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    Association of smoking and smoking cessation with major causes of mortality in the Asia Pacific Region: The Asia Pacific Cohort Studies Collaboration

    Access Status
    Fulltext not available
    Authors
    Barzi, F.
    Huxley, Rachel
    Jamrozik, K.
    Lam, T.
    Ueshima, H.
    Gu, D.
    Kim, H.
    Woodward, M.
    Date
    2008
    Type
    Journal Article
    
    Metadata
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    Citation
    Barzi, F. and Huxley, R. and Jamrozik, K. and Lam, T. and Ueshima, H. and Gu, D. and Kim, H. et al. 2008. Association of smoking and smoking cessation with major causes of mortality in the Asia Pacific Region: The Asia Pacific Cohort Studies Collaboration. Tobacco Control. 17 (3): pp. 166-172.
    Source Title
    Tobacco Control
    DOI
    10.1136/tc.2007.023457
    ISSN
    0964-4563
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/25326
    Collection
    • Curtin Research Publications
    Abstract

    Background: Although the dangers of smoking, and the benefits of quitting, are well established and understood in the West, smoking remains popular among Asian men. We investigated the associations between smoking (including ex-smoking) and major causes of mortality in Asian men and women, and compared with Australians and New Zealanders (ANZ). Methods: An overview of 34 cohort studies in the Asia Pacific region involving 512 676 individuals (81% from Asia), followed up for a median of 6.7 years (20 804 deaths). Results: Mortality rates for cause-specific and all causes of mortality were systematically higher for current compared with never smokers. Hazard ratios (HR) for overall and cause-specific mortality comparing current-smokers with never smokers, ex- smokers with current-smokers and comparing numbers of cigarettes smoked per day, were higher for ANZ than Asia (p<0.001). For overall mortality, the HR (95% CI) comparing current-smoking with not was 1.37 (1.23 to 1.53) and 1.33 (1.26 to 1.40) in Asian men and women respectively. The corresponding figures in ANZ were 1.95 (1.81 to 2.09) and 1.85 (1.69 to 2.02). The HR for quitting in ANZ was 0.67 (0.63 to 0.71) and 0.66 (0.58 to 0.74) in men and women respectively. Quitting smoking had a significant benefit among Asian men, the HR was 0.88 (0.81 to 0.97) after ignoring the first 3 years of follow-up. There was no evidence of benefit for Asian women, for whom exsmoking is rare. Conclusions: Allowing for the recent uptake of smoking in Asia, its effects are comparable to those observed in ANZ. Stringent tobacco control measures and smoking cessation strategies are urgently required in Asia.

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