Cigarette smoking and perceived risk of cardiovascular disease in Iran
Abstract Introduction Studies have consistently demonstrated a strong link between cigarette smoking and an increased risk of cardiovascular diseases (CVD). On the other hand, studies have shown that most smokers do not have a real understanding of the cardiovascular health hazards of smoking. There...
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2025-01-01
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| Online Access: | https://doi.org/10.1186/s12889-025-21444-w |
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| author | Fatemeh Zarghami Abdolhalim Rajabi Reza Abed-Tazehabadi Abdurrahman Charkazi Ali Shahryari |
| author_facet | Fatemeh Zarghami Abdolhalim Rajabi Reza Abed-Tazehabadi Abdurrahman Charkazi Ali Shahryari |
| author_sort | Fatemeh Zarghami |
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| description | Abstract Introduction Studies have consistently demonstrated a strong link between cigarette smoking and an increased risk of cardiovascular diseases (CVD). On the other hand, studies have shown that most smokers do not have a real understanding of the cardiovascular health hazards of smoking. Therefore, the study aimed to determine the perceived risk of Myocardial Infarction (MI), Hypertension (HTN), and Stroke among current smokers in Iran. Methods This cross-sectional study was conducted between January and May 2023, and recruited 380 smokers by convenience sampling who smoked at least 100 cigarettes in their lifetime. The data were collected using three questionnaires (1) the questionnaire to assess the risk perception for MI, HTN, and Stroke, (2) the smoking stage of change questionnaire, and (3) the Fagerström Test for nicotine dependence (FTND). The CVD risk perception consisted of two parts, perceived susceptibility and perceived severity. Each part scores between 0 and 10 and finally gets a total score of 0–20. A score of zero indicated the lowest risk perception while a score of 20 indicated the highest risk perception. We examined the relationship between the demographic and smoking-related variables and the smokers’ perceived risk of MI, stroke, and HTN by using multiple linear regression. Findings The mean age of participants was 35.57 ± 12.05 years, and 77.1% were male. The perceived risk score of MI was 10.68 ± 4.69 out of 20. The scores related to stroke and HTN were 10.00 ± 4.65 and 10.89 ± 4.73, respectively. Identified variables collectively contributed significantly to predicting the perceived risk of MI (p <.0001, Adj R-squared = 0.05%), stroke ( p <.0001, Adj R-squared = 0.08%), and HTN (p <.0001, Adj R-squared = 0.06%). We found that longer smoking duration [coefficient=-1.96 (95% CI= -3.91, − 0.09)] for 20–29 years and − 4.08 ( 95% CI= -6.70, -1.46 ) for 30 + years), older smoking age onset [coefficient=-2.10 ( 95% CI= -3.24, − 0.96 )] for 20 + years), and dual tobacco users [coefficient= -1. 04 (95% CI= -2.08, − 0.06)] were significantly associated with lower perceived risk for MI. We also found that longer smoking duration [coefficient=-2.23 (95% CI= -4.13, − 0.32)] for 20–29 years and − 5.01 (95% CI= -7.565734, -2.462361 ) for 30 + years), older smoking age onset [coefficient=-1.86 (95% CI= -2.970021, − 0.75 ] for 20 + years), and being male [coefficient= -2. 00, (95% CI= -3.53, − 0.47)] were significantly associated with lower perceived risk for stroke. We found that longer smoking duration (coefficient=-4.40 for 30 + years), older smoking age onset [coefficient=-2.02 (95% CI= -3.14, − 0.87,)] for 20 + years), and being dual users [coefficient=-1.36, 95% CI= -2.40, − 0.3241238)] were significantly associated with lower perceived risk for HTN. Conclusion The results of this study demonstrated a moderate perceived risk of participants to CVD. Also, the perceived risk decreases as the duration of smoking and the age for the smoking onset increases to 20 years and above. It seems necessary to carry out interventions to inform the public about the harms of smoking, especially for adolescents and young adults, and its risks in causing cardiovascular disease. |
| format | Article |
| id | doaj-art-035448a52cb44ad8a16a1df73feb08c8 |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-035448a52cb44ad8a16a1df73feb08c82025-01-26T12:56:40ZengBMCBMC Public Health1471-24582025-01-0125111210.1186/s12889-025-21444-wCigarette smoking and perceived risk of cardiovascular disease in IranFatemeh Zarghami0Abdolhalim Rajabi1Reza Abed-Tazehabadi2Abdurrahman Charkazi3Ali Shahryari4University of LimerickEnvironmental Health Research Center, Department of Biostatistics and Epidemiology, Faculty of Health, Golestan University of Medical SciencesEnvironmental Health Research Center, Golestan University of Medical SciencesEnvironmental Health Research Center, Faculty of Health, Golestan University of Medical SciencesEnvironmental Health Research Center, Faculty of Health, Golestan University of Medical SciencesAbstract Introduction Studies have consistently demonstrated a strong link between cigarette smoking and an increased risk of cardiovascular diseases (CVD). On the other hand, studies have shown that most smokers do not have a real understanding of the cardiovascular health hazards of smoking. Therefore, the study aimed to determine the perceived risk of Myocardial Infarction (MI), Hypertension (HTN), and Stroke among current smokers in Iran. Methods This cross-sectional study was conducted between January and May 2023, and recruited 380 smokers by convenience sampling who smoked at least 100 cigarettes in their lifetime. The data were collected using three questionnaires (1) the questionnaire to assess the risk perception for MI, HTN, and Stroke, (2) the smoking stage of change questionnaire, and (3) the Fagerström Test for nicotine dependence (FTND). The CVD risk perception consisted of two parts, perceived susceptibility and perceived severity. Each part scores between 0 and 10 and finally gets a total score of 0–20. A score of zero indicated the lowest risk perception while a score of 20 indicated the highest risk perception. We examined the relationship between the demographic and smoking-related variables and the smokers’ perceived risk of MI, stroke, and HTN by using multiple linear regression. Findings The mean age of participants was 35.57 ± 12.05 years, and 77.1% were male. The perceived risk score of MI was 10.68 ± 4.69 out of 20. The scores related to stroke and HTN were 10.00 ± 4.65 and 10.89 ± 4.73, respectively. Identified variables collectively contributed significantly to predicting the perceived risk of MI (p <.0001, Adj R-squared = 0.05%), stroke ( p <.0001, Adj R-squared = 0.08%), and HTN (p <.0001, Adj R-squared = 0.06%). We found that longer smoking duration [coefficient=-1.96 (95% CI= -3.91, − 0.09)] for 20–29 years and − 4.08 ( 95% CI= -6.70, -1.46 ) for 30 + years), older smoking age onset [coefficient=-2.10 ( 95% CI= -3.24, − 0.96 )] for 20 + years), and dual tobacco users [coefficient= -1. 04 (95% CI= -2.08, − 0.06)] were significantly associated with lower perceived risk for MI. We also found that longer smoking duration [coefficient=-2.23 (95% CI= -4.13, − 0.32)] for 20–29 years and − 5.01 (95% CI= -7.565734, -2.462361 ) for 30 + years), older smoking age onset [coefficient=-1.86 (95% CI= -2.970021, − 0.75 ] for 20 + years), and being male [coefficient= -2. 00, (95% CI= -3.53, − 0.47)] were significantly associated with lower perceived risk for stroke. We found that longer smoking duration (coefficient=-4.40 for 30 + years), older smoking age onset [coefficient=-2.02 (95% CI= -3.14, − 0.87,)] for 20 + years), and being dual users [coefficient=-1.36, 95% CI= -2.40, − 0.3241238)] were significantly associated with lower perceived risk for HTN. Conclusion The results of this study demonstrated a moderate perceived risk of participants to CVD. Also, the perceived risk decreases as the duration of smoking and the age for the smoking onset increases to 20 years and above. It seems necessary to carry out interventions to inform the public about the harms of smoking, especially for adolescents and young adults, and its risks in causing cardiovascular disease.https://doi.org/10.1186/s12889-025-21444-wAddictionTobaccoCigarette smokingPerceived riskCVDHypertension |
| spellingShingle | Fatemeh Zarghami Abdolhalim Rajabi Reza Abed-Tazehabadi Abdurrahman Charkazi Ali Shahryari Cigarette smoking and perceived risk of cardiovascular disease in Iran BMC Public Health Addiction Tobacco Cigarette smoking Perceived risk CVD Hypertension |
| title | Cigarette smoking and perceived risk of cardiovascular disease in Iran |
| title_full | Cigarette smoking and perceived risk of cardiovascular disease in Iran |
| title_fullStr | Cigarette smoking and perceived risk of cardiovascular disease in Iran |
| title_full_unstemmed | Cigarette smoking and perceived risk of cardiovascular disease in Iran |
| title_short | Cigarette smoking and perceived risk of cardiovascular disease in Iran |
| title_sort | cigarette smoking and perceived risk of cardiovascular disease in iran |
| topic | Addiction Tobacco Cigarette smoking Perceived risk CVD Hypertension |
| url | https://doi.org/10.1186/s12889-025-21444-w |
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