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Assessment of association between smoking and all-cause mortality among Malaysian adult population: Findings from a retrospective cohort study.
- Source :
-
Tobacco Induced Diseases . May2022, Vol. 20, p1-10. 10p. - Publication Year :
- 2022
-
Abstract
- INTRODUCTION Smoking is a known risk factor for many chronic diseases. Illness and death due to smoking are a significant public health burden in many countries. This study aims to address the information gap in smoking-related mortality in Malaysia by estimating the risk of cardiovascular disease and all-cause mortalities due to smoking among Malaysian adults. METHODS We analyzed data on 2525 respondents, aged 24-64 years, of the Malaysian Non-Communicable Disease Surveillance survey conducted September 2005 to February 2006. Mortality records from the Malaysian National Registration Department were linked to the MYNCDS-1 data to determine respondents' mortality status over 12 years from 2006 to 2018. Associations between smoking and all-cause mortalities were assessed using Cox proportional hazards regression with adjustments for non-communicable disease and sociodemographic and lifestyle factors. RESULTS The prevalence of daily smoking was 21.2% (95% CI: 19.0-23.7). During the 31668 person-years follow-up, 213 deaths from all causes occurred, where 68 deaths were among smokers (13.2%), and 452 were among non-smokers (6.3%). Smoking was associated with a significantly increased risk of all-cause mortality (adjusted hazard ration, AHR=1.79; 95% CI: 1.12- 2.97). These associations remained significant after excluding mortalities in the first two years of follow-up. CONCLUSIONS Daily smoking is associated with a significantly higher risk of all-cause death. Behavioral and pharmacological smoking cessation interventions should be intensified among smokers to reduce the risk of mortality. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CAUSES of death
*CARDIOVASCULAR diseases risk factors
*NON-communicable diseases
*PATIENT aftercare
*CLUSTER sampling
*CONFIDENCE intervals
*RETROSPECTIVE studies
*REGRESSION analysis
*DISEASE prevalence
*DESCRIPTIVE statistics
*QUESTIONNAIRES
*KAPLAN-Meier estimator
*CHI-squared test
*SMOKING
*SOCIODEMOGRAPHIC factors
*DATA analysis software
*LONGITUDINAL method
*PROPORTIONAL hazards models
*ADULTS
Subjects
Details
- Language :
- English
- ISSN :
- 20707266
- Volume :
- 20
- Database :
- Academic Search Index
- Journal :
- Tobacco Induced Diseases
- Publication Type :
- Academic Journal
- Accession number :
- 157555540
- Full Text :
- https://doi.org/10.18332/tid/147656