Considering the benefits of smoking cessation, and evolving new tobacco-product consumption, such as e-cigarettes (e-cig), contemporary behavioral and psychosocial factors (PSF) associated with smoking after acute stroke or myocardial infarction (MI) remain to be investigated.

From INEV@L, a prospective pilot study in 128workers hospitalized for MI or stroke (MI/stroke: 199/57)<65y, between 2016 and 2017 in CHU Dijon. Among them, 67 (52%) current smokers were analyzed. PSF (education level (EL), socioeconomic status (SES), perceived disease severity (PDS), anxiety/depression), and health behavior (adhesion to Mediterranean diet (AMD), BMI, physical activity (PA), smoking) were collected at the acute phase and at 6months follow-Up. Patients who quit smoking were compared with non-quitting patients at FU.

Still smokers at FU were frequent (30(45%)) and had similar risk factors including age (51±7y) than quitters. Rate of overweight/obese patients and AMD were similar (52 vs. 65%, P=0.281 and 29±6 vs. 26±7, P=0.207). SES and EL were slightly higher in still smokers group. The level of anxiety or depression was as high in the 2 groups (63 vs. 68%, and 19 vs. 20%, P=0.717 and 0.911). Although similar at the acute phase (P=0.867), PDS at 6-M FU, trended to be lower in non-quitters (57 vs. 78%, P=0.057). At FU, only few returned to work (57% for both groups). Overweight/obese who reduced their weight were more common in non-quitters (60 vs. 38%, P=0.170). Patients who improved AMD or PA level were similar (62 vs. 78%, P=0.166, and 67 vs. 92%, P=0.317). The vast majority of non-quitters introduced the use of e-cig (80% vs. 0%, P<0.001).

Our pilot study in young workers highlights the low rate of smoking cessation, and generalized dual use of electronic+conventional cigarette at mid-term after acute MI or stroke. Our findings further suggest specific PSF pattern of non-quitters, associated with loss of perceived disease severity.