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Novel hazards of waterpipe tobacco and the benefits of stop smoking in men, a prospective cohort study

Waterpipe smoking is an emerging epidemic and a severe public health problem worldwide. Observational studies on the hazards of a specific new waterpipe tobacco product are timely needed. The objectives were to analyze how dangerous waterpipe tobacco smoking is on the causes of all mortality, includ...

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Autores principales: Kieu, Hung Dinh, Van Phan, Can, Tran, Hoc Hieu, Le, Ngoan Tran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163014/
https://www.ncbi.nlm.nih.gov/pubmed/37147355
http://dx.doi.org/10.1038/s41598-023-34388-1
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author Kieu, Hung Dinh
Van Phan, Can
Tran, Hoc Hieu
Le, Ngoan Tran
author_facet Kieu, Hung Dinh
Van Phan, Can
Tran, Hoc Hieu
Le, Ngoan Tran
author_sort Kieu, Hung Dinh
collection PubMed
description Waterpipe smoking is an emerging epidemic and a severe public health problem worldwide. Observational studies on the hazards of a specific new waterpipe tobacco product are timely needed. The objectives were to analyze how dangerous waterpipe tobacco smoking is on the causes of all mortality, including cancer, and how effective smoking cessation is for improving health. We analyzed the hazards of exclusive waterpipe smoking through a prospective cohort study in Northern Vietnam. We obtained exposure data on the smoking status of specific cigarette and waterpipe and smoking cessation histories from each study participant. The outcome includes deaths due to all causes. The cause of death for each case is determined based on medical records. HR (95%CI) was estimated using a Cox proportional-hazards–regression analysis for overall mortality and all cancers. The ever-cigarette smoking group as the reference group, the exclusive waterpipe smoking group had a statistical increase in the risk for overall mortality HR (95% CI): 1.63 (1.32, 2.00), and all cancers HR (95%CI): 1.67 (1.18, 2.38). The risk of death increased statistically in the group of waterpipe smoking over 20 years for overall mortality HR (95%CI): 1.82 (1.45, 2.29), and all cancers HR (95%CI): 1.91 (1.27, 2.88). After stopping smoking, the risk of death decreased steadily. The risk of death was reduced by 41% for overall mortality HR (95%CI): 0.59 (0.39, 0.89), and 74% for death from cancers HR (95%CI): 0.26 (0.08, 0.83) after ten years or longer of cessation. Life expectancy was shortened by more than six years for the group of exclusive waterpipe smokers compared to non-smokers. This study found new novel hazards of exclusive waterpipe tobacco smoking. The findings are scientific evidence for developing strategies, policies, and budget allocations to control this novel tobacco product and promote cessation to improve life expectancy.
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spelling pubmed-101630142023-05-07 Novel hazards of waterpipe tobacco and the benefits of stop smoking in men, a prospective cohort study Kieu, Hung Dinh Van Phan, Can Tran, Hoc Hieu Le, Ngoan Tran Sci Rep Article Waterpipe smoking is an emerging epidemic and a severe public health problem worldwide. Observational studies on the hazards of a specific new waterpipe tobacco product are timely needed. The objectives were to analyze how dangerous waterpipe tobacco smoking is on the causes of all mortality, including cancer, and how effective smoking cessation is for improving health. We analyzed the hazards of exclusive waterpipe smoking through a prospective cohort study in Northern Vietnam. We obtained exposure data on the smoking status of specific cigarette and waterpipe and smoking cessation histories from each study participant. The outcome includes deaths due to all causes. The cause of death for each case is determined based on medical records. HR (95%CI) was estimated using a Cox proportional-hazards–regression analysis for overall mortality and all cancers. The ever-cigarette smoking group as the reference group, the exclusive waterpipe smoking group had a statistical increase in the risk for overall mortality HR (95% CI): 1.63 (1.32, 2.00), and all cancers HR (95%CI): 1.67 (1.18, 2.38). The risk of death increased statistically in the group of waterpipe smoking over 20 years for overall mortality HR (95%CI): 1.82 (1.45, 2.29), and all cancers HR (95%CI): 1.91 (1.27, 2.88). After stopping smoking, the risk of death decreased steadily. The risk of death was reduced by 41% for overall mortality HR (95%CI): 0.59 (0.39, 0.89), and 74% for death from cancers HR (95%CI): 0.26 (0.08, 0.83) after ten years or longer of cessation. Life expectancy was shortened by more than six years for the group of exclusive waterpipe smokers compared to non-smokers. This study found new novel hazards of exclusive waterpipe tobacco smoking. The findings are scientific evidence for developing strategies, policies, and budget allocations to control this novel tobacco product and promote cessation to improve life expectancy. Nature Publishing Group UK 2023-05-05 /pmc/articles/PMC10163014/ /pubmed/37147355 http://dx.doi.org/10.1038/s41598-023-34388-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Kieu, Hung Dinh
Van Phan, Can
Tran, Hoc Hieu
Le, Ngoan Tran
Novel hazards of waterpipe tobacco and the benefits of stop smoking in men, a prospective cohort study
title Novel hazards of waterpipe tobacco and the benefits of stop smoking in men, a prospective cohort study
title_full Novel hazards of waterpipe tobacco and the benefits of stop smoking in men, a prospective cohort study
title_fullStr Novel hazards of waterpipe tobacco and the benefits of stop smoking in men, a prospective cohort study
title_full_unstemmed Novel hazards of waterpipe tobacco and the benefits of stop smoking in men, a prospective cohort study
title_short Novel hazards of waterpipe tobacco and the benefits of stop smoking in men, a prospective cohort study
title_sort novel hazards of waterpipe tobacco and the benefits of stop smoking in men, a prospective cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10163014/
https://www.ncbi.nlm.nih.gov/pubmed/37147355
http://dx.doi.org/10.1038/s41598-023-34388-1
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