Passive smoking and mortality from aortic dissection or aneurysm

Kihara, Tomomi; Yamagishi, Kazumasa; Iso, Hiroyasu; Tamakoshi, Akiko

Passive smoking and mortality from aortic dissection or aneurysm

Kihara, Tomomi; Yamagishi, Kazumasa; Iso, Hiroyasu et al.

Atherosclerosis, 2017, 263, 145-150

Permalink : https://hdl.handle.net/2115/71135

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アクセス権	open access
URI	https://hdl.handle.net/2115/71135
タイトル	Passive smoking and mortality from aortic dissection or aneurysm
著者	Kihara, Tomomi ; Yamagishi, Kazumasa ; Iso, Hiroyasu ; Tamakoshi, Akiko
著者名 Kihara, Tomomi
著者名 Yamagishi, Kazumasa
e-Rad_Researcher 50223053 著者名 Iso, Hiroyasu
e-Rad_Researcher 90236737 著者名 Tamakoshi, Akiko
言語	英語
キーワード	Aorta
	Cardiovascular disease
	Epidemiology
	Environmental tobacco smoke
	Secondhand smoke
発行日	2017-08
出版者	Elsevier
収録物名	Atherosclerosis
巻(号)	263
ページ	145-150
抄録	Background and aims: Evidence on the association between passive smoking and risk of aortic dissection or aneurysm is limited. This study aimed to investigate whether passive smoking increases risk of mortality from aortic dissection or aneurysm. Methods: The Japan Collaborative Cohort (JACC) Study is a prospective community-based cohort study begun in 1988-90 and followed up to the end of 2009. We examined 48,677 individuals (mean age, 56 years; women, 46%) without history of stroke, coronary heart disease, or cancer, who provided valid responses to a lifestyle questionnaire including questions on active and passive smoking. We used 3 categories (passive smoking out of home, passive smoking at home, and passive smoking out of or at home combined) to divide never-smokers into 3 exposure groups: low, intermediate, and high exposures, respectively. The endpoint was underlying cause of death from aortic dissection or aneurysm. Results: During the median 19-year follow-up of 48,677 study participants, 66 died of aortic dissection, and 75 of aortic aneurysm. Multivariable hazard ratios (95% confidence intervals) for the high passive-smoking group as compared with the low passive-smoking group were 2.45 (1.02-5.88) out of home, 1.82 (0.84-3.96) at home, and 2.35 (1.09-5.09) out of or at home combined. The corresponding hazard ratios for current smokers as compared with the low passive-smoking group were 3.97 (2.14-7.39), 3.41 (1.84-6.32) and 4.09 (1.99-8.39), respectively. Conclusions: Out-of-home passive smoking and out-of-or at-home combined passive smoking were associated with increased mortality from aortic dissection or aneurysm.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
権利情報	© 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
PISSN	0021-9150
関連情報	PMID 28645070
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1016/j.atherosclerosis.2017.06.022