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Tobacco Use and Cardiovascular Disease among American Indians: The Strong Heart Study

Tobacco use among American Indians has a long and complicated history ranging from its utilization in spiritual ceremonies to its importance as an economic factor for survival. Despite this cultural tradition and long history, there are few studies of the health effects of tobacco in this population...

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Autores principales: Eichner, June E., Wang, Wenyu, Zhang, Ying, Lee, Elisa T., Welty, Thomas K.
Formato: Texto
Lenguaje:English
Publicado: Molecular Diversity Preservation International (MDPI) 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2996194/
https://www.ncbi.nlm.nih.gov/pubmed/21139862
http://dx.doi.org/10.3390/ijerph7103816
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author Eichner, June E.
Wang, Wenyu
Zhang, Ying
Lee, Elisa T.
Welty, Thomas K.
author_facet Eichner, June E.
Wang, Wenyu
Zhang, Ying
Lee, Elisa T.
Welty, Thomas K.
author_sort Eichner, June E.
collection PubMed
description Tobacco use among American Indians has a long and complicated history ranging from its utilization in spiritual ceremonies to its importance as an economic factor for survival. Despite this cultural tradition and long history, there are few studies of the health effects of tobacco in this population. The Strong Heart Study is a prospective observational study of cardiovascular disease (CVD) in 13 American Indian tribes in Arizona, Oklahoma, and North and South Dakota with 4,549 participants. Baseline examinations were followed by two examinations at regular intervals and 16 years of morbidity and mortality follow-up. Hazard ratios (HRs) for non-fatal CVD for current smokers vs. non-smokers after adjusting for other risk factors were significant in women (HR = 1.94, 95% CI 1.54 to 2.45) and men (HR = 1.59, 95% CI 1.16 to 2.18). Hazard ratios for fatal CVD for current smokers vs. non-smokers after adjusting for other risk factors were significant in women (HR = 1.64, 95% CI 1.04 to 2.58), but not in men. Individuals who smoked and who were diagnosed with diabetes mellitus, hypertension or renal insufficiency were more likely to quit smoking than those without these conditions. On average, American Indians smoke fewer cigarettes per day than other racial/ethnic groups; nevertheless, the ill effects of habitual tobacco use are evident in this population.
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spelling pubmed-29961942010-12-06 Tobacco Use and Cardiovascular Disease among American Indians: The Strong Heart Study Eichner, June E. Wang, Wenyu Zhang, Ying Lee, Elisa T. Welty, Thomas K. Int J Environ Res Public Health Article Tobacco use among American Indians has a long and complicated history ranging from its utilization in spiritual ceremonies to its importance as an economic factor for survival. Despite this cultural tradition and long history, there are few studies of the health effects of tobacco in this population. The Strong Heart Study is a prospective observational study of cardiovascular disease (CVD) in 13 American Indian tribes in Arizona, Oklahoma, and North and South Dakota with 4,549 participants. Baseline examinations were followed by two examinations at regular intervals and 16 years of morbidity and mortality follow-up. Hazard ratios (HRs) for non-fatal CVD for current smokers vs. non-smokers after adjusting for other risk factors were significant in women (HR = 1.94, 95% CI 1.54 to 2.45) and men (HR = 1.59, 95% CI 1.16 to 2.18). Hazard ratios for fatal CVD for current smokers vs. non-smokers after adjusting for other risk factors were significant in women (HR = 1.64, 95% CI 1.04 to 2.58), but not in men. Individuals who smoked and who were diagnosed with diabetes mellitus, hypertension or renal insufficiency were more likely to quit smoking than those without these conditions. On average, American Indians smoke fewer cigarettes per day than other racial/ethnic groups; nevertheless, the ill effects of habitual tobacco use are evident in this population. Molecular Diversity Preservation International (MDPI) 2010-10 2010-10-25 /pmc/articles/PMC2996194/ /pubmed/21139862 http://dx.doi.org/10.3390/ijerph7103816 Text en © 2010 by the authors; licensee Molecular Diversity Preservation International, Basel, Switzerland. http://creativecommons.org/licenses/by/3.0 This article is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).
spellingShingle Article
Eichner, June E.
Wang, Wenyu
Zhang, Ying
Lee, Elisa T.
Welty, Thomas K.
Tobacco Use and Cardiovascular Disease among American Indians: The Strong Heart Study
title Tobacco Use and Cardiovascular Disease among American Indians: The Strong Heart Study
title_full Tobacco Use and Cardiovascular Disease among American Indians: The Strong Heart Study
title_fullStr Tobacco Use and Cardiovascular Disease among American Indians: The Strong Heart Study
title_full_unstemmed Tobacco Use and Cardiovascular Disease among American Indians: The Strong Heart Study
title_short Tobacco Use and Cardiovascular Disease among American Indians: The Strong Heart Study
title_sort tobacco use and cardiovascular disease among american indians: the strong heart study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2996194/
https://www.ncbi.nlm.nih.gov/pubmed/21139862
http://dx.doi.org/10.3390/ijerph7103816
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