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Cigarette smoking and risk of severe infectious respiratory diseases in UK adults: 12-year follow-up of UK biobank.

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  • معلومة اضافية
    • المصدر:
      Publisher: Oxford University Press Country of Publication: England NLM ID: 101188638 Publication Model: Print Cited Medium: Internet ISSN: 1741-3850 (Electronic) Linking ISSN: 17413842 NLM ISO Abbreviation: J Public Health (Oxf) Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: Oxford, UK : Oxford University Press, c2004-
    • الموضوع:
    • نبذة مختصرة :
      Background: The relevance of tobacco smoking for infectious respiratory diseases (IRD) is uncertain. We investigated the associations of cigarette smoking with severe IRD resulting in hospitalization or death in UK adults.
      Methods: We conducted a prospective study of cigarette smoking and risk of severe IRD in UK Biobank. The outcomes included pneumonia, other acute lower respiratory tract infections (OA-LRTI) and influenza. Multivariable Cox regression analyses were used to estimate hazard ratios (HRs) of severe IRD associated with smoking habits after adjusting for confounding factors.
      Results: Among 341 352 participants with no prior history of major chronic diseases, there were 12 384 incident cases with pneumonia, 7054 with OA-LRTI and 795 with influenza during a 12-year follow-up. Compared with non-smokers, current smoking was associated with ⁓2-fold higher rates of severe IRD (HR 2.40 [2.27-2.53] for pneumonia, 1.99 [1.84-2.14] for OA-LRTI and 1.82 [95% confidence interval: 1.47-2.24] for influenza). Incidence of all severe IRDs were positively associated with amount of cigarettes smoked. The HRs for each IRD (except influenza) also declined with increasing duration since quitting.
      Conclusions: Current cigarette smoking was positively associated with higher rates of IRD and the findings extend indications for tobacco control measures and vaccination of current smokers for prevention of severe IRD.
      (© The Author(s) 2023. Published by Oxford University Press on behalf of Faculty of Public Health.)
    • Comments:
      Comment in: J Public Health (Oxf). 2024 Feb 23;46(1):e177-e178. doi: 10.1093/pubmed/fdad151. (PMID: 37553095)
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    • Grant Information:
      H6R00460 UK Medical Research Council
    • Contributed Indexing:
      Keywords: health intelligence; morbidity and mortality; smoking
    • الموضوع:
      Date Created: 20230622 Date Completed: 20231204 Latest Revision: 20241107
    • الموضوع:
      20250114
    • الرقم المعرف:
      PMC10687597
    • الرقم المعرف:
      10.1093/pubmed/fdad090
    • الرقم المعرف:
      37347589