Testing Differential Associations Between Smoking and Chronic Disease Across Socioeconomic Groups: Pooled Data From 15 Prospective Studies.

Détails

ID Serval
serval:BIB_3B776A722615
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Testing Differential Associations Between Smoking and Chronic Disease Across Socioeconomic Groups: Pooled Data From 15 Prospective Studies.
Périodique
Epidemiology
Auteur(s)
de Mestral C., Bell S., Stamatakis E., Batty G.D.
ISSN
1531-5487 (Electronic)
ISSN-L
1044-3983
Statut éditorial
Publié
Date de publication
01/2019
Peer-reviewed
Oui
Volume
30
Numéro
1
Pages
48-51
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
For the same quantity of cigarettes smoked, relative to more affluent people, socioeconomically disadvantaged people have higher levels of smoking biomarkers. This may be ascribed to inhaling cigarette smoke more deeply and more frequently and/or choosing higher tar-containing brands. We investigated whether this increased tobacco load, as captured using cotinine measurements, is associated with a greater risk of mortality in lower social groups.
We used Cox proportional hazards models stratified by socioeconomic position to calculate hazard ratios in a pooled sample of 15 English and Scottish prospective cohort studies (N = 81,476).
During a mean (SD) follow-up of 10.3 (4.4) years, 8234 deaths occurred. Risk of total mortality (hazard ratio; 95% confidence interval) for smokers relative to never-smokers in the high (2.5; 2.1, 3.1), intermediate (2.1; 1.8, 2.4), and low (2.0; 1.9, 2.2) educational groups did not differ markedly (P for interaction=0.61). Similar findings emerged when using cause-specific outcomes and occupational social class and housing tenure as socioeconomic indices.
Contrary to our hypothesis, we found no indication that chronic disease mortality associated with smoking was higher in disadvantaged people.
Mots-clé
Adolescent, Adult, Aged, Aged, 80 and over, Chronic Disease/mortality, Cotinine/urine, England, Female, Humans, Male, Middle Aged, Proportional Hazards Models, Prospective Studies, Scotland, Smoking/mortality, Socioeconomic Factors, Young Adult
Pubmed
Web of science
Création de la notice
29/10/2018 10:51
Dernière modification de la notice
20/08/2019 14:31
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