TITLE

The combined effect of smoking tobacco and drinking alcohol on cause-specific mortality: a 30 year cohort study

AUTHOR(S)
Hart, Carole L.; Smith, George Davey; Gruer, Laurence; Watt, Graham C. M.
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10 Issue 1, p789
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Smoking and consuming alcohol are both related to increased mortality risk. Their combined effects on cause-specific mortality were investigated in a prospective cohort study. Methods: Participants were 5771 men aged 35-64, recruited during 1970-73 from various workplaces in Scotland. Data were obtained from a questionnaire and a screening examination. Causes of death were all cause, coronary heart disease (CHD), stroke, alcohol-related, respiratory and smoking-related cancer. Participants were divided into nine groups according to their smoking status (never, ex or current) and reported weekly drinking (none, 1-14 units and 15 or more). Cox proportional hazards models were used to obtain relative rates of mortality, adjusted for age and other risk factors. Results: In 30 years of follow-up, 3083 men (53.4%) died. Compared with never smokers who did not drink, men who both smoked and drank 15+ units/week had the highest all-cause mortality (relative rate = 2.71 (95% confidence interval 2.31-3.19)). Relative rates for CHD mortality were high for current smokers, with a possible protective effect of some alcohol consumption in never smokers. Stroke mortality increased with both smoking and alcohol consumption. Smoking affected respiratory mortality with little effect of alcohol. Adjusting for a wide range of confounders attenuated the relative rates but the effects of alcohol and smoking still remained. Premature mortality was particularly high in smokers who drank 15 or more units, with a quarter of the men not surviving to age 65. 30% of men with manual occupations both smoked and drank 15+ units/week compared with only 13% with non-manual ones. Conclusions: Smoking and drinking 15+ units/week was the riskiest behaviour for all causes of death.
ACCESSION #
57855116

 

Related Articles

  • Smoking pack years increase risk of coronary artery disease in high risk patients. Nguyen, A.; Adams, H.; Yap, N.; Gin, J.; Wilson, A. // Heart, Lung & Circulation;2015 Supplement 3, Vol. 24, pS165 

    No abstract available.

  • High caffeine intake does not raise CHD risk.  // GP: General Practitioner;5/5/2006, p4 

    This article focuses on a research study conducted in the United States, which revealed that drinking coffee does not increase CHD risk, even at very high consumption rates. Data from a 20-year follow-up of 44,005 men and 84,488 women found no evidence that coffee consumption increased the risk...

  • New guidelines support increased statin use for secondary prevention. Posey, L. Michael // Pharmacy Today;Aug2006, Vol. 12 Issue 8, p12 

    The article discusses the results of the Treating to New Targets study and American guidelines to support the aggressive lowering of Low-density Lipoprotein Cholesterol. The study found that atorvastatin (Lipitor) from Pfizer can lower the risk of cardiovascular events by about 25 percents....

  • The association between tobacco smoking and coronary heart disease. Stallones, Reuel A. // International Journal of Epidemiology;Jun2015, Vol. 44 Issue 3, p735 

    No abstract available.

  • A Logical Approach to Screening for Coronary Artery Disease. Detrano, Robert; Froelicher, Victor // Annals of Internal Medicine;Jun87, Vol. 106 Issue 6, p846 

    Presents a logical approach to screening for coronary artery disease. Reasons for screening; Definition of preclinical coronary disease; Screening tests for coronary artery disease.

  • Medicine in the News. Diloreto, Stacy // Patient Care for the Nurse Practitioner;Jun2002, Vol. 5 Issue 6, p4 

    The article presents news briefs on medical research. A position statement issued by the American Diabetes Association and the National Institute of Diabetes and Digestive and Kidney Diseases recommends prediabetes screening for all overweight patients. The American College of Cardiology 2002...

  • Screening does not cut cardiac risk for diabetics.  // GP: General Practitioner;4/17/2009, p3 

    The article reports on a research of screening for coronary artery disease (CAD) in patients with type-2 diabetes. According to the study, the screening does not reduce the rate of heart attacks or the number of cardiac deaths. Researchers also found further doubt over the effectiveness of...

  • CRP is a weak predictor of coronary heart disease. Danesh, J.; Wheeler, J. G.; Hirschfield, G. M. // BMJ: British Medical Journal (International Edition);8/7/2004, Vol. 329 Issue 7461, preceding p301 

    Presents an abstract of a medical study to evaluate whether C reactive protein is a good predictor of coronary heart disease. Use of C reactive protein as a screening test for coronary heart disease; Conclusion that C reactive protein is not a strong predictor of coronary heart disease.

  • Cigarette Smoking and Coronary Heart Disease. Kannel, W.B. // Annals of Internal Medicine;Jun64, Vol. 60 Issue 6, p1103 

    Editorial. Discusses the correlation between cigarette smoking and coronary heart disease. Cigarette industry's approach to the problem associated with cigarette smoking; Effects of inhaled tobacco smoke on the respiratory tract.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics