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Article: Passive smoking and risk of peripheral arterial disease and ischemic stroke in chinese women who never smoked

TitlePassive smoking and risk of peripheral arterial disease and ischemic stroke in chinese women who never smoked
Authors
KeywordsPeripheral arterial disease
Smoking
Stroke
Tobacco smoke pollution
Women
Issue Date2008
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://circ.ahajournals.org
Citation
Circulation, 2008, v. 118 n. 15, p. 1535-1540 How to Cite?
AbstractBackground - The association between secondhand smoke (SHS) and risk of peripheral arterial disease (PAD) and stroke remains uncertain. Methods and Results - We examined the relationship between SHS and cardiovascular diseases, particularly PAD and stroke, in Chinese women who never smoked from a population-based cross-sectional study in Beijing, China. SHS exposure was defined as exposure to another person's tobacco smoke at home or in the workplace. Cardiovascular disease events included coronary heart disease, stroke, and PAD. PAD was defined by signs of intermittent claudication as measured by the World Health Organization Rose questionnaire and an ankle-brachial index of <0.90. Among 1209 women who never smoked, 39.5% were exposed to SHS at home or in workplaces. Those individuals who were exposed to SHS had a significantly higher risk of coronary heart disease (adjusted odds ratio [OR], 1.69; 95% CI, 1.31 to 2.18) and ischemic stroke (OR, 1.56; 95% CI, 1.03 to 2.35) than those never exposed to SHS after adjustment for 13 potential risk factors. The adjusted ORs of PAD defined by intermittent claudication, by ankle-brachial index <0.90, and by either intermittent claudication or ankle-brachial index <0.90 were 1.87 (95% CI, 1.30 to 2.68), 1.47 (95% CI, 1.07 to 2.03), and 1.67 (95% CI, 1.23 to 2.16), respectively. Dose-response relationships were found between SHS exposure amount (cigarettes per day) and duration (minutes per day) and increasing prevalence of coronary heart disease, ischemic stroke, and PAD. Conclusions - In China, SHS exposure in women is highly prevalent. In addition to being a risk factor for coronary heart disease, SHS should be considered an important risk factor for ischemic stroke and PAD in nonsmoking women. © 2008 American Heart Association, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/60302
ISSN
2015 Impact Factor: 17.047
2015 SCImago Journal Rankings: 7.853
ISI Accession Number ID
Funding AgencyGrant Number
National Natural Science Foundation of China30671809
30771859
Beijing Natural Science Foundation7062063
Health Service in the Health Ministry of China06H050
American Heart Association Established Investigator Award
Faculty of Medicine at the University of Hong Kong
Funding Information:

This study is supported by research grants from the National Natural Science Foundation of China (30671809, 30771859), Beijing Natural Science Foundation (7062063), and the Health Service in the Health Ministry of China (06H050). Dr Hu was partly supported by an American Heart Association Established Investigator Award. Dr He was partly supported by the Gordon Wu and Cheng YuTung Exchange Professorships in the Faculty of Medicine at the University of Hong Kong.

References

 

DC FieldValueLanguage
dc.contributor.authorHe, Yen_HK
dc.contributor.authorLam, THen_HK
dc.contributor.authorJiang, Ben_HK
dc.contributor.authorWang, Jen_HK
dc.contributor.authorSai, Xen_HK
dc.contributor.authorFan, Len_HK
dc.contributor.authorLi, Xen_HK
dc.contributor.authorQin, Yen_HK
dc.contributor.authorHu, FBen_HK
dc.date.accessioned2010-05-31T04:07:53Z-
dc.date.available2010-05-31T04:07:53Z-
dc.date.issued2008en_HK
dc.identifier.citationCirculation, 2008, v. 118 n. 15, p. 1535-1540en_HK
dc.identifier.issn0009-7322en_HK
dc.identifier.urihttp://hdl.handle.net/10722/60302-
dc.description.abstractBackground - The association between secondhand smoke (SHS) and risk of peripheral arterial disease (PAD) and stroke remains uncertain. Methods and Results - We examined the relationship between SHS and cardiovascular diseases, particularly PAD and stroke, in Chinese women who never smoked from a population-based cross-sectional study in Beijing, China. SHS exposure was defined as exposure to another person's tobacco smoke at home or in the workplace. Cardiovascular disease events included coronary heart disease, stroke, and PAD. PAD was defined by signs of intermittent claudication as measured by the World Health Organization Rose questionnaire and an ankle-brachial index of <0.90. Among 1209 women who never smoked, 39.5% were exposed to SHS at home or in workplaces. Those individuals who were exposed to SHS had a significantly higher risk of coronary heart disease (adjusted odds ratio [OR], 1.69; 95% CI, 1.31 to 2.18) and ischemic stroke (OR, 1.56; 95% CI, 1.03 to 2.35) than those never exposed to SHS after adjustment for 13 potential risk factors. The adjusted ORs of PAD defined by intermittent claudication, by ankle-brachial index <0.90, and by either intermittent claudication or ankle-brachial index <0.90 were 1.87 (95% CI, 1.30 to 2.68), 1.47 (95% CI, 1.07 to 2.03), and 1.67 (95% CI, 1.23 to 2.16), respectively. Dose-response relationships were found between SHS exposure amount (cigarettes per day) and duration (minutes per day) and increasing prevalence of coronary heart disease, ischemic stroke, and PAD. Conclusions - In China, SHS exposure in women is highly prevalent. In addition to being a risk factor for coronary heart disease, SHS should be considered an important risk factor for ischemic stroke and PAD in nonsmoking women. © 2008 American Heart Association, Inc.en_HK
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://circ.ahajournals.orgen_HK
dc.relation.ispartofCirculationen_HK
dc.rightsCirculation. Copyright © Lippincott Williams & Wilkins.en_HK
dc.subjectPeripheral arterial diseaseen_HK
dc.subjectSmokingen_HK
dc.subjectStrokeen_HK
dc.subjectTobacco smoke pollutionen_HK
dc.subjectWomenen_HK
dc.titlePassive smoking and risk of peripheral arterial disease and ischemic stroke in chinese women who never smokeden_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0009-7322&volume=118&spage=1535&epage=1540&date=2008&atitle=Passive+smoking+and+risk+of+peripheral+arterial+disease+and+ischemic+stroke+in+Chinese+women+who+never+smokeden_HK
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1161/CIRCULATIONAHA.108.784801en_HK
dc.identifier.scopuseid_2-s2.0-55249091339en_HK
dc.identifier.hkuros153147en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-55249091339&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume118en_HK
dc.identifier.issue15en_HK
dc.identifier.spage1535en_HK
dc.identifier.epage1540en_HK
dc.identifier.eissn1524-4539-
dc.identifier.isiWOS:000259822000004-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridHe, Y=7404942229en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridJiang, B=26659611600en_HK
dc.identifier.scopusauthoridWang, J=7701310371en_HK
dc.identifier.scopusauthoridSai, X=8529213500en_HK
dc.identifier.scopusauthoridFan, L=35098460900en_HK
dc.identifier.scopusauthoridLi, X=8355141100en_HK
dc.identifier.scopusauthoridQin, Y=25632866700en_HK
dc.identifier.scopusauthoridHu, FB=36038688700en_HK
dc.identifier.citeulike3473811-

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