoking, Cannabis Consumption, and Co-use in Adults From 15 Countries With Congenital Heart Disease.",

abstract = " Background The prevalence and effects of cigarette smoking and cannabis use in persons with congenital heart disease (CHD) are poorly understood. We (1) described the prevalence of cigarette smoking, cannabis consumption, and co-use in adults with CHD; (2) investigated intercountry differences; (3) tested the relative effects on physical functioning, mental health, and quality of life (QOL); and (4) quantified the differential effect of cigarette smoking, cannabis use, or co-use on those outcomes. Methods APPROACH-IS was a cross-sectional study, including 4028 adults with CHD from 15 countries. Patients completed questionnaires to measure physical functioning, mental health, and QOL. Smoking status and cannabis use were assessed by means of the Health Behaviour Scale—Congenital Heart Disease. Linear models with doubly robust estimations were computed after groups were balanced with the use of propensity weighting. Results Overall, 14% of men and 11% of women smoked cigarettes only; 8% of men and 4% of women consumed cannabis only; and 4% of men and 1% of women used both substances. Large intercountry variations were observed, with Switzerland having the highest prevalence for smoking cigarettes (24% of men, 19% of women) and Canada the highest for cannabis use (19% of men, 4% of women). Cigarette smoking had a small negative effect on patient-reported outcomes, and the effect of cannabis was negligible. The effect of co-use was more prominent, with a moderate negative effect on mental health. Conclusions We found significant intercountry variability in cigarette and cannabis use in adults with CHD. Co-use has the most detrimental effects on patient-reported outcomes. ",

author = "Philip Moons and Koen Luyckx and Koen Luyckx and Kovacs, {Adrienne H.} and Kovacs, {Adrienne H.} and Holbein, {Christina E.} and Corina Thomet and Corina Thomet and Werner Budts and Junko Enomoto and Sluman, {Maayke A.} and Sluman, {Maayke A.} and Hsiao-Ling Yang and Jackson, {Jamie L.} and Paul Khairy and Cook, {Stephen. C.} and Shanthi Chidambarathanu and Alday, {Luis Eduardo} and Katrine Eriksen and Mikael Dellborg and Mikael Dellborg and Malin Berghammer and Malin Berghammer and Malin Berghammer and Johansson, {Bengt Erik} and Mackie, {Andrew S.} and Menahem, {Samuel A.} and Maryanne Caruana and Veldtman, {Gruschen R.} and Alexandra Soufi and Fernandes, {Susan M.} and White, {Kamila S.} and Edward Callus and Shelby Kutty and Shelby Kutty and Silke Apers",

year = "2019",

month = aug,

day = "14",

doi = "10.1016/J.CJCA.2019.07.635",

language = "American English",

volume = "35",

journal = "Canadian Journal of Cardiology",

}

TY - JOUR

T1 - Prevalence and Effects of Cigarette Smoking, Cannabis Consumption, and Co-use in Adults From 15 Countries With Congenital Heart Disease.

AU - Moons, Philip

AU - Luyckx, Koen

AU - Kovacs, Adrienne H.

AU - Holbein, Christina E.

AU - Thomet, Corina

AU - Budts, Werner

AU - Enomoto, Junko

AU - Sluman, Maayke A.

AU - Yang, Hsiao-Ling

AU - Jackson, Jamie L.

AU - Khairy, Paul

AU - Cook, Stephen. C.

AU - Chidambarathanu, Shanthi

AU - Alday, Luis Eduardo

AU - Eriksen, Katrine

AU - Dellborg, Mikael

AU - Berghammer, Malin

AU - Johansson, Bengt Erik

AU - Mackie, Andrew S.

AU - Menahem, Samuel A.

AU - Caruana, Maryanne

AU - Veldtman, Gruschen R.

AU - Soufi, Alexandra

AU - Fernandes, Susan M.

AU - White, Kamila S.

AU - Callus, Edward

AU - Kutty, Shelby

AU - Apers, Silke

PY - 2019/8/14

Y1 - 2019/8/14

N2 - Background The prevalence and effects of cigarette smoking and cannabis use in persons with congenital heart disease (CHD) are poorly understood. We (1) described the prevalence of cigarette smoking, cannabis consumption, and co-use in adults with CHD; (2) investigated intercountry differences; (3) tested the relative effects on physical functioning, mental health, and quality of life (QOL); and (4) quantified the differential effect of cigarette smoking, cannabis use, or co-use on those outcomes. Methods APPROACH-IS was a cross-sectional study, including 4028 adults with CHD from 15 countries. Patients completed questionnaires to measure physical functioning, mental health, and QOL. Smoking status and cannabis use were assessed by means of the Health Behaviour Scale—Congenital Heart Disease. Linear models with doubly robust estimations were computed after groups were balanced with the use of propensity weighting. Results Overall, 14% of men and 11% of women smoked cigarettes only; 8% of men and 4% of women consumed cannabis only; and 4% of men and 1% of women used both substances. Large intercountry variations were observed, with Switzerland having the highest prevalence for smoking cigarettes (24% of men, 19% of women) and Canada the highest for cannabis use (19% of men, 4% of women). Cigarette smoking had a small negative effect on patient-reported outcomes, and the effect of cannabis was negligible. The effect of co-use was more prominent, with a moderate negative effect on mental health. Conclusions We found significant intercountry variability in cigarette and cannabis use in adults with CHD. Co-use has the most detrimental effects on patient-reported outcomes.

AB - Background The prevalence and effects of cigarette smoking and cannabis use in persons with congenital heart disease (CHD) are poorly understood. We (1) described the prevalence of cigarette smoking, cannabis consumption, and co-use in adults with CHD; (2) investigated intercountry differences; (3) tested the relative effects on physical functioning, mental health, and quality of life (QOL); and (4) quantified the differential effect of cigarette smoking, cannabis use, or co-use on those outcomes. Methods APPROACH-IS was a cross-sectional study, including 4028 adults with CHD from 15 countries. Patients completed questionnaires to measure physical functioning, mental health, and QOL. Smoking status and cannabis use were assessed by means of the Health Behaviour Scale—Congenital Heart Disease. Linear models with doubly robust estimations were computed after groups were balanced with the use of propensity weighting. Results Overall, 14% of men and 11% of women smoked cigarettes only; 8% of men and 4% of women consumed cannabis only; and 4% of men and 1% of women used both substances. Large intercountry variations were observed, with Switzerland having the highest prevalence for smoking cigarettes (24% of men, 19% of women) and Canada the highest for cannabis use (19% of men, 4% of women). Cigarette smoking had a small negative effect on patient-reported outcomes, and the effect of cannabis was negligible. The effect of co-use was more prominent, with a moderate negative effect on mental health. Conclusions We found significant intercountry variability in cigarette and cannabis use in adults with CHD. Co-use has the most detrimental effects on patient-reported outcomes.

UR - https://www.onlinecjc.ca/article/S0828-282X(19)31150-X/fulltext

U2 - 10.1016/J.CJCA.2019.07.635

DO - 10.1016/J.CJCA.2019.07.635

M3 - Article

VL - 35

JO - Canadian Journal of Cardiology

JF - Canadian Journal of Cardiology

ER -

Prevalence and Effects of Cigarette Smoking, Cannabis Consumption, and Co-use in Adults From 15 Countries With Congenital Heart Disease.

Abstract

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