The prevalence of “risky behaviour” in adults with cystic fibrosis

Ewan, Felicity A. Mc; Hodson, Margaret E.; Simmonds, Nicholas J.

doi:10.1016/j.jcf.2011.09.002

Cited by 27 publications

(19 citation statements)

References 11 publications

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“…There is no evidence that people with CF are generally prone to risk taking around health [16]. Improved knowledge will not necessarily lead to better (or safer) decision making, of course, and the current study highlights the complex nature of these decisions and the competing demands involved.…”

Section: Discussionmentioning

confidence: 85%

Decision Making about Risk of Infection by Young Adults with CF

et al. 2013

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Young people with cystic fibrosis (CF) are asked to avoid a number of environments associated with increased infection risk, but in practice they need to balance this with competing priorities such as building and sustaining relationships with friends and family. This study explored the process by which young people make these decisions. Mixed methods were used: a vignette study presenting choices around engaging in activities involving a degree of infection risk and a thematic analysis of participant's accounts of their decision making. The eight participants chose to engage in high risk behaviours in 59% of the choices. All participants chose to engage in at least one risky behavior, though this was less likely when the risk was significant. Thematic analysis revealed large areas of misunderstanding and lack of knowledge, leading to some potentially worrying misconceptions about the nature of infections and risk. Young people with CF are not currently making informed decisions around activities that involve increased risk of infection, and there is an urgent need for CF teams to address this in information provision.

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Section: Discussionmentioning

confidence: 85%

Decision Making about Risk of Infection by Young Adults with CF

et al. 2013

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“…There is very limited information available about the alcohol consumption patterns of people with CF despite the fact that this population has risk factors for EAU, such as increased rates of anxiety, depression, and social isolation [ 28 , 58 ]. In fact, only one investigation in Europe has noted alcohol use in this population previously, but it was not the main focus of the manuscript [ 29 ]. Therefore our intent was to provide an initial assessment of alcohol use in the CF community.…”

Section: Discussionmentioning

confidence: 99%

“…There are only scant investigations into the frequency and quantity of alcohol use in individuals with CF, and therefore this information remains unknown. In one study in the United Kingdom, 94-98% of patients over age 18 with CF had tried alcohol, 83% drank alcohol regularly, and 30% admitted to binge drinking [ 29 ]. Information about alcohol use in patients with CF is scarce, and as such, it is unclear if use of alcohol in this population is higher than the general population, and consequently no standardized alcohol interventions have been introduced or implemented within the context of CF care.…”

Section: Introductionmentioning

confidence: 99%

Self-reported alcohol use in the cystic fibrosis community

Lowery

Afshar

West

et al. 2020

Journal of Cystic Fibrosis

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Introduction: Excessive alcohol use (EAU), a harmful pattern of drinking that includes binge drinking and heavy use, occurs in 25% (binge) and 6% (heavy use) of the US population, respectively. Little is known about alcohol use in individuals with cystic fibrosis (CF). The objective of this investigation is to examine alcohol consumption patterns in individuals with CF using a health survey administered from a social media platform. Methods: Individuals with CF, 18 years of age or older, were recruited for participation through social media and internet-based platforms. Results: 1135 individuals initially participated in the survey and 84% (n = 952) were eligible and completed the survey. Of the respondents, 77% (n = 729) currently consume alcohol, 18% (n = 171) formerly consumed alcohol, and 5% (n = 52) never consumed alcohol. Amongst the people with CF who currently consume alcohol, 54% (N = 391) met criteria for EAU. Thirty percent of current drinkers experienced symptoms of harmful alcohol use. Of those who met criteria for EAU, 7% wore oxygen, 6% had a lung transplant, 10% had liver disease and 32% had diabetes. Those with EAU reported more hospitalizations than those without EAU [244 (62%) vs 182 (54%), p = .034]. Characteristics associated with EAU after multivariable adjustment included younger age, unmarried status, male gender and younger age at initiation of drinking. Conclusion: EAU is occurring at a much higher proportion in individuals with CF. A substantial percentage of CF individuals with EAU also have medical co-morbidities. Screening, brief intervention, and referral to treatment for EAU in CF clinics is warranted.

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“…Nonetheless, studies in the United States have reported that tobacco consumption amongst CF patients is 11%, and smoking amongst youth with a CF diagnosis is 20% (Stern et al, 1987). Another study in the United Kingdom that investigated “risky behaviours” in adults with CF revealed that 6% were smokers (Mc Ewan et al, 2012). …”

Section: Discussionmentioning

confidence: 99%

“…Several studies report that prenatal and/or postnatal exposure to tobacco smoke adversely affects children’s lung function. The published CF studies report a prevalence of exposure to tobacco smoke from 6% to 21% lower than in general population (Mc Ewan, Hodson & Simmonds, 2012; Ortega-García et al, 2012a; Stern, Byard, Tomashefski & Doershuk, 1987; Verma, Clough, McKenna, Dodd & Webb, 2001). Smoking is known to irritate mucosal linings and increase coughing and phlegm production in the respiratory tract, resulting in increased likelihood of bacterial infections, worsening of symptoms, and increased hospitalizations in patients with CF.…”

mentioning

confidence: 97%

Long term follow-up of a tobacco prevention and cessation program in cystic fibrosis patients

et al. 2016

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This study evaluates the impact over time of a telephone-based intervention in tobacco cessation and prevention targeting patients with cystic fibrosis (CF) in the Mediterranean region of Murcia, Spain. We conducted an experimental prospective study with a cohort of CF patients using an integrative smoking cessation programme, between 2008 and 2013. The target population included family members and patients from the Regional CF unit. The study included an initial tobacco exposure questionnaire, measurement of lung function, urinary cotinine levels, anthropomorphic measures and the administered intervention at specific time intervals. Of the 88 patients tracked through follow-up, active smoking rates were reduced from 10.23% to 4.55% (p = 0.06). Environmental tobacco exposure was reduced in non-smoker patients from 62.03% to 36.90% (p < 0.01) during the five year follow-up. Significant reductions in the gradient of household tobacco smoke exposure were also observed with a decrease of 12.60%, from 31.65% (n = 25/79) to 19.05% (n = 16/84) in 2013 (p = <0.01). Cotinine was significantly correlated with both active and passive exposure (p<0.01) with a significant reduction of cotinine levels from 63.13 (28.58–97.69) to 20.56 (0.86–40.27) ng/ml (p<0.01). The intervention to significantly increase the likelihood of family quitting (smoke-free home) was 1.26 (1.05–1.54). Telephone based interventions for tobacco cessation and prevention is a useful tool when applied over time. Trained intervention professionals in this area are needed in the environmental health approach for the treatment of CF.

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The prevalence of “risky behaviour” in adults with cystic fibrosis

Abstract: Participation in risky behaviour was modest. With improved life expectancy this may increase. Awareness of this is important so that health promotion measures can be introduced early.

Cited by 27 publications

References 11 publications

Decision Making about Risk of Infection by Young Adults with CF

Decision Making about Risk of Infection by Young Adults with CF

Self-reported alcohol use in the cystic fibrosis community

Long term follow-up of a tobacco prevention and cessation program in cystic fibrosis patients

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