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Article: Mortality attributable to cigarette smoking in China

TitleMortality attributable to cigarette smoking in China
Authors
Issue Date1997
PublisherAmerican Medical Association. The Journal's web site is located at http://jama.ama-assn.org/index.dtl
Citation
Journal Of The American Medical Association, 1997, v. 278 n. 18, p. 1505-1508 How to Cite?
AbstractContext. - The few published prospective studies of smoking and mortality in China have reported low relative risks, but the durations of follow-up were short. Objective. - To assess the mortality of ever- and never-smokers in a cohort after 20 years of follow-up. Design, Setting, and Subjects. - A cohort analytic study in a machinery factory in Xi'an, China, involving 1696 people aged 35 years or older (1124 men and 572 women) examined in May 1976. Main Outcome Measures. - All-cause and tobacco- associated mortality. Results. - A total of 56% of the men and 12% of the women were ever-smokers at baseline. Through August 31, 1996, 218 persons (173 men and 45 women) had died. The relative risks (95% confidence intervals [CIs]) for ever smoking (after adjusting for age, marital status, occupation, education, diastolic blood pressure, and triglyceride and cholesterol levels) for deaths resulting from all causes, all cancer, and coronary heart disease were, respectively, 2.42 (95% CI, 1.72-3.42), 2.50 (95% CI, 1.41-4.43), and 3.61 (95% Cl, 1.35-9.67) in men and 2.32 (95% Cl, 1.18-4.56), 1.98 (95% CI, 0.50-7.92), and 4.67 (95% CI, 0.78-27.8) in women. Conclusions. - Previous prospective studies of smoking-related mortality in China tended to underestimate the risks, probably because of short durations of follow-up. We have demonstrated that smoking is a major cause of death in China, and the risks are similar to those seen in the United States and the United Kingdom. Thus, about half of the 300 million smokers in China will eventually die of smoking-related diseases if urgent tobacco-control measures are not instituted to prevent this growing epidemic.
Persistent Identifierhttp://hdl.handle.net/10722/86890
ISSN
2015 Impact Factor: 37.684
2015 SCImago Journal Rankings: 6.440
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLam, THen_HK
dc.contributor.authorHe, Yen_HK
dc.contributor.authorLi, LSen_HK
dc.contributor.authorLi, LSen_HK
dc.contributor.authorHe, SFen_HK
dc.contributor.authorLiang, BQen_HK
dc.date.accessioned2010-09-06T09:22:35Z-
dc.date.available2010-09-06T09:22:35Z-
dc.date.issued1997en_HK
dc.identifier.citationJournal Of The American Medical Association, 1997, v. 278 n. 18, p. 1505-1508en_HK
dc.identifier.issn0098-7484en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86890-
dc.description.abstractContext. - The few published prospective studies of smoking and mortality in China have reported low relative risks, but the durations of follow-up were short. Objective. - To assess the mortality of ever- and never-smokers in a cohort after 20 years of follow-up. Design, Setting, and Subjects. - A cohort analytic study in a machinery factory in Xi'an, China, involving 1696 people aged 35 years or older (1124 men and 572 women) examined in May 1976. Main Outcome Measures. - All-cause and tobacco- associated mortality. Results. - A total of 56% of the men and 12% of the women were ever-smokers at baseline. Through August 31, 1996, 218 persons (173 men and 45 women) had died. The relative risks (95% confidence intervals [CIs]) for ever smoking (after adjusting for age, marital status, occupation, education, diastolic blood pressure, and triglyceride and cholesterol levels) for deaths resulting from all causes, all cancer, and coronary heart disease were, respectively, 2.42 (95% CI, 1.72-3.42), 2.50 (95% CI, 1.41-4.43), and 3.61 (95% Cl, 1.35-9.67) in men and 2.32 (95% Cl, 1.18-4.56), 1.98 (95% CI, 0.50-7.92), and 4.67 (95% CI, 0.78-27.8) in women. Conclusions. - Previous prospective studies of smoking-related mortality in China tended to underestimate the risks, probably because of short durations of follow-up. We have demonstrated that smoking is a major cause of death in China, and the risks are similar to those seen in the United States and the United Kingdom. Thus, about half of the 300 million smokers in China will eventually die of smoking-related diseases if urgent tobacco-control measures are not instituted to prevent this growing epidemic.en_HK
dc.languageengen_HK
dc.publisherAmerican Medical Association. The Journal's web site is located at http://jama.ama-assn.org/index.dtlen_HK
dc.relation.ispartofJournal of the American Medical Associationen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshCause of Deathen_HK
dc.subject.meshChina - epidemiologyen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshLongitudinal Studiesen_HK
dc.subject.meshLung Diseases, Obstructive - mortalityen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshMortality - trendsen_HK
dc.subject.meshNeoplasms - mortalityen_HK
dc.subject.meshRegression Analysisen_HK
dc.subject.meshRisk Factorsen_HK
dc.subject.meshSmoking - adverse effects - epidemiology - mortalityen_HK
dc.subject.meshSurvival Analysisen_HK
dc.subject.meshVascular Diseases - mortalityen_HK
dc.titleMortality attributable to cigarette smoking in Chinaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0098-7484&volume=278&spage=1505&epage=1508&date=1997&atitle=Mortality+attributable+to+cigarette+smoking+in+Chinaen_HK
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid9363970-
dc.identifier.scopuseid_2-s2.0-1842293919en_HK
dc.identifier.hkuros28859en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-1842293919&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume278en_HK
dc.identifier.issue18en_HK
dc.identifier.spage1505en_HK
dc.identifier.epage1508en_HK
dc.identifier.isiWOS:A1997YE44500034-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridHe, Y=7404942229en_HK
dc.identifier.scopusauthoridLi, LS=7501445194en_HK
dc.identifier.scopusauthoridLi, LS=26659754800en_HK
dc.identifier.scopusauthoridHe, SF=36800753400en_HK
dc.identifier.scopusauthoridLiang, BQ=36658723300en_HK

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