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Cardiovascular Risk Factor and Disease Measures from the Population Assessment of Tobacco and Health (PATH) Study

Author

Listed:
  • Martin C. Mahoney

    (Roswell Park Comprehensive Cancer Center, Elm & Carlton Streets, Buffalo, NY 14263, USA)

  • Cheryl Rivard

    (Roswell Park Comprehensive Cancer Center, Elm & Carlton Streets, Buffalo, NY 14263, USA)

  • Hoda T. Hammad

    (U.S. Food and Drug Administration, Center for Tobacco Products, Silver Spring, MD 20993, USA)

  • Carlos Blanco

    (National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD 20892, USA)

  • James Sargent

    (Geisel School of Medicine at Dartmouth, The C. Everette Koop Institute at Dartmouth, Lebanon, NH 03756, USA)

  • Heather L. Kimmel

    (National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD 20892, USA)

  • Baoguang Wang

    (U.S. Food and Drug Administration, Center for Tobacco Products, Silver Spring, MD 20993, USA)

  • Michael J. Halenar

    (Westat, Rockville, MD 20850, USA)

  • Jueichuan Connie Kang

    (U.S. Food and Drug Administration, Center for Tobacco Products, Silver Spring, MD 20993, USA
    US Public Health Service Commissioned Corps, Silver Spring, MD 20993, USA)

  • Nicolette Borek

    (U.S. Food and Drug Administration, Center for Tobacco Products, Silver Spring, MD 20993, USA)

  • K. Michael Cummings

    (Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA)

  • Kristin Lauten

    (Westat, Rockville, MD 20850, USA)

  • Maciej L. Goniewicz

    (Roswell Park Comprehensive Cancer Center, Elm & Carlton Streets, Buffalo, NY 14263, USA)

  • Dorothy Hatsukami

    (Medical School, University of Minnesota, Minneapolis, MN 55414, USA)

  • Eva Sharma

    (Westat, Rockville, MD 20850, USA)

  • Kristie Taylor

    (Westat, Rockville, MD 20850, USA)

  • Andrew Hyland

    (Roswell Park Comprehensive Cancer Center, Elm & Carlton Streets, Buffalo, NY 14263, USA)

Abstract

Background: Cardiovascular disease is a key health condition associated with tobacco use; however, clinical measures are not typically possible in population-based studies. In this paper, we assess the reliability and validity of self-reported cardiovascular risk factors and diseases in a large nationally representative study of tobacco use and health outcomes. Methods: This paper analyzes self-reported cardiovascular risk factors and disease among adults age 40 years and older based on U.S. nationally representative data from the Population Assessment of Tobacco and Health (PATH) Study. Prevalence of cardiovascular risk factors (self-reported high blood pressure, high cholesterol, diabetes and family history of premature heart disease, BMI ≥ 35, and tobacco use) and cardiovascular disease (self-reported heart attack, stroke and/or congestive heart failure (CHF)) were considered along with ratings of physical functioning, fatigue, and general health. Results: Self-reported cardiovascular disease was found to be associated with functional health measures (walking up a flight of stairs) and general ratings of health. Prospective analyses found strong correlations between sequential data collection waves for history of hypertension, elevated cholesterol and CHF, while more modest correlations were noted for stroke and heart attack. The overall prevalence of cardiovascular disease and hypertension was comparable to those from the National Health and Nutrition Examination Survey (NHANES). Conclusions: These analyses suggest reliability and concurrent validity regarding self-reported cardiovascular risk factors and disease assessed in the PATH Study.

Suggested Citation

  • Martin C. Mahoney & Cheryl Rivard & Hoda T. Hammad & Carlos Blanco & James Sargent & Heather L. Kimmel & Baoguang Wang & Michael J. Halenar & Jueichuan Connie Kang & Nicolette Borek & K. Michael Cummi, 2021. "Cardiovascular Risk Factor and Disease Measures from the Population Assessment of Tobacco and Health (PATH) Study," IJERPH, MDPI, vol. 18(14), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7692-:d:597872
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    Cited by:

    1. Martin C. Mahoney & Cheryl Rivard & Heather L. Kimmel & Hoda T. Hammad & Eva Sharma & Michael J. Halenar & Jim Sargent & K. Michael Cummings & Ray Niaura & Maciej L. Goniewicz & Maansi Bansal-Travers , 2022. "Cardiovascular Outcomes among Combustible-Tobacco and Electronic Nicotine Delivery System (ENDS) Users in Waves 1 through 5 of the Population Assessment of Tobacco and Health (PATH) Study, 2013–2019," IJERPH, MDPI, vol. 19(7), pages 1-10, March.

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