Association between Secondhand Smoke Exposure and the Incidence of Stroke in Never Smoker According to Alcohol Intake 19-Year Prospective Cohort Study in Korea

被引:0
作者
Jung, Eujene [1 ,2 ]
Kim, Ho Goon [3 ]
Kim, Dong Ki [1 ]
Ryu, Hyun Ho [1 ,2 ]
机构
[1] Chonnam Natl Univ, Med Sch, Dept Emergency Med, Gwangju, South Korea
[2] Chonnam Natl Univ Hosp, Dept Emergency Med, Gwangju, South Korea
[3] Chonnam Natl Univ, Med Sch, Dept Gastroenterol, Gwangju, South Korea
关键词
smoke; secondhand smoke; stroke; alcohol; ISCHEMIC-STROKE; PASSIVE SMOKING; TOBACCO-SMOKE; RISK; SPOUSES; DISEASE;
D O I
10.1097/JOM.0000000000003225
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives: Our study aimed to investigate both the independent and combined effects of secondhand smoking (SHS) and alcohol intake on the occurrence of stroke. Methods: Utilizing the Korean Genome Epidemiology Study prospective cohort data, our primary exposure variables were SHS exposure and alcohol intake. The occurrence of stroke served as the main outcome of interest. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using Cox regression analysis. To assess the synergistic influence of SHS and alcohol intake on stroke incidence, a joint test was conducted. Results: SHS exposure correlated with an HR of 1.53 (95% CI = 1.19 to 1.98) for stroke risk. The combined exposure to SHS and alcohol yielded an elevated stroke risk, with an HR of 1.75 (95% CI = 1.20 to 2.55). Conclusions: Our research highlights the combined influence of SHS exposure and alcohol intake on stroke susceptibility.
引用
收藏
页码:e630 / e634
页数:5
相关论文
共 24 条
[1]   Aspiration Pneumonia After Stroke: Intervention and Prevention [J].
Armstrong, John R. ;
Mosher, Benjamin D. .
NEUROHOSPITALIST, 2011, 1 (02) :85-93
[2]   Cardiovascular effects of secondhand smoke - Nearly as large as smoking [J].
Barnoya, J ;
Glantz, SA .
CIRCULATION, 2005, 111 (20) :2684-2698
[3]   Passive smoking as well as active smoking increases the risk of acute stroke [J].
Bonita, R ;
Duncan, J ;
Truelsen, T ;
Jackson, RT ;
Beaglehole, R .
TOBACCO CONTROL, 1999, 8 (02) :156-160
[4]   Second-Hand Tobacco Smoke and Cardiovascular Disease Risk An Epidemiological Review [J].
Dunbar, Andrew ;
Gotsis, William ;
Frishman, William .
CARDIOLOGY IN REVIEW, 2013, 21 (02) :94-100
[5]   Meta-analysis of the association between second-hand smoke exposure and ischaemic heart diseases, COPD and stroke [J].
Fischer, Florian ;
Kraemer, Alexander .
BMC PUBLIC HEALTH, 2015, 15
[6]   Biological evidence for the acute health effects of secondhand smoke exposure [J].
Flouris, Andreas D. ;
Vardavas, Constantine I. ;
Metsios, Giorgos S. ;
Tsatsakis, Aristidis M. ;
Koutedakis, Yiannis .
AMERICAN JOURNAL OF PHYSIOLOGY-LUNG CELLULAR AND MOLECULAR PHYSIOLOGY, 2010, 298 (01) :L3-L12
[7]   STROKE AND ALCOHOL-CONSUMPTION [J].
GILL, JS ;
ZEZULKA, AV ;
SHIPLEY, MJ ;
GILL, SK ;
BEEVERS, DG .
NEW ENGLAND JOURNAL OF MEDICINE, 1986, 315 (17) :1041-1046
[8]   Prevention of a first stroke - A review of guidelines and a multidisciplinary consensus statement from the National Stroke Association [J].
Gorelick, PB ;
Sacco, RL ;
Smith, DB ;
Alberts, M ;
Mustone-Alexander, L ;
Rader, D ;
Ross, JL ;
Raps, E ;
Ozer, MN ;
Brass, LM ;
Malone, ME ;
Goldberg, S ;
Booss, J ;
Hanley, DF ;
Toole, JF ;
Greewold, NL ;
Rhew, DC .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 281 (12) :1112-1120
[9]   Brief secondhand smoke exposure depresses endothelial progenitor cells activity and endothelial function [J].
Heiss, Christian ;
Amabile, Nicolas ;
Lee, Andrew C. ;
Real, Wendy May ;
Schick, Suzaynn F. ;
Lao, David ;
Wong, Maelene L. ;
Jahn, Sarah ;
Angeli, Franca S. ;
Minasi, Petros ;
Springer, Matthew L. ;
Hammond, S. Katharine ;
Glantz, Stanton A. ;
Grossman, William ;
Balmes, John R. ;
Yeghiazarians, Yerem .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2008, 51 (18) :1760-1771
[10]   The immunology of stroke: from mechanisms to translation [J].
Iadecola, Costantino ;
Anrather, Josef .
NATURE MEDICINE, 2011, 17 (07) :796-808