Continued Increases in the Relative Risk of Death From Smoking.

Objectives. We examined changes in the relative risk of death among current and former smokers over recent decades in the United States. Methods. Data from the National Health Interview Survey (NHIS) and National Health and Nutrition Examination Survey (NHANES) were linked to subsequent deaths. We c...

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Publicado en:American Journal of Public Health Vol. 102; no. 11; pp. 2181 - 2187
Autores principales: Mehta, Neil, Preston, Samuel
Formato: Journal Article
Publicado: American Public Health Association Nov2012
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2012
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      pub: American Public Health Association
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        10.2105/AJPH.2011.300489
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        atl: Continued Increases in the Relative Risk of Death From Smoking.
      aug:
        au:
          Mehta, Neil
          Preston, Samuel
      su:
        United States
        Mortality
        Age distribution
        Epidemiology
        Sex distribution
        Smoking
        Mortality risk factors
        Surveys
        Comparative studies
        Confidence intervals
        Research funding
        Time
        Logistic regression analysis
        Death certificates
        Data analysis
        Secondary analysis
        Relative medical risk
        Research bias
        Trend analysis
        Statistical models
        Descriptive statistics
      sug:
        subj:
          Mortality
          Age distribution
          Epidemiology
          Sex distribution
          Smoking
          United States
          Mortality risk factors
          Surveys
          Comparative studies
          Confidence intervals
          Research funding
          Time
          Logistic regression analysis
          Death certificates
          Data analysis
          Secondary analysis
          Relative medical risk
          Research bias
          Trend analysis
          Statistical models
          Descriptive statistics
      ab: Objectives. We examined changes in the relative risk of death among current and former smokers over recent decades in the United States. Methods. Data from the National Health Interview Survey (NHIS) and National Health and Nutrition Examination Survey (NHANES) were linked to subsequent deaths. We calculated age-standardized death rates by gender and smoking status, and estimated multivariate discrete time logit regression models. Results. The risk of death for a smoker compared with that for a never-smoker increased by 25.4% from 1987 to 2006 based on NHIS data. Analysis of NHANES data from 1971 to 2006 showed an even faster annual increase in the relative risk of death for current smokers. Former smokers also showed an increasing relative risk of death, although the increase was slower than that among current smokers and not always statistically significant. These trends were not related to increasing educational selectivity of smokers or increased smoking intensity or duration among current smokers. Smokers may have become more adversely selected on other health-related variables. Conclusions. A continuing increase in the relative risk of death for current and former smokers suggests that the contribution of smoking to national mortality patterns is not decreasing as rapidly as would be implied by the decreasing prevalence of smoking among Americans.
      pubtype: Academic Journal
      doctype: Journal Article
      src: R
    language: English
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