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Article: Passive smoking and tuberculosis

TitlePassive smoking and tuberculosis
Authors
Issue Date2010
PublisherAmerican Medical Association. The Journal's web site is located at http://www.archinternmed.com
Citation
Archives Of Internal Medicine, 2010, v. 170 n. 3, p. 287-292 How to Cite?
Abstract
Background: Increasing evidence has incriminated active smoking as a causal factor for tuberculosis (TB). However, the effect of secondhand tobacco smoke exposure on TB has not been similarly elucidated. Methods: A cohort of 15 486 female never-smokers aged 65 to 74 years and living with their surviving husband were enrolled at 18 Elderly Health Centers in Hong Kong from 2000 to 2003 and followed up prospectively through linkage with the territory-wide TB notification registry and death registry for TB and death until December 31, 2008, using an identity card number as a unique identifier. The relationship between passive smoking and the development of TB was assessed with adjustment for other baseline characteristics. Results: Passive exposure to secondhand tobacco smoke in the household was independently associated with obstructive lung disease (odds [OR], 1.43; 95% confidence interval [CI], 1.16-1.77) and diabetes mellitus (OR, 1.13; 95% CI, 1.02-1.26) at baseline and with the development of both active TB (hazard ratio [HR], 1.49; 95% CI, 1.01-2.19) and culture-confirmed TB (HR, 1.70; 95% CI, 1.04-2.80) on prospective follow-up after potentially confounding background variables were controlled for. Passive smoking accounted for 13.7% of active TB and for 18.5% of culture-positive TB in this cohort. Conclusions: Similar to active smoking, passive exposure to secondhand tobacco smoke in the household also predisposes to the development of TB. Increased emphasis should therefore be put on tobacco control in national TB programs. ©2010 American Medical Association. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/86999
ISSN
2013 Impact Factor: 13.246
ISI Accession Number ID
References

 

Author Affiliations
  1. Tuberculosis and Chest Service
  2. The University of Hong Kong
  3. Hong Kong Government
  4. Grantham Hospital Hong Kong
DC FieldValueLanguage
dc.contributor.authorLeung, CCen_HK
dc.contributor.authorLam, THen_HK
dc.contributor.authorHo, KSen_HK
dc.contributor.authorYew, WWen_HK
dc.contributor.authorTam, CMen_HK
dc.contributor.authorChan, WMen_HK
dc.contributor.authorLaw, WSen_HK
dc.contributor.authorChan, CKen_HK
dc.contributor.authorChang, KCen_HK
dc.contributor.authorAu, KFen_HK
dc.date.accessioned2010-09-06T09:23:55Z-
dc.date.available2010-09-06T09:23:55Z-
dc.date.issued2010en_HK
dc.identifier.citationArchives Of Internal Medicine, 2010, v. 170 n. 3, p. 287-292en_HK
dc.identifier.issn0003-9926en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86999-
dc.description.abstractBackground: Increasing evidence has incriminated active smoking as a causal factor for tuberculosis (TB). However, the effect of secondhand tobacco smoke exposure on TB has not been similarly elucidated. Methods: A cohort of 15 486 female never-smokers aged 65 to 74 years and living with their surviving husband were enrolled at 18 Elderly Health Centers in Hong Kong from 2000 to 2003 and followed up prospectively through linkage with the territory-wide TB notification registry and death registry for TB and death until December 31, 2008, using an identity card number as a unique identifier. The relationship between passive smoking and the development of TB was assessed with adjustment for other baseline characteristics. Results: Passive exposure to secondhand tobacco smoke in the household was independently associated with obstructive lung disease (odds [OR], 1.43; 95% confidence interval [CI], 1.16-1.77) and diabetes mellitus (OR, 1.13; 95% CI, 1.02-1.26) at baseline and with the development of both active TB (hazard ratio [HR], 1.49; 95% CI, 1.01-2.19) and culture-confirmed TB (HR, 1.70; 95% CI, 1.04-2.80) on prospective follow-up after potentially confounding background variables were controlled for. Passive smoking accounted for 13.7% of active TB and for 18.5% of culture-positive TB in this cohort. Conclusions: Similar to active smoking, passive exposure to secondhand tobacco smoke in the household also predisposes to the development of TB. Increased emphasis should therefore be put on tobacco control in national TB programs. ©2010 American Medical Association. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherAmerican Medical Association. The Journal's web site is located at http://www.archinternmed.comen_HK
dc.relation.ispartofArchives of Internal Medicineen_HK
dc.subject.meshAgeden_HK
dc.subject.meshConfidence Intervalsen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshFollow-Up Studiesen_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshIncidenceen_HK
dc.subject.meshPrognosisen_HK
dc.subject.meshProportional Hazards Modelsen_HK
dc.subject.meshRetrospective Studiesen_HK
dc.subject.meshRisk Factorsen_HK
dc.subject.meshTobacco Smoke Pollution - adverse effectsen_HK
dc.subject.meshTuberculosis - epidemiology - etiologyen_HK
dc.titlePassive smoking and tuberculosisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0003-9926&volume=170&issue=3&spage=287&epage=292&date=2010&atitle=Passive+Smoking+and+Tuberculosisen_HK
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1001/archinternmed.2009.506en_HK
dc.identifier.pmid20142576en_HK
dc.identifier.scopuseid_2-s2.0-76149121478en_HK
dc.identifier.hkuros168860en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-76149121478&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume170en_HK
dc.identifier.issue3en_HK
dc.identifier.spage287en_HK
dc.identifier.epage292en_HK
dc.identifier.eissn2168-6114-
dc.identifier.isiWOS:000274291100011-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLeung, CC=7402612644en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridHo, KS=7403581605en_HK
dc.identifier.scopusauthoridYew, WW=7005934631en_HK
dc.identifier.scopusauthoridTam, CM=7201442997en_HK
dc.identifier.scopusauthoridChan, WM=7403914485en_HK
dc.identifier.scopusauthoridLaw, WS=7103147875en_HK
dc.identifier.scopusauthoridChan, CK=7404813960en_HK
dc.identifier.scopusauthoridChang, KC=7404878870en_HK
dc.identifier.scopusauthoridAu, KF=35763716800en_HK
dc.identifier.citeulike6668272-

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