Risk of acute coronary syndrome and relationship with the use of khat and tobacco products in the Jazan region, Saudi Arabia: A prospective case-control study

Introduction Previous studies have identified several risk factors for acute coronary syndrome (ACS). This study was intended to examine the potential risk of ACS associated with khat and tobacco use. Methods A case-control study of 344 people (172 cases and 172 controls) was conducted at Prince Mo...

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Main Authors: Rashad Alsanosy, Mohamed Salih Mahfouz, Abdulelah Mohammed Arishi, Siddig Ibrahim Abdelwahab, Manal Taha, Osama Albasheer, Hasan Mohammed Daghriri, Khalid Ahmed Majrashi, Abdullah Farasani, Ahmed A. A. Altraifi, Isameldin E. Medani, Nasser Hakami
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Language:English
Published: European Publishing 2024-07-01
Series:Tobacco Induced Diseases
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Online Access:https://www.tobaccoinduceddiseases.org/Risk-of-acute-coronary-syndrome-and-relationship-with-the-use-of-khat-and-tobacco,189950,0,2.html
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author Rashad Alsanosy
Mohamed Salih Mahfouz
Abdulelah Mohammed Arishi
Siddig Ibrahim Abdelwahab
Manal Taha
Osama Albasheer
Hasan Mohammed Daghriri
Khalid Ahmed Majrashi
Abdullah Farasani
Ahmed A. A. Altraifi
Isameldin E. Medani
Nasser Hakami
author_facet Rashad Alsanosy
Mohamed Salih Mahfouz
Abdulelah Mohammed Arishi
Siddig Ibrahim Abdelwahab
Manal Taha
Osama Albasheer
Hasan Mohammed Daghriri
Khalid Ahmed Majrashi
Abdullah Farasani
Ahmed A. A. Altraifi
Isameldin E. Medani
Nasser Hakami
author_sort Rashad Alsanosy
collection DOAJ
description Introduction Previous studies have identified several risk factors for acute coronary syndrome (ACS). This study was intended to examine the potential risk of ACS associated with khat and tobacco use. Methods A case-control study of 344 people (172 cases and 172 controls) was conducted at Prince Mohammed Bin Nasser Hospital in Jazan, Saudi Arabia, from April to September 2019. The cases and controls were matched for age (±5 years) and gender. Data were analyzed using descriptive, inferential, and modeling analyses. We utilized the adjusted odds ratio (AOR) to express the results. Results The prevalence of ever khat chewing among all study participants was 29.1%, significantly higher for the cases with ACS than for the control group (43.6% vs 14.5%, p 0.05). In the final model, tobacco use was more likely to be reported among cases with myocardial infarction (MI) (AOR=4.58; 95% CI: 1.01–4.73, p<0.05) as was khat chewing (AOR=3.4; 95% CI: 1.55–7.46, p<0.05), after controlling for other traditional risk factors. Conclusions Khat chewing was reported more by those who reported ACS. ACS cases were more likely to be frequent khat users with chewing sessions of five or more days per week. Regular tobacco use was also reported in those who reported ACS, and this increases with the amount of tobacco used. Implementing early intervention strategies can help mitigate the impact of khat chewing and smoking on the development of ACS.
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spelling doaj-art-9cff52f6276b489fb7d6a0f5019954b92025-01-24T15:27:00ZengEuropean PublishingTobacco Induced Diseases1617-96252024-07-0122July11410.18332/tid/189950189950Risk of acute coronary syndrome and relationship with the use of khat and tobacco products in the Jazan region, Saudi Arabia: A prospective case-control studyRashad Alsanosy0https://orcid.org/0000-0002-0719-9708Mohamed Salih Mahfouz1https://orcid.org/0000-0002-3155-6381Abdulelah Mohammed Arishi2https://orcid.org/0000-0002-0753-4027Siddig Ibrahim Abdelwahab3https://orcid.org/0000-0002-6145-4466Manal Taha4https://orcid.org/0000-0003-0166-8929Osama Albasheer5https://orcid.org/0000-0002-5115-6182Hasan Mohammed Daghriri6https://orcid.org/0009-0007-0125-559XKhalid Ahmed Majrashi7https://orcid.org/0009-0002-5008-1593Abdullah Farasani8https://orcid.org/0000-0001-6942-5136Ahmed A. A. Altraifi9https://orcid.org/0000-0003-0379-5630Isameldin E. Medani10https://orcid.org/0000-0003-0637-5658Nasser Hakami11https://orcid.org/0000-0001-9524-1541Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, Saudi ArabiaDepartment of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, Saudi ArabiaKing Faisal Specialist Hospital and Research Centre, Riyadh, Saudi ArabiaHealth Research Centre, Jazan University, Jazan, Saudi ArabiaHealth Research Centre, Jazan University, Jazan, Saudi ArabiaDepartment of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, Saudi ArabiaKing Faisal Specialist Hospital and Research Centre, Riyadh, Saudi ArabiaKing Fahad Medical City, Riyadh, Saudi ArabiaDepartment of Medical Laboratory Technology, College of Applied Medical Science, Jazan University, Jazan, Saudi ArabiaObstetrics and Gynecology Department, College of Medicine, Jazan University, Jazan, Saudi ArabiaObstetrics and Gynecology Department, College of Medicine, Jazan University, Jazan, Saudi ArabiaSurgical Department, College of Medicine, Jazan University, Jazan, Saudi ArabiaIntroduction Previous studies have identified several risk factors for acute coronary syndrome (ACS). This study was intended to examine the potential risk of ACS associated with khat and tobacco use. Methods A case-control study of 344 people (172 cases and 172 controls) was conducted at Prince Mohammed Bin Nasser Hospital in Jazan, Saudi Arabia, from April to September 2019. The cases and controls were matched for age (±5 years) and gender. Data were analyzed using descriptive, inferential, and modeling analyses. We utilized the adjusted odds ratio (AOR) to express the results. Results The prevalence of ever khat chewing among all study participants was 29.1%, significantly higher for the cases with ACS than for the control group (43.6% vs 14.5%, p 0.05). In the final model, tobacco use was more likely to be reported among cases with myocardial infarction (MI) (AOR=4.58; 95% CI: 1.01–4.73, p<0.05) as was khat chewing (AOR=3.4; 95% CI: 1.55–7.46, p<0.05), after controlling for other traditional risk factors. Conclusions Khat chewing was reported more by those who reported ACS. ACS cases were more likely to be frequent khat users with chewing sessions of five or more days per week. Regular tobacco use was also reported in those who reported ACS, and this increases with the amount of tobacco used. Implementing early intervention strategies can help mitigate the impact of khat chewing and smoking on the development of ACS.https://www.tobaccoinduceddiseases.org/Risk-of-acute-coronary-syndrome-and-relationship-with-the-use-of-khat-and-tobacco,189950,0,2.htmlacute coronary syndromekhat chewingtobaccorisk factorssaudi arabia
spellingShingle Rashad Alsanosy
Mohamed Salih Mahfouz
Abdulelah Mohammed Arishi
Siddig Ibrahim Abdelwahab
Manal Taha
Osama Albasheer
Hasan Mohammed Daghriri
Khalid Ahmed Majrashi
Abdullah Farasani
Ahmed A. A. Altraifi
Isameldin E. Medani
Nasser Hakami
Risk of acute coronary syndrome and relationship with the use of khat and tobacco products in the Jazan region, Saudi Arabia: A prospective case-control study
Tobacco Induced Diseases
acute coronary syndrome
khat chewing
tobacco
risk factors
saudi arabia
title Risk of acute coronary syndrome and relationship with the use of khat and tobacco products in the Jazan region, Saudi Arabia: A prospective case-control study
title_full Risk of acute coronary syndrome and relationship with the use of khat and tobacco products in the Jazan region, Saudi Arabia: A prospective case-control study
title_fullStr Risk of acute coronary syndrome and relationship with the use of khat and tobacco products in the Jazan region, Saudi Arabia: A prospective case-control study
title_full_unstemmed Risk of acute coronary syndrome and relationship with the use of khat and tobacco products in the Jazan region, Saudi Arabia: A prospective case-control study
title_short Risk of acute coronary syndrome and relationship with the use of khat and tobacco products in the Jazan region, Saudi Arabia: A prospective case-control study
title_sort risk of acute coronary syndrome and relationship with the use of khat and tobacco products in the jazan region saudi arabia a prospective case control study
topic acute coronary syndrome
khat chewing
tobacco
risk factors
saudi arabia
url https://www.tobaccoinduceddiseases.org/Risk-of-acute-coronary-syndrome-and-relationship-with-the-use-of-khat-and-tobacco,189950,0,2.html
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