Authors :
Dr. Shekhar Maan Shrestha; Dr. Ashok Karki; Dr. Rojina Subedi; Dr. Sanjeev Bhandari; Tanuja Magar; Dr. Yogesh Rodge; Dr. Satyam Chavan; Dr. Niranjan Rijal
Volume/Issue :
Volume 11 - 2026, Issue 7 - July
Google Scholar :
https://tinyurl.com/yk78f99m
Scribd :
https://tinyurl.com/4d6jk732
DOI :
https://doi.org/10.38124/ijisrt/26jul1201
Note : A published paper may take 4-5
working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and
ResearchGate.
Abstract :
Background:
Cigarette smoking is a well-established risk factor for myocardial infarction (MI), yet the relationship between the age
at which individuals last smoked and MI has been less extensively studied. This study examined the association between
smoking history, measured by age last smoked, and self-reported heart attack among U.S. adults.
Methods:
A cross-sectional analysis was conducted using the 2024 Behavioral Risk Factor Surveillance System (BRFSS) dataset.
Adults with complete data on smoking history and myocardial infarction were included in our study. Poisson regression
with robust standard errors was used to estimate adjusted prevalence ratios (PRs), while controlling for demographic,
socioeconomic, and clinical covariates. Interaction and stratified analyses were performed to evaluate effect modification by
age and sex.
Keywords :
Smoking; Myocardial Infarction; Cross-Sectional Studies; BRFSS; Risk Factors
References :
- S. Yusuf, S. Hawken, S. Ôunpuu, T. Dans, A. Avezum, F. Lanas, M. McQueen, A. Budaj, P. Pais, J. Varigos, and L. Lisheng, “Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): Case-control study,” Lancet, vol. 364, no. 9438, pp. 937–952, Sept. 2004.
- K. K. Teo, S. Ounpuu, S. Hawken, M. R. Pandey, V. Valentin, D. Hunt, R. Diaz, W. Rashed, R. Freeman, L. Jiang, X. Zhang, and S. Yusuf, “Tobacco use and risk of myocardial infarction in 52 countries in the INTERHEART study: A case-control study,” Lancet, vol. 368, no. 9536, pp. 647–658, Aug. 2006.
- I. Kawachi, G. A. Colditz, M. J. Stampfer, W. C. Willett, J. E. Manson, B. Rosner, F. E. Speizer, and C. H. Hennekens, “Smoking cessation and time course of decreased risks of coronary heart disease in middle-aged women,” Arch. Intern. Med., vol. 154, no. 2, pp. 169–175, Jan. 1994.
- T. D. Rea, S. R. Heckbert, R. C. Kaplan, N. L. Smith, R. N. Lemaitre, B. M. Psaty, and C. D. Furberg, “Smoking status and risk for recurrent coronary events after myocardial infarction,” Ann. Intern. Med., vol. 137, no. 6, pp. 494–500, Sept. 2002
- K. Wilson, N. Gibson, A. Willan, and D. Cook, “Effect of smoking cessation on mortality after myocardial infarction: Meta-analysis of cohort studies,” Arch. Intern. Med., vol. 160, no. 7, pp. 939–944, Apr. 2000.
- Centers for Disease Control and Prevention, “Summary matrix of calculated variables in the 2024 BRFSS data (includes LCSLAST_),” 2024. [Online]. Available: https://www.cdc.gov/brfss/annual_data/2024/summary_matrix_24.html. [Accessed: Apr. 6, 2026].
- Centers for Disease Control and Prevention, “2021 BRFSS questionnaire (includes CVDINFR4 wording),” 2024. [Online]. Available: https://www.cdc.gov/brfss/questionnaires/pdf-ques/2021-brfss-questionnaire-1-19-2022-508.pdf. [Accessed: Apr. 6, 2026].
- Centers for Disease Control and Prevention, “Health effects of cigarettes: Cardiovascular disease,” 2024. [Online]. Available: https://www.cdc.gov/tobacco/about/cigarettes-and-cardiovascular-disease.html. [Accessed: Apr. 6, 2026].
- Centers for Disease Control and Prevention, “Benefits of quitting smoking,” 2024. [Online]. Available: https://www.cdc.gov/tobacco/about/benefits-of-quitting.html. [Accessed: Apr. 6, 2026].
- Centers for Disease Control and Prevention, “2024 BRFSS survey data and documentation,” 2024. [Online]. Available: https://www.cdc.gov/brfss/annual_data/annual_2024.html. [Accessed: Apr. 6, 2026].
- Centers for Disease Control and Prevention, “BRFSS overview 2024 (methods and weighting),” 2024. [Online]. Available: https://www.cdc.gov/brfss/annual_data/2024/pdf/Overview_2024-508.pdf. [Accessed: Apr. 6, 2026].
- S. Jacobsen, C. Ladd, S. Streck, S. Shepard, R. Ottwell, M. Vassar, J. Beaman, and M. Hartwell, “Research committee approval for use of the Behavioral Risk Factor Surveillance System data: A cross-sectional study,” presented at the Oklahoma State University Center for Health Sciences Research Days 2021, Tulsa, OK, USA, 2021. [Online]. Available: https://youtu.be/UvJJkO3SLm4.
Background:
Cigarette smoking is a well-established risk factor for myocardial infarction (MI), yet the relationship between the age
at which individuals last smoked and MI has been less extensively studied. This study examined the association between
smoking history, measured by age last smoked, and self-reported heart attack among U.S. adults.
Methods:
A cross-sectional analysis was conducted using the 2024 Behavioral Risk Factor Surveillance System (BRFSS) dataset.
Adults with complete data on smoking history and myocardial infarction were included in our study. Poisson regression
with robust standard errors was used to estimate adjusted prevalence ratios (PRs), while controlling for demographic,
socioeconomic, and clinical covariates. Interaction and stratified analyses were performed to evaluate effect modification by
age and sex.
Keywords :
Smoking; Myocardial Infarction; Cross-Sectional Studies; BRFSS; Risk Factors