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Association between Smoking and Mortality: Khon Kaen Cohort Study, Thailand

  • Kamsa-ard, Siriporn (Department of Biostatistics and Demography, Faculty of Medicine, Khon Kaen University) ;
  • Promthet, Supannee (Department of Epidemiology, Faculty of Public Health, Khon Kaen University) ;
  • Lewington, Sarah (Clinical Trial Service Unit and Epidemiological Studies Unit, University of Oxford) ;
  • Burrett, Julie Ann (Clinical Trial Service Unit and Epidemiological Studies Unit, University of Oxford) ;
  • Sherliker, Paul (Clinical Trial Service Unit and Epidemiological Studies Unit, University of Oxford) ;
  • Kamsa-ard, Supot (Cancer Unit, Faculty of Medicine, Khon Kaen University) ;
  • Wiangnon, Surapon (Department of Pediatrics, Faculty of Medicine, Khon Kaen University) ;
  • Parkin, Donald Maxwell (Clinical Trial Service Unit and Epidemiological Studies Unit, University of Oxford)
  • 발행 : 2013.04.30

초록

Background: Despite anti-smoking campaigns, smoking prevalence among Thai males aged 30 or older is high, at around 50%. The purpose of this study was to determine the relationship between smoking and mortality in a rural Thai community. Materials and Methods: Subjects enrolled into the Khon Kaen cohort study between 1990 and 2001 were followed up for their vital status until $16^{th}$ March 2012. The death resource was from the Bureau of Policy and Strategy, Ministry of Interior, Thailand. A Cox proportional hazards model was used to analyse the association between smoking and death, controlling for age, education level and alcohol drinking, and confidence intervals were calculated using the floating risk method. Results: The study recruited 5,962 male subjects, of whom 1,396 died during a median 13.5 years of follow-up. Current smokers were more likely to die than never smokers after controlling for age, education level and alcohol drinking (HR, 95%CI: 1.41, 1.32-1.51), and the excess mortality was greatest for lung cancer (HR, 95%CI: 3.51, 2.65-4.66). However, there was no increased risk with increasing dose of tobacco, and no difference in risk between smokers of yamuan (hand-rolled cigarettes) and manufactured tobacco. Conclusion: Mortality from cancer, particularly lung cancer, and from all causes combined is dependent on smoking status among men in rural Thailand, but the relative risks are lower than have been reported from studies in high income countries, where the tobacco epidemic is more established.

키워드

참고문헌

  1. Barzi F, Huxley R, Jamrozik K, 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. Tob Control, 17, 166-72. https://doi.org/10.1136/tc.2007.023457
  2. Benjakul S, Kengganpanich M, Termsirikulchai L, et al (2012). Global adult tobacco survey: 2011 GATS, Thailand. Bangkok, Thailand: Thammasat University. Retrieved from http://web.nso.go.th/en/survey/smoke/gats11.htm
  3. Cancer Research UK (2009). Tobacco, smoking and cancer: the evidence. Retrieved October 11, 2012.
  4. Doll R, Peto R, Boreham J, Sutherland I (2004). Mortality in relation to smoking: 50 years' observations on male British doctors. BMJ, 328, 1519-28. https://doi.org/10.1136/bmj.38142.554479.AE
  5. Easton DF, Peto J, Babiker AG (1991). Floating absolute risk: an alternative to relative risk in survival and case-control analysis avoiding an arbitrary reference group. Stat Med, 10, 1025-35. https://doi.org/10.1002/sim.4780100703
  6. Hozawa A, Ohkubo T, Yamaguchi J, et al (2004). Cigarette smoking and mortality in Japan: the Miyagi Cohort Study. J Epidemiol, 14, 12-7. https://doi.org/10.2188/jea.14.S12
  7. Kijsanayotin B (2011). Using health care service administrative data to improve national vital statistics: Thailand experiences. Presented at the United Nations Expert Group Meeting on International Standards for Civil Registration and Vital Statistics Systems, New York: Department of Economic and Social Affairs, United Nations Statistics Division.
  8. Lee PN, Forey BA, Coombs KJ (2012). Systematic review with meta-analysis of the epidemiological evidence in the 1900s relating smoking to lung cancer. BMC Cancer, 12, 385. https://doi.org/10.1186/1471-2407-12-385
  9. Lopez AD, Salomon J, Ahmad O, et al (1999). Life tables for 191 countries: data, method and results (GPE Discussion Paper Series No. 9). World Health Organization. Retrieved from cdr www.who.int/healthinfo/paper09.pdf
  10. Nakamura K, Huxley R, Ansary-Moghaddam A, Woodward M (2009). The hazards and benefits associated with smoking and smoking cessation in Asia: a meta-analysis of prospective studies. Tob Control, 18, 345-53. https://doi.org/10.1136/tc.2008.028795
  11. National Statistical Office Thailand (2004). Statistical Data. Retrieved July 18, 2012, from http://service.nso.go.th/nso/ nso_center/project/search_center/23project-th.htm
  12. National Statistical Office Thailand (2007). The 2007 cigarette smoking and alcoholic drinking behaviour survey. Retrieved September 19, 2012, from http://web.nso.go.th/en/survey/ smoke/smoke07.htm
  13. Plummer M (2004). Improved estimates of floating absolute risk. Stat Med, 23, 93-104. https://doi.org/10.1002/sim.1485
  14. Poomphakwaen K, Promthet S, Kamsa-Ard S, et al (2009). Risk factors for cholangiocarcinoma in Khon Kaen, Thailand: a nested case-control study. Asian Pac J Cancer Prev, 10, 251-8.
  15. Prescott E, Osler M, Andersen PK, et al (1998). Mortality in women and men in relation to smoking. Int J Epidemiol, 27, 27-32. https://doi.org/10.1093/ije/27.1.27
  16. Sangthong R, Wichaidit W, Ketchoo C (2012). Current situation and future challenges of Tob Control policy in Thailand. Tob Control, 21, 49-54. https://doi.org/10.1136/tc.2011.043331
  17. Songserm N, Promthet S, Sithithaworn P, et al (2012). Risk factors for cholangiocarcinoma in high-risk area of Thailand: role of lifestyle, diet and methylenetetrahydrofolate reductase polymorphisms. Cancer Epidemiol, 36, 89-94. https://doi.org/10.1016/j.canep.2011.04.005
  18. Sriamporn S, Parkin DM, Pisani P, et al (2005). A prospective study of diet, lifestyle, and genetic factors and the risk of cancer in Khon Kaen Province, northeast Thailand: description of the cohort. Asian Pac J Cancer Prev, 6, 295-303.
  19. Sriamporn S, Setiawan V, Pisani P, et al (2002). Gastric cancer: the roles of diet, alcohol drinking, smoking and helicobacter pylori in Northeastern Thailand. Asian Pac J Cancer Prev, 3, 345-52.
  20. Thun MJ, Day-Lally C, Myers DG, et al (1996). Trends in Tobacco Smoking and Mortality From Cigarette Use in Cancer Prevention Studies I (1959 Through 1965) and II (1982 Through 1988). Retrieved from http://nccd.cdc. gov/shrl/ResourceDetails.aspx?currentPage=&Supplier No=97-0873
  21. Tob Control Laws (2012). Tob Control Laws: Country Details For Thailand. Retrieved July 18, 2012, from http://www. tobaccocontrollaws.org/legislation/country/thailand
  22. Vathesatogkit P (2012). Important information about cigarette in Thailand. Retrieved from http://www.healthcarethai.com
  23. World Health Organization, International Agency for Research on Cancer (2004). IARC Monographs on the Evaluation of Carcinogenic Risks to Humans (No. Volume 83). Lyon: International Agency for Research on Cancer. Retrieved from http://monographs.iarc.fr/ENG/Monographs/vol83/ mono83.pdf

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