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Article: Association of smoking and smoking cessation with major causes of mortality in the Asia Pacific Region: The Asia Pacific Cohort Studies Collaboration

TitleAssociation of smoking and smoking cessation with major causes of mortality in the Asia Pacific Region: The Asia Pacific Cohort Studies Collaboration
Authors
Issue Date2008
PublisherBMJ Publishing Group. The Journal's web site is located at http://tc.bmjjournals.com/
Citation
Tobacco Control, 2008, v. 17 n. 3, p. 166-172 How to Cite?
AbstractBackground: Although the dangers of smoking, and the benefits of quitting, are well established and understood in the West, smoking remains popular among Asian men. We investigated the associations between smoking (including ex-smoking) and major causes of mortality in Asian men and women, and compared with Australians and New Zealanders (ANZ). Methods: An overview of 34 cohort studies in the Asia Pacific region involving 512 676 individuals (81% from Asia), followed up for a median of 6.7 years (20 804 deaths). Results: Mortality rates for cause-specific and all causes of mortality were systematically higher for current compared with never smokers. Hazard ratios (HR) for overall and cause-specific mortality comparing current-smokers with never smokers, ex- smokers with current-smokers and comparing numbers of cigarettes smoked per day, were higher for ANZ than Asia (p<0.001). For overall mortality, the HR (95% CI) comparing current-smoking with not was 1.37 (1.23 to 1.53) and 1.33 (1.26 to 1.40) in Asian men and women respectively. The corresponding figures in ANZ were 1.95 (1.81 to 2.09) and 1.85 (1.69 to 2.02). The HR for quitting in ANZ was 0.67 (0.63 to 0.71) and 0.66 (0.58 to 0.74) in men and women respectively. Quitting smoking had a significant benefit among Asian men, the HR was 0.88 (0.81 to 0.97) after ignoring the first 3 years of follow-up. There was no evidence of benefit for Asian women, for whom exsmoking is rare. Conclusions: Allowing for the recent uptake of smoking in Asia, its effects are comparable to those observed in ANZ. Stringent tobacco control measures and smoking cessation strategies are urgently required in Asia.
Persistent Identifierhttp://hdl.handle.net/10722/57362
ISSN
2015 Impact Factor: 6.321
2015 SCImago Journal Rankings: 2.855
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorBarzi, Fen_HK
dc.contributor.authorHuxley, Ren_HK
dc.contributor.authorJamrozik, Ken_HK
dc.contributor.authorLam, THen_HK
dc.contributor.authorUeshima, Hen_HK
dc.contributor.authorGu, Den_HK
dc.contributor.authorKim, HCen_HK
dc.contributor.authorWoodward, Men_HK
dc.date.accessioned2010-04-12T01:34:19Z-
dc.date.available2010-04-12T01:34:19Z-
dc.date.issued2008en_HK
dc.identifier.citationTobacco Control, 2008, v. 17 n. 3, p. 166-172en_HK
dc.identifier.issn0964-4563en_HK
dc.identifier.urihttp://hdl.handle.net/10722/57362-
dc.description.abstractBackground: Although the dangers of smoking, and the benefits of quitting, are well established and understood in the West, smoking remains popular among Asian men. We investigated the associations between smoking (including ex-smoking) and major causes of mortality in Asian men and women, and compared with Australians and New Zealanders (ANZ). Methods: An overview of 34 cohort studies in the Asia Pacific region involving 512 676 individuals (81% from Asia), followed up for a median of 6.7 years (20 804 deaths). Results: Mortality rates for cause-specific and all causes of mortality were systematically higher for current compared with never smokers. Hazard ratios (HR) for overall and cause-specific mortality comparing current-smokers with never smokers, ex- smokers with current-smokers and comparing numbers of cigarettes smoked per day, were higher for ANZ than Asia (p<0.001). For overall mortality, the HR (95% CI) comparing current-smoking with not was 1.37 (1.23 to 1.53) and 1.33 (1.26 to 1.40) in Asian men and women respectively. The corresponding figures in ANZ were 1.95 (1.81 to 2.09) and 1.85 (1.69 to 2.02). The HR for quitting in ANZ was 0.67 (0.63 to 0.71) and 0.66 (0.58 to 0.74) in men and women respectively. Quitting smoking had a significant benefit among Asian men, the HR was 0.88 (0.81 to 0.97) after ignoring the first 3 years of follow-up. There was no evidence of benefit for Asian women, for whom exsmoking is rare. Conclusions: Allowing for the recent uptake of smoking in Asia, its effects are comparable to those observed in ANZ. Stringent tobacco control measures and smoking cessation strategies are urgently required in Asia.en_HK
dc.languageengen_HK
dc.publisherBMJ Publishing Group. The Journal's web site is located at http://tc.bmjjournals.com/en_HK
dc.relation.ispartofTobacco Controlen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsTobacco Control. Copyright © B M J Publishing Group.en_HK
dc.subject.meshSmoking Cessation - psychology - statistics & numerical dataen_HK
dc.subject.meshSmoking - adverse effects - mortalityen_HK
dc.subject.meshAsia - epidemiologyen_HK
dc.subject.meshAustralasiaen_HK
dc.subject.meshAttitude to Health - ethnologyen_HK
dc.titleAssociation of smoking and smoking cessation with major causes of mortality in the Asia Pacific Region: The Asia Pacific Cohort Studies Collaborationen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0964-4563&volume=17&issue=3&spage=166&epage=172&date=2008&atitle=Association+of+smoking+and+smoking+cessation+with+major+causes+of+mortality+in+the+Asia+Pacific+Region:+the+Asia+Pacific+Cohort+Studies+Collaborationen_HK
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.doi10.1136/tc.2007.023457en_HK
dc.identifier.pmid18522967en_HK
dc.identifier.scopuseid_2-s2.0-45149130967en_HK
dc.identifier.hkuros144487-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-45149130967&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume17en_HK
dc.identifier.issue3en_HK
dc.identifier.spage166en_HK
dc.identifier.epage172en_HK
dc.identifier.isiWOS:000256407300010-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridBarzi, F=7003545543en_HK
dc.identifier.scopusauthoridHuxley, R=6701828350en_HK
dc.identifier.scopusauthoridJamrozik, K=26426193300en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridUeshima, H=7005129002en_HK
dc.identifier.scopusauthoridGu, D=7202151958en_HK
dc.identifier.scopusauthoridKim, HC=8540942600en_HK
dc.identifier.scopusauthoridWoodward, M=7102510958en_HK

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