WorldWideScience

Sample records for adult smoking trends

  1. Trends in Smoking among Adolescents and Young Adults in the United Kingdom: Implications for Health Education

    Science.gov (United States)

    Sandford, Amanda

    2008-01-01

    Purpose: The purpose of this paper is to examine trends in smoking prevalence among adolescents and young adults in the UK and to identify any developments in health education theory and practice relating to adolescent tobacco use since 2000. The implications of such research are discussed. Design/methodology/approach: A literature search was…

  2. Waterpipe Tobacco Smoking in Turkey: Policy Implications and Trends from the Global Adult Tobacco Survey (GATS).

    Science.gov (United States)

    Erdöl, Cevdet; Ergüder, Toker; Morton, Jeremy; Palipudi, Krishna; Gupta, Prakash; Asma, Samira

    2015-12-01

    Waterpipe tobacco smoking (WTS) is an emerging tobacco product globally, especially among adolescents and young adults who may perceive WTS as a safe alternative to smoking cigarettes. Monitoring the use of WTS in Turkey in relation to the tobacco control policy context is important to ensure that WTS does not become a major public health issue in Turkey. The Global Adult Tobacco Survey (GATS) was conducted in Turkey in 2008 and was repeated in 2012. GATS provided prevalence estimates on current WTS and change over time. Other indicators of WTS were also obtained, such as age of initiation and location of use. Among persons aged 15 and older in Turkey, the current prevalence of WTS decreased from 2.3% in 2008 to 0.8% in 2012, representing a 65% relative decline. Among males, WTS decreased from 4.0% to 1.1% (72% relative decline). While the overall smoking prevalence decreased among females, there was no change in the rate of WTS (0.7% in 2008 vs. 0.5% in 2012), though the WTS prevalence rate was already low in 2008. Comprehensive tobacco control efforts have been successful in reducing the overall smoking prevalence in Turkey, which includes the reduction of cigarette smoking and WTS. However, it is important to continue monitoring the use of waterpipes in Turkey and targeting tobacco control efforts to certain groups that may be vulnerable to future WTS marketing (e.g., youth, women). PMID:26670238

  3. Waterpipe Tobacco Smoking in Turkey: Policy Implications and Trends from the Global Adult Tobacco Survey (GATS).

    Science.gov (United States)

    Erdöl, Cevdet; Ergüder, Toker; Morton, Jeremy; Palipudi, Krishna; Gupta, Prakash; Asma, Samira

    2015-12-08

    Waterpipe tobacco smoking (WTS) is an emerging tobacco product globally, especially among adolescents and young adults who may perceive WTS as a safe alternative to smoking cigarettes. Monitoring the use of WTS in Turkey in relation to the tobacco control policy context is important to ensure that WTS does not become a major public health issue in Turkey. The Global Adult Tobacco Survey (GATS) was conducted in Turkey in 2008 and was repeated in 2012. GATS provided prevalence estimates on current WTS and change over time. Other indicators of WTS were also obtained, such as age of initiation and location of use. Among persons aged 15 and older in Turkey, the current prevalence of WTS decreased from 2.3% in 2008 to 0.8% in 2012, representing a 65% relative decline. Among males, WTS decreased from 4.0% to 1.1% (72% relative decline). While the overall smoking prevalence decreased among females, there was no change in the rate of WTS (0.7% in 2008 vs. 0.5% in 2012), though the WTS prevalence rate was already low in 2008. Comprehensive tobacco control efforts have been successful in reducing the overall smoking prevalence in Turkey, which includes the reduction of cigarette smoking and WTS. However, it is important to continue monitoring the use of waterpipes in Turkey and targeting tobacco control efforts to certain groups that may be vulnerable to future WTS marketing (e.g., youth, women).

  4. Young Adult Smoking Behavior

    Science.gov (United States)

    Ling, Pamela M.; Neilands, Torsten B.; Glantz, Stanton A.

    2009-01-01

    Background Young adults have the highest smoking rate of any age group in the U.S., and new strategies to decrease young adult smoking are needed. The objective of the current study was to identify psychographic and demographic factors associated with current smoking and quitting behaviors among young adults. Methods Attitudes, social groups, and self-descriptors, including supporting action against the tobacco industry, advertising receptivity, depression, alcohol use, and other factors associated with smoking were tested for associations with smoking behaviors in a 2005 cross-sectional survey of 1528 young adults (aged 18–25 years) from a web-enabled panel. Analyses were conducted in 2007. Results Being older was associated with current smoking, whereas having some higher education and being African American or Hispanic were negatively associated with smoking. Supporting action against the tobacco industry was negatively associated with smoking (AOR=0.34 [95% CI=0.22, 0.52]). Perceived usefulness of smoking, exposure to smokers, increased perceived smoking prevalence, receptivity to tobacco advertising, binge drinking, and exposure to tobacco advertising in bars and clubs were associated with smoking. Supporting action against the tobacco industry was associated with intentions to quit smoking (AOR= 4.43 [95% CI=2.18, 8.60]). Conclusions Young adults are vulnerable to tobacco-industry advertising. Media campaigns that denormalize the tobacco industry and appeal to young adults appear to be a powerful intervention to decrease young adult smoking. PMID:19269128

  5. Trends in smoking prevalence in Danish adults, 1964-1994. The influence of gender, age, and education

    DEFF Research Database (Denmark)

    Osler, M; Prescott, E; Gottschau, A;

    1998-01-01

    BACKGROUND: Studies of time trends in smoking prevalence provide a better understanding of the determinants of smoking. The present study analyses changes over time in the prevalence of smoking and heavy smoking in relation to sex, age, and education. METHODS: Data on smoking behaviour were...... the effects of sex, age, education, time period, and study group on the prevalence of smoking and of heavy smoking were assessed. RESULTS: Smoking was least prevalent in women, in the oldest age group (more than 70 years), and among those with 8 years or more of school education. During the study period (from......, and among the well educated. During the study period, the unadjusted prevalence of heavy smoking decreased from 52% to 38% in men, while it increased from 17% to 21% in women. The multivariate analysis showed that the time trend for heavy smoking only depended on sex, while educational attainment and age...

  6. Smoking and Older Adults

    Centers for Disease Control (CDC) Podcasts

    2008-10-27

    This podcast discusses the importance of older adults quitting smoking and other tobacco products. It is primarily targeted to public health and aging services professionals.  Created: 10/27/2008 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 11/20/2008.

  7. Trends in leisure time physical activity, smoking, body mass index and alcohol consumption in Danish adults with and without diabetes

    DEFF Research Database (Denmark)

    Molsted, Stig; Johnsen, Nina Føns; Snorgaard, Ole

    2014-01-01

    AIMS: In recent decades there has been an increased focus on non-pharmacological treatment of diabetes. The aim of this study was to investigate trends in leisure time physical activity (PA), smoking, body mass index (BMI), and alcohol consumption reported in 2000, 2005 and 2010 by Danish subjects...... with diabetes. METHODS: Data comprised level of leisure time PA (inactive; moderate active; medium active; high active); smoking; BMI; and alcohol consumption, provided by The Danish Health and Morbidity Surveys. Participants older than 45 years with or without diabetes were included from cross...... was reduced from 27.2% to 16.4%, p=0.015, in women with diabetes. In men with diabetes, BMI increased from 27.2 ± 4.0 to 28.6 ± 5.1 kgm(-2), p=0.003, and men who exceeded the maximum recommendation for alcohol consumption increased from 9.4% to 19.0%, p=0.007. The leisure time PA level was reduced...

  8. Quitting Smoking for Older Adults

    Science.gov (United States)

    ... Related Topics Alcohol Use and Older Adults COPD Lung Cancer The information in this topic was provided by the National Cancer Institute Topic last reviewed: June 2014 For an enhanced version of this page please turn Javascript on. Quitting Smoking for Older ...

  9. Smoking trend indicators in Brazilian capitals, 2006-2013

    Directory of Open Access Journals (Sweden)

    Deborah Carvalho Malta

    2015-03-01

    Full Text Available This study aims to analyze the trend of indicators related to smoking in the capitals of Brazil from 2006 to 2013. Information on smoking trends extracted from the survey of risk and protective factors for chronic non-communicable diseases (NCDs are analyzed through telephone interviews - VIGITEL conducted from 2006-2013 for the adult population in Brazilian capitals. To estimate the trend, the simple linear regression model was used. The prevalence of smokers in Brazil showed a relative reduction of 0.62% for each year of the survey, ranging from 15.6% in 2006 to 11.3% in 2013. A decrease was observed in both sexes in all age ranges except between 55 and 64 years in all education levels and regions. The total population of former smokers remained stable, with a reduction for men. Smoking 20 or more cigarettes per day decreased from 4.6% (2006 to 3.4% (2013, or 0.162 percentage points per year. Passive smoking at home decreased among women 13.4% (2009 to 10.7% (2013, a reduction of 0.72% per annum. Passive smoking at work has remained stable over the period. The smoking trend reduced in the period in most indicators, reflecting the importance of the tobacco control actions in the country.

  10. Smoking behaviour among young adults: beyond youth prevention

    OpenAIRE

    Hammond, D.

    2005-01-01

    Objective: There is a widespread assumption that smoking behaviour is largely established by the age of 18 years. As a result, smoking prevention has focused almost exclusively upon youth. However, recent trends suggest that young adulthood may be an important—and largely overlooked—period in the development of regular smoking behaviour. The current study sought to examine patterns of tobacco use among young adults (aged 18–29 years) and to address the implications for tobacco control policy....

  11. Time trends in leisure time physical activity, smoking, alcohol consumption and body mass index in Danish adults with and without COPD

    DEFF Research Database (Denmark)

    Hansen, Henrik; Johnsen, Nina Føns; Molsted, Stig

    2016-01-01

    , alcohol consumption, BMI and sociodemographic characteristics. Participants aged 25 years or older with and without COPD were included in the analyses. RESULTS: In multiple logistic regression analyses, odds ratio (OR) of being physically active in the leisure time in 2010 compared to 2000 was 1.70 (95......BACKGROUND: Promotion of a healthy lifestyle and non-pharmacological interventions in the treatment of chronic obstructive pulmonary disease (COPD) has received great attention in recent decades. The aim of this study was to investigate trends in leisure time physical activity (PA), smoking.......001, and 0.74 kg · m(-2) (0.63-0.86), p physically active, non-smoking and not exceeding the recommended alcohol limits. CONCLUSION: From...

  12. Smoking Prevalence in Adults, 1984-2013

    Data.gov (United States)

    U.S. Department of Health & Human Services — Adult smoking prevalence in California, males and females aged 18+, starting in 1984. Caution must be used when comparing the percentages of smokers over time as...

  13. Smoking trends among adolescents from 1990 to 2002 in ten European countries and Canada

    Directory of Open Access Journals (Sweden)

    Schmid Holger

    2006-11-01

    Full Text Available Abstract Background Daily smoking adolescents are a public health problem as they are more likely to become adult smokers and to develop smoking-related health problems later on in their lives. Methods The study is part of the four-yearly, cross-national Health Behaviour in School-aged Children study, a school-based survey on a nationally representative sample using a standardised methodology. Data of 4 survey periods are available (1990–2002. Gender-specific daily smoking trends among 14–15 year olds are examined using logistic regressions. Sex ratios are calculated for each survey period and country. Interaction effects between period and gender are examined. Results Daily smoking prevalence in boys in 2002 ranges from 5.5% in Sweden to 20.0% in Latvia. Among girls, the daily smoking prevalence in 2002 ranges from 8.9% in Poland to 24.7% in Austria. Three daily smoking trend groups are identified: countries with a declining or stagnating trend, countries with an increasing trend followed by a decreasing trend, and countries with an increasing trend. These trend groups show a geographical pattern, but are not linked to smoking prevalence. Over the 4 surveys, the sex ratio has changed in Belgium, Switzerland, and Latvia. Conclusion Among adolescents in Europe, three groups of countries in a different stage of the smoking epidemic curve can be identified, with girls being in an earlier stage than boys. In 2002, large differences in smoking prevalence between the countries have been observed. This predicts a high mortality due to smoking over 20–30 years for some countries, if no policy interventions are taken.

  14. Adult Current Smoking: Differences in Definitions and Prevalence Estimates—NHIS and NSDUH, 2008

    Directory of Open Access Journals (Sweden)

    Heather Ryan

    2012-01-01

    Full Text Available Objectives. To compare prevalence estimates and assess issues related to the measurement of adult cigarette smoking in the National Health Interview Survey (NHIS and the National Survey on Drug Use and Health (NSDUH. Methods. 2008 data on current cigarette smoking and current daily cigarette smoking among adults ≥18 years were compared. The standard NHIS current smoking definition, which screens for lifetime smoking ≥100 cigarettes, was used. For NSDUH, both the standard current smoking definition, which does not screen, and a modified definition applying the NHIS current smoking definition (i.e., with screen were used. Results. NSDUH consistently yielded higher current cigarette smoking estimates than NHIS and lower daily smoking estimates. However, with use of the modified NSDUH current smoking definition, a notable number of subpopulation estimates became comparable between surveys. Younger adults and racial/ethnic minorities were most impacted by the lifetime smoking screen, with Hispanics being the most sensitive to differences in smoking variable definitions among all subgroups. Conclusions. Differences in current cigarette smoking definitions appear to have a greater impact on smoking estimates in some sub-populations than others. Survey mode differences may also limit intersurvey comparisons and trend analyses. Investigators are cautioned to use data most appropriate for their specific research questions.

  15. Allergic Sensitization, Rhinitis and Tobacco Smoke Exposure in US Adults.

    Directory of Open Access Journals (Sweden)

    Josef Shargorodsky

    Full Text Available Tobacco exposure has been linked with sinonasal pathology and may be associated with allergic sensitization. This study evaluates the association between exposure to active smoking or secondhand smoke (SHS and the prevalence of rhinitis and allergic sensitization in the US adult population.Cross-sectional study in 4,339 adults aged 20-85 in the National Health and Nutrition Examination Survey, 2005-2006. Never smoking was defined as reported lifetime smoking less than 100 cigarettes and serum cotinine levels 10 ng/mL. Self-reported rhinitis was based on symptoms during the past 12 months, and allergen sensitization was defined as a positive response to any of the 19 specific IgE antigens tested.Almost half of the population (43% had detectable levels of IgE specific to at least one inhaled allergen and 32% reported a history of rhinitis. After multivariate adjustment, there was a statistically significant association between the highest serum cotinine tertile and rhinitis in active smokers (OR 1.42; 95%CI 1.00-2.00. The association between active smoking and rhinitis was stronger in individuals without allergic sensitization (OR 2.47; 95%CI 1.44-4.23. There was a statistically significant association between increasing cotinine tertiles and decreased odds of inhaled allergen sensitization (p-trend <.01.Tobacco smoke exposure was associated with increased prevalence of rhinitis symptoms, but not with allergic sensitization. The results indicate that the relationship between tobacco smoke exposure and sinonasal pathology in adults may be independent of allergic sensitization.

  16. Adult Cigarette Smoking in the United States: Current Estimates

    Science.gov (United States)

    ... Health More CDC Sites Current Cigarette Smoking Among Adults in the United States Recommend on Facebook Tweet ... every day or some days. Current Smoking Among Adults in 2014 (Nation) By Gender 1 Men are ...

  17. Smoking among pregnant women in Cantabria (Spain: trend and determinants of smoking cessation

    Directory of Open Access Journals (Sweden)

    Mariscal Marcial

    2007-04-01

    Full Text Available Abstract Background Cantabria (Spain has one of the highest prevalence of smoking among women of the European Union. The objectives are to assess the trend of smoking during pregnancy in a five-year period and the determinants of smoking cessation during pregnancy in Cantabria. Methods A 1/6 random sample of all women delivering at the reference hospital of the region for the period 1998–2002 was drawn, 1559 women. Information was obtained from personal interview, clinical chart, and prenatal care records. In the analysis relative risks and 95% confidence intervals were estimated. Multivariable analysis was carried out using stepwise logistic regression. Results Smoking prior to pregnancy decreased from 53.6% in 1998 to 39.4% in 2002. A decrease in smoking cessation among women smoking at the beginning of pregnancy was observed, from 37.3% in 1998 to 20.6% in 2002. The mean number of cigarettes/day (cig/d before pregnancy remained constant, around 16 cig/d, whereas a slight trend to increase over time was seen, from 7.7 to 8.9 cig/d. In univariate analysis two variables favoured significantly smoking cessation, although they were not included in the stepwise logistic regression analysis, a higher education level and to be married. The logistic regression model included five significant predictors (also significant in univariate analysis: intensity of smoking, number of previous pregnancies, partner's smoking status, calendar year of study period (these four variables favoured smoking continuation, and adequate prenatal care (which increased smoking cessation. Conclusion The frequency of smoking among pregnant women is very high in Cantabria. As smoking cessation rate has decreased over time, a change in prenatal care programme on smoking counseling is needed. Several determinants of smoking cessation, such as smoking before pregnancy and partner's smoking, should be also addressed by community programmes.

  18. Tendencias del tabaquismo en adultos en México entre 1988 y 2008 Adult smoking trends in Mexico between 1988 and 2008

    Directory of Open Access Journals (Sweden)

    Francisco Franco-Marina

    2010-01-01

    Full Text Available Objetivo. Describir las tendencias, durante las pasadas dos décadas, de varios indicadores de tabaquismo y explorar si las políticas de contención de la epidemia de tabaquismo en México, implantadas desde 2004, han tenido ya un impacto favorable hacia 2008. Material y métodos. Se analizan las tendencias de datos comparables sobre la prevalencia de nunca fumadores y de fumadores diarios, utilizando las cinco encuestas nacionales de adicciones realizadas entre 1988 y 2008. En el análisis se incluye a personas entre 18 y 65 años de edad y se realizan ajustes por índice de marginación, edad y sexo. Resultados. Entre 2002 y 2008 aumentó en 19.6% el porcentaje de nunca fumadores y disminuyó 24.8% el porcentaje de fumadores diarios. Estos cambios fueron más importantes en los hombres que en las mujeres, pero en estas últimas se redujo en el mismo periodo en 21.1% el promedio de cigarrillos fumados a diario y se incrementó en 13.9% el porcentaje que había intentado dejar de fumar. La prevalencia de fumadores diarios se ha reducido más aceleradamente desde 2005, lo que coincide con el incremento en los impuestos a los cigarrillos. Conclusiones. Se observa en México, durante las dos últimas décadas, una tendencia al incremento del porcentaje de nunca fumadores y a la reducción del porcentaje de fumadores diarios. A pocos años de haberse implantado en México políticas de control del tabaquismo más efectivas, en particular el incremento en los impuestos al tabaco, se observan ya resultados favorables.Objetive. To describe the changes in several smoking indicators occurred in Mexico over the past two decades and to explore if the tobacco control policies implemented in Mexico, since 2004, show a favorable impact on tobacco consumption by 2008. Materials and Methods. We analyze trends in comparable data on the prevalence of never and daily smokers, using the five National Addiction Surveys conducted between 1988 and 2008. The analysis

  19. Community-level Adult Daily Smoking Prevalence Moderates the Association between Adolescents’ Cigarette Smoking and Perceived Smoking by Friends

    OpenAIRE

    Thrul, Johannes; Lipperman-Kreda, Sharon; Grube, Joel W.; FRIEND, KAREN B.

    2013-01-01

    Few studies have investigated the complex interactions among the individual- and community-level social risk factors that underlie adolescents’ smoking behaviors. This study investigated whether community-level adult daily smoking prevalence is associated with adolescents’ smoking and whether it moderates the associations between perceived friends’ smoking approval and smoking behavior and adolescents’ own smoking. Self-reported data from 1,190 youths (50.3% female; 13–18 years old) in 50 mid...

  20. Smoking and All-cause Mortality in Older Adults

    DEFF Research Database (Denmark)

    Müezzinler, Aysel; Mons, Ute; Gellert, Carolin;

    2015-01-01

    INTRODUCTION: Smoking is known to be a major cause of death among middle-aged adults, but evidence on its impact and the benefits of smoking cessation among older adults has remained limited. Therefore, we aimed to estimate the influence of smoking and smoking cessation on all-cause mortality...... risk factor for premature mortality in older individuals and cessation remains beneficial even at advanced ages. Efforts to support smoking abstinence at all ages should be a public health priority....

  1. Association between tobacco smoking and cognitive functioning in young adults

    DEFF Research Database (Denmark)

    Chamberlain, Samuel R; Odlaug, Brian Lawrence; Schreiber, Liana R N;

    2012-01-01

    Tobacco smoking represents a considerable public health burden globally. Smoking in older adults is associated with cognitive impairment and more rapid age-associated cognitive decline, but there is a paucity of studies in younger people....

  2. Impact of Home Smoking Rules on Smoking Patterns Among Adolescents and Young Adults

    OpenAIRE

    Pamela I. Clark, PhD; Michael W. Schooley, MPH; Bennett Pierce, MS; Jane Schulman, PhD; Anne M. Hartman, MS; Carol L. Schmitt, PhD

    2006-01-01

    Introduction Smoking restrictions in public places have been shown to reduce cigarette consumption and may reduce smoking prevalence. Evidence is emerging that smoke-free policies in nonpublic places may have a similar effect. The purpose of this study was to determine whether an association exists between household smoking rules and smoking patterns among adolescents (aged 15 to 18 years) and young adults (aged 19 to 24 years) living in parental homes (i.e., the homes of their parents, gran...

  3. Impact of Home Smoking Rules on Smoking Patterns Among Adolescents and Young Adults

    Directory of Open Access Journals (Sweden)

    Pamela I. Clark, PhD

    2006-03-01

    Full Text Available Introduction Smoking restrictions in public places have been shown to reduce cigarette consumption and may reduce smoking prevalence. Evidence is emerging that smoke-free policies in nonpublic places may have a similar effect. The purpose of this study was to determine whether an association exists between household smoking rules and smoking patterns among adolescents (aged 15 to 18 years and young adults (aged 19 to 24 years living in parental homes (i.e., the homes of their parents, grandparents, or foster parents. Methods Cross-sectional data from the 1998–1999 Tobacco Use Supplement to the Current Population Survey were analyzed for the association between household smoking rules and smoking behaviors among adolescents and young adults. We used a probability sample of noninstitutionalized adolescents (aged 15 to 18 years and young adults (aged 19 to 24 years living in the United States and assessed smoking status, attempts to quit, and smoking intensity. Results After controlling for smoking status of others in the household, the odds of ever having smoked, being a current smoker, and smoking more than five cigarettes per day were significantly smaller in households with strict no-smoking policies than in households where smoking was permitted anywhere. These results were relevant for adolescents and young adults. Conclusion Household smoking rules are a type of antitobacco socialization that help deter adolescents from smoking. The influence of household smoking rules seems to extend beyond adolescence into the young adult years among people who continue to live at home with their parents, grandparents, or foster parents.

  4. Correlates of Perceived Smoking Prevalence Among Korean American Emerging Adults.

    Science.gov (United States)

    Cerrada, Christian J; Unger, Jennifer B; Huh, Jimi

    2016-10-01

    Perceived smoking prevalence, a strong predictor of actual smoking behavior, may be influenced by the ethnicity and gender of the reference group presented to Korean American emerging adults. Self-identifying Korean and Korean Americans aged 18-25 (N = 475), were invited to complete a 15-20 min online survey about their attitudes towards smoking. Predictors of perceived smoking prevalence were evaluated separately for four reference groups: Caucasian Americans, Korean Americans in general, Korean American men, and Korean American women. Respondents' smoking status was associated with perceived smoking prevalence for all reference groups except Caucasian Americans, even among light smokers. Father's smoking status was associated with perceived smoking prevalence for Korean American men, only among females respondents. Findings suggest that ethnicity and gender of both the reference group and respondents influence smoking rate estimates. Tailoring intervention content to the target population's gender and ethnicity may be a way to enhance smoking prevention strategies. PMID:27075031

  5. Global trends of lung cancer mortality and smoking prevalence.

    Science.gov (United States)

    Islami, Farhad; Torre, Lindsey A; Jemal, Ahmedin

    2015-08-01

    Lung cancer killed approximately 1,590,000 persons in 2012 and currently is the leading cause of cancer death worldwide. There is large variation in mortality rates across the world in both males and females. This variation follows trend of smoking, as tobacco smoking is responsible for the majority of lung cancer cases. In this article, we present estimated worldwide lung cancer mortality rates in 2012 using the World Health Organization (WHO) GLOBOCAN 2012 and changes in the rates during recent decades in select countries using WHO Mortality Database. We also show smoking prevalence and trends globally and at the regional level. By region, the highest lung cancer mortality rates (per 100,000) in 2012 were in Central and Eastern Europe (47.6) and Eastern Asia (44.8) among males and in Northern America (23.5) and Northern Europe (19.1) among females; the lowest rates were in sub-Saharan Africa in both males (4.4) and females (2.2). The highest smoking prevalence among males is generally in Eastern and South-Eastern Asia and Eastern Europe, and among females is in European countries, followed by Oceania and Northern and Southern America. Many countries, notably high-income countries, have seen a considerable decrease in smoking prevalence in both males and females, but in many other countries there has been little decrease or even an increase in smoking prevalence. Consequently, depending on whether or when smoking prevalence has started to decline, the lung cancer mortality trend is a mixture of decreasing, stable, or increasing. Despite major achievements in tobacco control, with current smoking patterns lung cancer will remain a major cause of death worldwide for several decades. The main priority to reduce the burden of lung cancer is to implement or enforce effective tobacco control policies in order to reduce smoking prevalence in all countries and prevent an increase in smoking in sub-Saharan Africa and women in low- and middle-income countries (LMICs).

  6. Effect of Exposure to Smoking in Movies on Young Adult Smoking in New Zealand

    Science.gov (United States)

    Gendall, Philip; Hoek, Janet; Edwards, Richard; Glantz, Stanton

    2016-01-01

    Onscreen Smoking Is a Form of Tobacco Marketing Tobacco advertising has been prohibited in New Zealand since 1990, and the government has set a goal of becoming a smokefree nation by 2025. However, tobacco marketing persists indirectly through smoking in motion pictures, and there is strong evidence that exposure to onscreen smoking causes young people to start smoking. We investigated the relationship between exposure to smoking in movies and youth smoking initiation among New Zealand young adults. Data from an online survey of 419 smokers and non-smokers aged 18 to 25 were used to estimate respondents’ exposure to smoking occurrences in 50 randomly-selected movies from the 423 US top box office movies released between 2008 and 2012. Analyses involved calculating movie smoking exposure (MSE) for each respondent, using logistic regression to analyse the relationship between MSE and current smoking behaviour, and estimating the attributable fraction due to smoking in movies. Effect of Smoking in Movies on New Zealand Youth Exposure to smoking occurrences in movies was associated with current smoking status. After allowing for the influence of family, friends and co-workers, age and rebelliousness, respondents’ likelihood of smoking increased by 11% for every 100-incident increase in exposure to smoking incidents, (aOR1.11; psmoking in movies was 54%; this risk could be substantially reduced by eliminating smoking from movies currently rated as appropriate for youth. We conclude that exposure to smoking in movies remains a potent risk factor associated with smoking among young adults, even in a progressive tobacco control setting such as New Zealand. Harmonising the age of legal tobacco purchase (18) with the age at which it is legal to view smoking in movies would support New Zealand’s smokefree 2025 goal. PMID:26960189

  7. Adverse Childhood Experiences and Adult Smoking, Nebraska, 2011

    OpenAIRE

    Yeoman, Kristin; Safranek, Thomas; Buss, Bryan; Cadwell, Betsy L.; Mannino, David

    2013-01-01

    Introduction Smoking is a public health risk; the prevalence of smoking among adults in Nebraska is 18.4%. Studies indicate that maltreatment of children alters their brain development, possibly increasing risk for tobacco use. Previous studies have documented associations between childhood maltreatment and adult health behaviors, demonstrating the influence of adverse experiences on tobacco use. We examined prevalence and associations between adverse childhood experiences and smoking among N...

  8. Effect of Exposure to Smoking in Movies on Young Adult Smoking in New Zealand.

    Directory of Open Access Journals (Sweden)

    Philip Gendall

    Full Text Available Tobacco advertising has been prohibited in New Zealand since 1990, and the government has set a goal of becoming a smokefree nation by 2025. However, tobacco marketing persists indirectly through smoking in motion pictures, and there is strong evidence that exposure to onscreen smoking causes young people to start smoking. We investigated the relationship between exposure to smoking in movies and youth smoking initiation among New Zealand young adults. Data from an online survey of 419 smokers and non-smokers aged 18 to 25 were used to estimate respondents' exposure to smoking occurrences in 50 randomly-selected movies from the 423 US top box office movies released between 2008 and 2012. Analyses involved calculating movie smoking exposure (MSE for each respondent, using logistic regression to analyse the relationship between MSE and current smoking behaviour, and estimating the attributable fraction due to smoking in movies.Exposure to smoking occurrences in movies was associated with current smoking status. After allowing for the influence of family, friends and co-workers, age and rebelliousness, respondents' likelihood of smoking increased by 11% for every 100-incident increase in exposure to smoking incidents, (aOR1.11; p< .05. The estimated attributable fraction due to smoking in movies was 54%; this risk could be substantially reduced by eliminating smoking from movies currently rated as appropriate for youth. We conclude that exposure to smoking in movies remains a potent risk factor associated with smoking among young adults, even in a progressive tobacco control setting such as New Zealand. Harmonising the age of legal tobacco purchase (18 with the age at which it is legal to view smoking in movies would support New Zealand's smokefree 2025 goal.

  9. Movie smoking and youth initiation: parsing smoking imagery and other adult content.

    Directory of Open Access Journals (Sweden)

    Matthew C Farrelly

    Full Text Available OBJECTIVES: To isolate the independent influence of exposure to smoking and other adult content in the movies on youth smoking uptake. METHODS: We used discrete time survival analysis to quantify the influence of exposure to smoking and other adult content in the movies on transitioning from (1 closed to open to smoking; (2 never to ever trying smoking; and (3 never to ever hitting, slapping, or shoving someone on two or more occasions in the past 30 days. The latter is a comparative outcome, hypothesized to have no correlation with exposure to smoking in the movies. RESULTS: Assessed separately, both exposure to smoking imagery and exposure to adult content were associated with increased likelihood of youth becoming open to smoking (OR = 1.09, 95% CI: 1.04-1.15 and OR = 1.10, 95% CI: 1.04-1.17 and having tried smoking (OR = 1.06, 95% CI: 1.00-1.12 and OR = 1.06, 95% CI: 1.00-1.13. Both measures were also separately associated with aggressive behavior (OR = 1.09, 95% CI: 1.04-1.14 and OR = 1.09, 95% CI: 1.04-1.15. A very high correlation between the two measures (0.995, p<0.000 prevented an assessment of their independent effects on smoking initiation. CONCLUSION: Although exposure to smoking in the movies is correlated with smoking susceptibility and initiation, the high correlation between exposure to smoking in the movies and other adult content suggests that more research is needed to disentangle their independent influence on smoking.

  10. Measurement of environmental tobacco smoke exposure among adults with asthma.

    OpenAIRE

    Eisner, M D; Katz, P P; Yelin, E. H.; Hammond, S K; Blanc, P. D.

    2001-01-01

    Because the morbidity and mortality from adult asthma have been increasing, the identification of modifiable environmental exposures that exacerbate asthma has become a priority. Limited evidence suggests that exposure to environmental tobacco smoke (ETS) may adversely affect adults with asthma. To study the effects of ETS better, we developed a survey instrument to measure ETS exposure in a cohort of adults with asthma living in northern California, where public indoor smoking is limited. To...

  11. Adult Smoking Among People with Mental Illness PSA (:60)

    Centers for Disease Control (CDC) Podcasts

    2013-02-05

    This 60 second public service announcement is based on the February 2013 CDC Vital Signs report, which shows that cigarette smoking is a serious problem among adults with mental illness. More needs to be done to help adults with mental illness quit smoking and make mental health facilities tobacco-free.  Created: 2/5/2013 by Centers for Disease Control and Prevention (CDC).   Date Released: 2/5/2013.

  12. Smoking among Aboriginal adults in Sydney, Australia.

    Science.gov (United States)

    Arjunan, Punitha; Poder, Natasha; Welsh, Kerry; Bellear, LaVerne; Heathcote, Jeremy; Wright, Darryl; Millen, Elizabeth; Spinks, Mark; Williams, Mandy; Wen, Li Ming

    2016-04-01

    Issue addressed Tobacco consumption contributes to health disparities among Aboriginal Australians who experience a greater burden of smoking-related death and diseases. This paper reports findings from a baseline survey on factors associated with smoking, cessation behaviours and attitudes towards smoke-free homes among the Aboriginal population in inner and south-western Sydney. Methods A baseline survey was conducted in inner and south-western Sydney from October 2010 to July 2011. The survey applied both interviewer-administered and self-administered data collection methods. Multiple logistic regression was performed to determine the factors associated with smoking. Results Six hundred and sixty-three participants completed the survey. The majority were female (67.5%), below the age of 50 (66.6%) and more than half were employed (54.7%). Almost half were current smokers (48.4%) with the majority intending to quit in the next 6 months (79.0%) and living in a smoke-free home (70.4%). Those aged 30-39 years (AOR 3.28; 95% CI: 2.06-5.23) and the unemployed (AOR 1.67; 95% CI: 1.11-2.51) had higher odds for current smoking. Participants who had a more positive attitude towards smoke-free homes were less likely to smoke (AOR 0.79; 95% CI: 0.74-.85). Conclusions A high proportion of participants were current smokers among whom intention to quit was high. Age, work status and attitudes towards smoke-free home were factors associated with smoking. So what? The findings address the scarcity of local evidence crucial for promoting cessation among Aboriginal tobacco smokers. Targeted promotions for socio-demographic subgroups and of attitudes towards smoke-free homes could be meaningful strategies for future smoking-cessation initiatives. PMID:26235612

  13. Socio-economic and Psychosocial Determinants of Smoking and Passive Smoking in Older Adults

    Institute of Scientific and Technical Information of China (English)

    ZHANG Dong Mei; HU Zhi; ORTON Sophie; WANG Jia Ji; ZHENG Jian Zhong; QIN Xia; CHEN Ruo Ling

    2013-01-01

    Objective To determine the associations of socio-economic and psychosocial factors with active and passive smoking in older adults. Methods Using a standard interview method, we examined random samples of 6071 people aged≥60 years in 5 provinces of China during 2007-2009. Results World age-standardised prevalence for current and former smoking in men was 45.6% and 20.5%, and in women 11.1%and 4.5%. Current smoking reduced with older age but increased with men, low socioeconomic status (SES), alcohol drinking, being never-married, pessimistic and depressive syndromes. Former smoking was associated with men, secondary school education, a middle-high income, being a businessman, being widowed, less frequencies of visiting children/relatives and friends, and worrying about children. Among 3774 never-smokers, the prevalence of passive smoking was 31.5%, and the risk increased with women, low SES, alcohol drinking, being married, having a religious believe, and daily visiting children/relatives. There were sex differences in the associations, and an interaction effect of education and income on smoking and passive smoking. Conclusion Older Chinese had a higher level of smoking and passive smoking than those in high income countries, reflecting China’s failures in controlling smoking. The associations with low SES and different psychosocial aspects and sex differences suggest preventative strategies for active and passive smoking.

  14. Defining Cigarette Smoking Status in Young Adults: A Comparison of Adolescent vs Adult Measures

    Science.gov (United States)

    Delnevo, Cristine D.; Lewis, M. Jane; Kaufman, Ira; Abatemarco, Diane J.

    2004-01-01

    Objective: To determine the agreement between 2 measures (adult vs adolescent) of current cigarette smoking among young adults. Methods: We examined data from 1007 young adults from the New Jersey Adult Tobacco Survey. The adult measure incorporates lifetime and present use, whereas the adolescent measure assesses past 30-day use. The kappa…

  15. Current cigarette smoking among adults - United States, 2005-2014.

    Science.gov (United States)

    Jamal, Ahmed; Homa, David M; O'Connor, Erin; Babb, Stephen D; Caraballo, Ralph S; Singh, Tushar; Hu, S Sean; King, Brian A

    2015-11-13

    Tobacco smoking is the leading cause of preventable disease and death in the United States, resulting in approximately 480,000 premature deaths and more than $300 billion in direct health care expenditures and productivity losses each year (1). To assess progress toward achieving the Healthy People 2020 objective of reducing the percentage of U.S. adults who smoke cigarettes to ≤12.0%,* CDC assessed the most recent national estimates of smoking prevalence among adults aged ≥18 years using data from the 2014 National Health Interview Survey (NHIS). The percentage of U.S. adults who smoke cigarettes declined from 20.9% in 2005 to 16.8% in 2014. Among daily cigarette smokers, declines were observed in the percentage who smoked 20–29 cigarettes per day (from 34.9% to 27.4%) or ≥30 cigarettes per day (from 12.7% to 6.9%). In 2014, prevalence of cigarette smoking was higher among males, adults aged 25–44 years, multiracial persons and American Indian/Alaska Natives, persons who have a General Education Development certificate, live below the federal poverty level, live in the Midwest, are insured through Medicaid or are uninsured, have a disability or limitation, or are lesbian, gay, or bisexual. Proven population-based interventions, including tobacco price increases, comprehensive smoke-free laws, high impact mass media campaigns, and barrier-free access to quitting assistance, are critical to reduce cigarette smoking and smoking-related disease and death among U.S. adults. PMID:26562061

  16. An Updated Global Picture of Cigarette Smoking Persistence among Adults

    Science.gov (United States)

    Troost, Jonathan P.; Barondess, David A.; Storr, Carla L.; Wells, J. Elisabeth; Al-Hamzawi, Ali Obaid; Andrade, Laura Helena; Bromet, Evelyn; Bruffaerts, Ronny; Florescu, Silvia; de Girolamo, Giovanni; de Graaf, Ron; Gureje, Oye; Haro, Josep Maria; Hu, Chiyi; Huang, Yueqin; Karam, Aimee N.; Kessler, Ronald C.; Lepine, Jean-Pierre; Matschinger, Herbert; Medina-Mora, Maria Elena; O'Neill, Siobhan; Posada-Villa, Jose; Sagar, Rajesh; Takeshima, Tadashi; Tomov, Toma; Williams, David R.; Anthony, James C.

    2012-01-01

    Background Cross-national variance in smoking prevalence is relatively well documented. The aim of this study is to estimate levels of smoking persistence across 21 countries with a hypothesized inverse relationship between country income level and smoking persistence. Methods Data from the World Health Organization World Mental Health Survey Initiative were used to estimate cross-national differences in smoking persistence–the proportion of adults who started to smoke and persisted in smoking by the date of the survey. Result There is large variation in smoking persistence from 25% (Nigeria) to 85% (China), with a random-effects meta-analytic summary estimate of 55% with considerable cross-national variation. (Cochran's heterogeneity Q statistic=6,845; p<0.001). Meta-regressions indicated observed differences are not attributable to differences in country income level, age distribution of smokers, or how recent the onset of smoking began within each country. Conclusion While smoking should remain an important public health issue in any country where smokers are present, this report identifies several countries with higher levels of smoking persistence (namely, China and India). PMID:23626929

  17. African American Young Adult Smoking Initiation: Identifying Intervention Points and Prevention Opportunities

    Science.gov (United States)

    Cheney, Marshall K.; Mansker, Jacqueline

    2014-01-01

    Background: African Americans have one of the lowest smoking rates as teens yet have one of the highest smoking rates as adults. Approximately 40% of African Americans who have ever smoked started smoking between the ages of 18 and 21. Purpose: This study aimed to identify why African American young adults began smoking in young adulthood and what…

  18. The contribution of childhood and adult socioeconomic position to adult obesity and smoking behaviour

    DEFF Research Database (Denmark)

    Power, Chris; Graham, Hilary; Due, Pernille;

    2005-01-01

    Our objective was to investigate the contribution of childhood and adult socioeconomic position (SEP) to adult obesity and smoking behaviour, in particular to establish the role of childhood circumstances across different studies in Europe and the US.......Our objective was to investigate the contribution of childhood and adult socioeconomic position (SEP) to adult obesity and smoking behaviour, in particular to establish the role of childhood circumstances across different studies in Europe and the US....

  19. Smoking-Related Knowledge, Attitudes, Behaviors, Smoking Cessation Idea and Education Level among Young Adult Male Smokers in Chongqing, China

    Directory of Open Access Journals (Sweden)

    Xianglong Xu

    2015-02-01

    Full Text Available Introduction: In 2012 in China, 52.9% of men were reported to smoke while only 2.4% of women smoked. This study explored the smoking-related Knowledge, Attitudes and Practices (KAP among young adult male smokers. Methods: A cross-sectional study was conducted in four municipal areas of Chongqing using a questionnaire administered to 536 natives young male smokers aged 18–45 years old. Results: The total score of smoking cognition, the total score of smoking attitude and the total score of positive behavior to quit smoking was significantly different among the three groups by education. Besides, 30.97% of male smokers never seriously thought about quitting smoking. Logistic regression analysis found smoking-related knowledge, attitudes, behaviors and sociodemographic factors affect having smoking cessation idea. But no statistically significant correlation was observed between smoking cognition and positive behavior to quit smoking in a sample of higher education. No statistically significant correlation was observed between smoking cognition and positive behavior to quit smoking (Pearson correlation coefficient = 0.03012, p = 0.6811, and also no statistically significant correlation was observed between smoking cognition and positive behavior to quit smoking (Pearson correlation coefficient = 0.08869, p = 0.2364  in the sample of higher education young adult males Conclusions: Young adult males with higher education have a better knowledge of smoking hazards and a more positive attitude toward smoking, however, this knowledge and attitude do not necessarily translate into health behavioral outcomes such as not smoking. Overall the present findings indicate that no statistically significant correlation between the education level and quitting smoking idea exists among young adult male smokers in China. This survey gives a snapshot of the impact of education on smoking-related KAP among young adults male smokers.

  20. Effects of Smoking Cessation on Pain in Older Adults

    Science.gov (United States)

    Shi, Yu; Hooten, W. Michael

    2011-01-01

    Introduction: Smokers are at increased risk of developing chronic pain and suffering higher pain intensity. However, nicotine has analgesic properties, and smokers may view smoking as a means to cope with pain. Smoking cessation is clearly beneficial to the long-term health of smokers. However, it is not known how abstinence from smoking affects pain. The aim of this study was to determine the association between smoking cessation and changes in pain symptoms by secondary analysis of a large longitudinal dataset of older adults. Methods: Secondary analyses were performed of longitudinal biennial survey data (1992 through 2006) from the nationally representative Health and Retirement Study of United States adults older than 50 years. Multivariate logistic regressions were utilized to determine the relationship between the changes in smoking status and changes in pain symptoms, controlling for demographics, depression, self-rated health, history of arthritis, and body mass index. Results: In multivariate analyses, among the 4,695 smokers who reported no pain or mild pain at enrollment, smoking status was not independently associated with exacerbation of pain (odds ratio [OR]: 0.95, 95% CI: 0.84, 1.08). Among the 1,118 smokers who reported moderate to severe pain at enrollment, smoking status was not independently associated with improvement of pain (OR: 0.87, 95% CI: 0.70, 1.08). Conclusions: Smoking cessation was not independently associated with changes in pain symptoms in older adults. These results suggest that concerns regarding the effects of abstinence from smoking on pain should not pose a barrier to offering tobacco use interventions to smokers with chronic pain. PMID:21571690

  1. The Effect of Smoke-Free Air Law in Bars on Smoking Initiation and Relapse among Teenagers and Young Adults

    OpenAIRE

    Ce Shang

    2015-01-01

    Background: Existing evidence has shown that most smoking uptake and escalation occurs while smokers are teenagers or young adults. Effective policies that reduce smoking uptake and escalation will play an important role in curbing cigarette smoking. This study aims to investigate the effect of smoke-free air (SFA) laws in bars on smoking initiation/relapse while controlling for other confounders. Methods: The national longitudinal Survey of Youth 1997 (NLSY97) from 1997–2009 was linked to s...

  2. Smoking topography and abstinence in adult female smokers.

    Science.gov (United States)

    McClure, Erin A; Saladin, Michael E; Baker, Nathaniel L; Carpenter, Matthew J; Gray, Kevin M

    2013-12-01

    Preliminary evidence, within both adults and adolescents, suggests that the intensity with which cigarettes are smoked (i.e., smoking topography) is predictive of success during a cessation attempt. These reports have also shown topography to be superior compared to other variables, such as cigarettes per day, in the prediction of abstinence. The possibility that gender may influence this predictive relationship has not been evaluated but may be clinically useful in tailoring gender-specific interventions. Within the context of a clinical trial for smoking cessation among women, adult daily smokers completed a laboratory session that included a 1-hour ad libitum smoking period in which measures of topography were collected (N=135). Participants were then randomized to active medication (nicotine patch vs. varenicline) and abstinence was monitored for 4weeks. Among all smoking topography measures and all abstinence outcomes, a moderate association was found between longer puff duration and greater puff volume and continued smoking during the active 4-week treatment phase, but only within the nicotine patch group. Based on the weak topography-abstinence relationship among female smokers found in the current study, future studies should focus on explicit gender comparisons to examine if these associations are specific to or more robust in male smokers.

  3. An Adult Communication Skills Program to Prevent Adolescent Smoking.

    Science.gov (United States)

    Worden, John K.; And Others

    1987-01-01

    Conducted communication skills workshops to prevent cigarette smoking among adolescents by teaching adults how to help young people make responsible decisions and resist peer influences. One year later, 66% reported use of skills five or more times in the previous month, and significantly fewer adolescents in the high workshop intensity area…

  4. The Smoking Consequences Questionnaire-Adult: Measurement of Smoking Outcome Expectancies of Experienced Smokers.

    Science.gov (United States)

    Copeland, Amy L.; And Others

    1995-01-01

    Two versions of the Smoking Consequences Questionnaire for adults were developed and tested with 407 smokers and nonsmokers. The version with probability items appeared to have greater construct validity than the version with subjective expected utility items. The scale reflects the refinement of smokers' outcome expectancies with experience. (SLD)

  5. Adult smoking trends in Mexico: an analysis of the Mexican National Addiction Surveys Tendencias del tabaquismo en adultos en México: análisis de las Encuestas Nacionales de Adicciones

    Directory of Open Access Journals (Sweden)

    Francisco Franco-Marina

    2007-01-01

    Full Text Available OBJECTIVE: To describe and explain the recent trends of four smoking indicators in Mexico. MATERIALS AND METHODS: Comparable data from four national probabilistic household surveys (1988-1992 were analyzed using statistical techniques for survey data. The analysis was restricted to persons aged 18 to 65 years. Changes in indicators compare 2002 to 1988. RESULTS: The overall prevalence of never smokers increased by 10% and increased more in men. The prevalence of daily smokers shows a 16% reduction in men and reductions are concentrated in persons 45 and older. The average number of cigarettes smoked daily shows a 31% decrease in men and no decrease in women. The prevalence of heavy smokers (one pack or more is 60% higher in women in 2002. CONCLUSIONS: Mexico does not closely follow the WHO model for the evolving tobacco epidemic. Nevertheless, the tobacco epidemic is in an advanced stage, with a decreasing prevalence in men and a rising one in women and the young. The improvement in the smoking situation was mainly due to the country’s economic stagnation during the analyzed period and to public awareness of the dangers of tobacco exposure rather than to a sound control policy on the part of the state.OBJETIVO: Describir y explicar las tendencias recientes de cuatro indicadores de tabaquismo en México. MATERIAL Y MÉTODOS: Se analizan datos comparables de las cuatro Encuestas Nacionales de Adicciones (1988-1992 mediante técnicas estadísticas adecuadas para datos muestrales. En el análisis se incluye a personas entre 18 y 65 años de edad. Los cambios en indicadores comparan 2002 con respecto a 1988. RESULTADOS: La prevalencia en ambos sexos de nunca fumadores aumentó 10% pero dicho aumento ocurrió solo en hombres. La prevalencia de fumadores diarios se redujo un 16% en hombres y en ambos sexos las reducciones más importantes ocurrieron en las personas de 45 y más años. El promedio de cigarrillos diarios se redujo en 31% en hombres

  6. Waterpipe Tobacco Smoking and Susceptibility to Cigarette Smoking Among Young Adults in the United States, 2012–2013

    Science.gov (United States)

    Haider, M. Rifat; Barnett, Tracey E.; Guo, Yi; Getz, Kayla R.; Thrasher, James F.; Maziak, Wasim

    2016-01-01

    Introduction Waterpipe tobacco smoking, also known as hookah and shisha, has surged in popularity among young people in the United States. Waterpipe is also increasingly becoming the first tobacco product that young people try. Given the limited access to and limited portability of waterpipes, waterpipe smokers who become more nicotine dependent over time may be more likely to turn to cigarettes. This study examined the relationship between waterpipe tobacco smoking and susceptibility to cigarette smoking among young adults in the United States. Methods Using data from the 2012–2013 National Adult Tobacco Survey, a nationally representative sample of US adults, we reported rates of current waterpipe smoking and susceptibility to cigarette smoking by demographic characteristics and by use of other tobacco products among survey participants aged 18 to 24 years. Multivariable logistic regression was used to examine the relationship between current waterpipe smoking and susceptibility to cigarette smoking, defined as the lack of a firm intention not to smoke soon or within the next year. Results Of 2,528 young adults who had never established cigarette smoking, 15.7% (n = 398) reported being waterpipe smokers (every day or some days [n = 97; 3.8%] or rarely [n = 301; 11.9%]); 44.2% (176/398) of waterpipe smokers reported being susceptible to cigarette smoking. Those who smoked waterpipe rarely were 2.3 times as susceptible to cigarette smoking as those who were not current waterpipe smokers (OR = 2.3; 95% CI, 1.6–3.4). Conclusion Current waterpipe smoking is associated with susceptibility to cigarette smoking among young adults in the United States. Longitudinal studies are needed to demonstrate causality between waterpipe smoking and initiation of cigarette smoking. PMID:26890407

  7. Parents who quit smoking and their adult children's smoking cessation: a 20-year follow-up study

    NARCIS (Netherlands)

    Bricker, J.B.; Otten, R.; Liu, J.L.; Peterson, A.V.

    2009-01-01

    Aims - Extending our earlier findings from a longitudinal cohort study, this study examines parents' early and late smoking cessation as predictors of their young adult children's smoking cessation. Design - Parents' early smoking cessation status was assessed when their children were aged 8 years;

  8. Ethnic and Gender Differences in Smoking and Smoking Cessation in a Population of Young Adult Air Force Recruits.

    Science.gov (United States)

    Ward, Kenneth D.; Vander Weg, Mark W.; Kovach, Kristen Wood; Klesges, Robert C.; DeBon, Margaret W.; Haddock, C. Keith; Talcott, G. Wayne; Lando, Harry A.

    2002-01-01

    Investigated gender and ethnic differences in smoking and smoking cessation among young adult military recruits. Surveys administered at the start of basic training indicated that whites (especially white females) and Native Americans were more likely to smoke than other ethnic groups. Gender differences were not observed in cessation rates, which…

  9. Tobacco smoking – popularity and main trends on research

    OpenAIRE

    Aleksandra Bartoń; Jakub Knysak; Patryk Bębenek; Leon Kośmider

    2014-01-01

    Each year smoking leads to the premature death of over 5 million people around the world. However, the tobacco industry took actions like introducing cigarettes which contain less nicotine and tar aimed at not only maintaining the old clientele, but also attracting a new one. The knowledge of the adverse health effects of smoking became widespread in the second half of the 20th century and changed attitudes towards smoking. In recent years, in many markets in the world...

  10. Trends in smoking behaviour between 1985 and 2000 in nine European countries by education

    NARCIS (Netherlands)

    K. Giskes (Katrina); C. Borrell (Carme); R. Prattala; G. Costa (Giuseppe); E. Dahl; J.A.A. Dalstra; S. Platt; J.P. Mackenbach (Johan); B. Federico; U. Helmert (Uwe); P.O. Ostergren; K. Judge; K. Moussa; N.K. Rasmussen; E. Lahelma; A.E. Kunst (Anton); J. Benach (Joan)

    2005-01-01

    textabstractOBJECTIVE: To examine whether trends in smoking behaviour in Western Europe between 1985 and 2000 differed by education group. DESIGN: Data of smoking behaviour and education level were obtained from national cross sectional surveys conducted between 1985 and 2000 (a pe

  11. Cigarette smoking and tooth loss experience among young adults: a national record linkage study

    Directory of Open Access Journals (Sweden)

    Tanaka Keiko

    2007-11-01

    Full Text Available Abstract Background Various factors affect tooth loss in older age including cigarette smoking; however, evidence regarding the association between smoking and tooth loss during young adulthood is limited. The present study examined the association between cigarette smoking and tooth loss experience among adults aged 20–39 years using linked data from two national databases in Japan. Methods Two databases of the National Nutrition Survey (NNS and the Survey of Dental Diseases (SDD, which were conducted in 1999, were obtained from the Ministry of Health, Labor and Welfare with permission for analytical use. In the NNS, participants received physical examinations and were interviewed regarding dietary intake and health practices including cigarette smoking, whereas in the SDD, participants were asked about their frequency of daily brushing, and received oral examinations by certified dentists. Among 6,805 records electronically linked via household identification code, 1314 records of individuals aged 20 to 39 years were analyzed. The prevalence of 1+ tooth loss was compared among non-, former, and current smokers. Multiple logistic regression models were constructed including confounders: frequency of tooth brushing, body mass index, alcohol consumption, and intake of vitamins C and E. Results Smoking rates differed greatly in men (53.3% and women (15.5%. The overall prevalence of tooth loss was 31.4% (31.8% men and 31.1% women. Tooth loss occurred more frequently among current smokers (40.6% than former (23.1% and non-smokers (27.9%. Current smoking showed a significant association with 1+ tooth loss in men (adjusted OR = 2.21 [1.40–3.50], P = 0.0007 and women (1.70 [1.13–2.55], P = 0.0111. A significant positive exposure-related relationship between cigarette smoking status and tooth loss was observed (P for trend Conclusion An association between cigarette smoking and tooth loss was evident among young adults throughout Japan. Due to

  12. IMPACT OF SMOKING ON ADULTS LUNG AGE AND VENTILATORY FUNCTION

    Directory of Open Access Journals (Sweden)

    Omar Farouk Helal

    2014-04-01

    Full Text Available Background: Although a large body of evidence exists on the effect of smoking on lung age and pulmonary function, much less attention has been dedicated to using these effects as an effective strategy in smoking cessation. Objective: The present study was carried out to investigate the impact of smoking on lung age and ventilatory function in adult Saudi in order to use these effects in a future strategy for smoking cessation. Methods: Eighty one smoker students with their mean age 23.88 ± 2.7 years were enrolled in this study. Every student performed a ventilatory function tests in order to measure lung age, forced vital capacity (FVC, forced expiratory volume at the end of the first second (FEV1, FEV1/FVC ratio and peak expiratory flow rate PEFR. Results: The result showed significant deterioration in the mean value of FEV1, PEFR and the estimated lung age and a non-significant difference in the mean values of FVC. Conclusion: Smoking has a significant effect on ventilaroty function and deteriorating estimated lung age.

  13. Patterns of adolescent smoking and later nicotine dependence in young adults: A 10-year prospective study

    NARCIS (Netherlands)

    Ven, M.O.M. van de; Greenwood, P.A.; Engels, R.C.M.E.; Olsson, C.A.; Patton, G.C.

    2010-01-01

    Objectives: There is considerable variability in progression from smoking initiation to established smoking. This paper addresses the extent to which different patterns of adolescent smoking, including periods of cessation, predict smoking status in young adults. Study design: Ten-year, eight-wave p

  14. Exposure to tobacco smoke among adults in Bangladesh

    Directory of Open Access Journals (Sweden)

    Krishna Mohan Palipudi

    2011-01-01

    Full Text Available Objective: To examine exposure to second-hand smoke (SHS at home, in workplace, and in various public places in Bangladesh. Materials and Methods: Data from 2009 Global Adult Tobacco Survey (GATS conducted in Bangladesh was analyzed. The data consists of 9,629 respondents from a nationally representative multi-stage probability sample of adults aged 15 years and above. Exposure to second-hand smoke was defined as respondents who reported being exposed to tobacco smoke in the following locations: Indoor workplaces, homes, government building or office, health care facilities, public transportation, schools, universities, restaurants, and cafes, coffee shops or tea houses. Exposure to tobacco smoke in these places was examined by gender across various socioeconomic and demographic sub-groups that include age, residence, education and wealth index using SPSS 17.0 for complex samples. Results: The study shows high prevalence of SHS exposure at home and in workplace and in public places. Exposure to SHS among adults was reported high at home (54.9% (male-58.2% and female-51.7%, in workplace (63% (male-67.8% and female-30.4%, and in any public place (57.8% (male-90.4% and female-25.1% 30 days preceding the survey. Among the public places examined exposure was low in the educational institutions (schools-4.3% and health care facilities (5.8%; however, exposure was high in public transportation (26.3%, and restaurants (27.6%. SHS exposure levels at home, in workplace and public places were varied widely across various socioeconomic and demographic sub-groups. Conclusions: Exposure was reported high in settings having partial ban as compared to settings having a complete ban. Following the WHO FCTC and MPOWER measures, strengthening smoke-free legislation may further the efforts in Bangladesh towards creating and enforcing 100% smoke-free areas and educating the public about the dangers of SHS. Combining these efforts can have a complementary effect on

  15. Lay theories of smoking and young adult nonsmokers’ and smokers’ smoking expectations

    OpenAIRE

    Caroline C. Fitz; Kaufman, Annette; Philip J. Moore

    2013-01-01

    This study investigated the relationship between lay theories of cigarette smoking and expectations to smoke. An incremental lay theory of smoking entails the belief that smoking behavior can change; an entity theory entails the belief that smoking behavior cannot change. Undergraduate nonsmokers and smokers completed a survey that assessed lay theories of smoking and smoking expectations. Results demonstrated that lay theories of smoking were differentially associated with smoking expectatio...

  16. Diverging trends of chronic bronchitis and smoking habits between 1998 and 2010

    Directory of Open Access Journals (Sweden)

    Accordini Simone

    2013-02-01

    Full Text Available Abstract Background No study has been carried out on the time trend in the prevalence of chronic bronchitis (CB in recent years, despite its clinical and epidemiological relevance. We evaluated the trend in CB prevalence during the past decade among young Italian adults. Methods A screening questionnaire was mailed to general population samples of 20–44 year-old subjects in two cross-sectional surveys: the Italian Study on Asthma in Young Adults (ISAYA (1998/2000; n = 18,873, 9 centres and the screening stage of the Gene Environment Interactions in Respiratory Diseases (GEIRD study (2007/2010; n = 10,494, 7 centres. CB was defined as having cough and phlegm on most days for a minimum of 3 months a year and for at least 2 successive years. The prevalence rates and the risk ratios (RRs for the association between CB and each potential predictor were adjusted for gender, age, season of response, type of contact, cumulative response rate, and centre. Results CB prevalence was 12.5% (95% CI: 12.1-12.9% in 1998/2000 and 12.6% (95% CI: 11.7-13.7% in 2007/2010; it increased among never smokers (from 7.6 to 9.1%, p = 0.003, current light smokers ( Conclusions Despite the significant reduction in current smoking, CB prevalence did not vary among young Italian adults. The temporal pattern of CB prevalence can only be partly explained by the increase of unemployment/premature retirement, asthma and allergic rhinitis, and suggests that other factors could have played a role.

  17. Smoke-Free Rules and Secondhand Smoke Exposure in Homes and Vehicles Among US Adults, 2009–2010

    OpenAIRE

    King, Brian A.; Dube, Shanta R; Homa, David M.

    2013-01-01

    Introduction An increasing number of US states and localities have implemented comprehensive policies prohibiting tobacco smoking in all indoor areas of public places and worksites. However, private settings such as homes and vehicles remain a major source of exposure to secondhand smoke (SHS) for many people. This study assessed the prevalence and correlates of voluntary smoke-free rules and SHS exposure in homes and vehicles among US adults. Methods We obtained data from the 2009–2010 Natio...

  18. MODELING FOR DEMOGRAPHIC AND REGIONAL PREVALENCE AND TRENDS OF SMOKING IN THAI MALES.

    Science.gov (United States)

    Lim, Apiradee; McNeil, Don

    2016-03-01

    This study aimed to describe using national survey data the demographic and regional prevalence and trends of smoking in Thai males during the past 25 years. Data from eight national surveys conducted by the National Statistics Office from 1986 to 2011 were used to examine the prevalence of smoking. Males aged 15 and older were included in this study. Logistic regression was used to model smoking patterns, according to year of survey, age group, urbanization, and Public Health Area (PHA). The prevalence of smoking among males aged 15 years and older in 2011 was 38.4%. Sharply increasing smoking prevalence was found in the 15-24 years-old age group in all surveys. Before survey year 1999, the prevalence of smoking started to level off near retirement age, and subsequently, it leveled off after 40 years of age. The prevalence of smoking in all age groups decreased after 1986 except in the 15-19 years-old age group. Higher prevalence of smoking was found in rural areas. Males from the Northeast and the lower South regions had the highest prevalence. More effective anti-smoking policies should focus on males aged below 25 years to reduce the increasing prevalence of smoking in this group.

  19. Tobacco smoking – popularity and main trends on research

    Directory of Open Access Journals (Sweden)

    Aleksandra Bartoń

    2014-12-01

    Full Text Available Each year smoking leads to the premature death of over 5 million people around the world. However, the tobacco industry took actions like introducing cigarettes which contain less nicotine and tar aimed at not only maintaining the old clientele, but also attracting a new one. The knowledge of the adverse health effects of smoking became widespread in the second half of the 20th century and changed attitudes towards smoking. In recent years, in many markets in the world a new device representing an alternative to tobacco products was introduced. Electronic cigarettes are designed to deliver nicotine into the respiratory system in the form of an aerosol. They have been gaining more and more popularity, as evidenced by the increase in the percentage of users as well as in the numbers of publications about them. Currently, opinions are divided and the e-cigarette has almost as many supporters as opponents. All this resembles the situation concerning conventional cigarettes in the 20th century. The aim of the study is to gather the most significant information concerning, on the one hand, the spreading popularity of tobacco smoking and, on the other, the research topics undertaken by contemporary scientists, as well as the government actions meant to protect from dangers of nicotine addiction in the 20th and 21st century. New developments of products containing this highly addictive substance call for systematic research in the interest of public health.

  20. A comparative study of sociocultural factors and young adults' smoking in two Midwestern communities.

    Science.gov (United States)

    Steele, Jeanne R; Raymond, Robert L; Ness, Kirsten K; Alvi, Shahid; Kearney, Ilona

    2007-01-01

    Young adults were the only age group to defy the downward trend in cigarette use seen in the 1980s and 1990s. To help explain this phenomenon, we conducted an exploratory study to examine the association between the sociocultural contexts of young adults' everyday lives and their smoking attitudes and behaviors. "Context" was operationalized by (a) including students and nonstudents in the study population, and (b) selecting two distinctly different areas of Minnesota for examination. The study sites were Hibbing and environs (Range), the sparsely populated hub of the state's once-thriving iron ore industry, and the Twin Cities metropolitan area (Metro), center of state government, finance, transportation, education, and industry. This report focuses on the first phase of the study, which consisted of a computer-assisted telephone interview of 995 randomly selected young adults, aged 18-24. Approximately equal numbers of students and nonstudents were selected from each site. Exploratory factor analysis yielded four distinct scales related to alcohol consumption and partying (Drinking Behavior), the social attractiveness and utility of smoking (Social Utility), outdoor recreation (Outdoor Rec), and media use and hours of free time. We decided not to use the media and free time scale, however, because of its low Cronbach alpha (.42). We used polynomial logistic regression to evaluate the association between smoking status, gender, student status, location (Range vs. Metro), and the three retained scales. Results indicated that living on the Iron Range (OR = 2.6), being female (OR = 1.3), and scoring higher on the Social Utility scale (OR = 3.06) increased the risk of smoking, whereas being a student (OR = 0.53) decreased the risk substantially. PMID:17365729

  1. Lay theories of smoking and young adult nonsmokers' and smokers' smoking expectations.

    Science.gov (United States)

    Fitz, Caroline C; Kaufman, Annette; Moore, Philip J

    2015-04-01

    This study investigated the relationship between lay theories of cigarette smoking and expectations to smoke. An incremental lay theory of smoking entails the belief that smoking behavior can change; an entity theory entails the belief that smoking behavior cannot change. Undergraduate nonsmokers and smokers completed a survey that assessed lay theories of smoking and smoking expectations. Results demonstrated that lay theories of smoking were differentially associated with smoking expectations for nonsmokers and smokers: stronger incremental beliefs were associated with greater expectations of trying smoking for nonsmokers but lower expectations of becoming a regular smoker for smokers. Implications for interventions are discussed.

  2. Disparity and Trends in Secondhand Smoke Exposure among Japanese Employees, Particularly Smokers vs. Non-Smokers

    OpenAIRE

    Tabuchi, Takahiro; Colwell, Brian

    2016-01-01

    Background Monitoring disparities in secondhand smoke (SHS) exposure is important for tailoring smoke-free policies to the needs of different groups. We examined disparity and trends in SHS exposure among both nonsmokers and smokers at Japanese workplaces between 2002 and 2012. Methods A total of 32,940 employees in nationally representative, population-based, repeated cross-sectional surveys in 2002, 2007 and 2012 in Japan was analyzed. Adjusted rate ratios for workplace SHS exposure from ot...

  3. Effect of smoke-free legislation on adult smoking behaviour in England in the 18 months following implementation.

    Directory of Open Access Journals (Sweden)

    John Tayu Lee

    Full Text Available BACKGROUND: Comprehensive smoke-free legislation covering all enclosed public places and workplaces was implemented in England on 1 July 2007. This study examines the impact of this legislation on smoking prevalence, number of cigarettes smoked and location of smoking, controlling for secular trends through the end of 2008. METHOD AND FINDINGS: Repeat cross sectional survey using nationally representative data from the Health Survey for England (HSE. In total there are 54,333 respondents from 2003-2008. Logit and linear regression models were used to examine the effect of the legislation on smoking prevalence and the number of cigarettes smoked daily among continuing smokers which took the underlying trend into account. Our finding suggest that smoking prevalence (current smoker decreased from 25% in 2003 to 21% in 2008 (AOR = 0.96 per year, 95% CI = 0.95-0.98, P<0.01 and the mean number of cigarettes consumed daily by smokers decreased from 14.1 in 2003 to 13.1 in 2008 (coefficient for time trend = -0.28±0.06 SE cig/day per year, P<0.01. After adjusting for these trends the introduction of smoke-free legislation was not associated with additional reductions in smoking prevalence (AOR = 1.02, 95% CI = 0.94-1.11, P = 0.596 or daily cigarette use in smokers (0.42±0.28 SE; P = 0.142. The percentage of respondents reporting smoking 'at work' and 'inside pubs or bars' decreased significantly from 14% to 2% (p<0.001 and from 34% to 2% (p<0.001, respectively, after the legislation. The percentage reporting smoking 'inside restaurants, cafes, or canteens' decreased significantly from 9% to 1% (p<0.001 and 'inside their home' decreased significantly from 65% to 55% (p<0.01. CONCLUSION: There is widespread compliance with the smoke-free legislation in England, which has led to large drops in indoor smoking in all venues, including at home. Declines in smoking prevalence and consumption continued along existing trends; they

  4. Cigarette Smoking Among Socioeconomically Disadvantaged Young Adults in Association With Food Insecurity and Other Factors

    OpenAIRE

    Kim, Jin E.; Tsoh, Janice Y.

    2016-01-01

    Introduction Low socioeconomic status is associated with high rates of cigarette smoking, and socioeconomic differences in cigarette smoking tend to emerge during young adulthood. To further our understanding of socioeconomic differences in smoking among young adults, we examined correlates of smoking, with attention to multiple socioeconomic indicators that have not been examined in this population. Methods We analyzed data from the 2011–2012 California Health Interview Survey. The analytic ...

  5. Cigarette Smoking Among Socioeconomically Disadvantaged Young Adults in Association With Food Insecurity and Other Factors

    OpenAIRE

    Jin E. Kim, PhD; Janice Y. Tsoh, PhD

    2016-01-01

    Introduction Low socioeconomic status is associated with high rates of cigarette smoking, and socioeconomic differences in cigarette smoking tend to emerge during young adulthood. To further our understanding of socioeconomic differences in smoking among young adults, we examined correlates of smoking, with attention to multiple socioeconomic indicators that have not been examined in this population. Methods We analyzed data from the 2011–2012 California Health Interview Survey. T...

  6. The Effects of Parental Health Shocks on Adult Offspring Smoking Behavior and Self-Assessed Health.

    Science.gov (United States)

    Darden, Michael; Gilleskie, Donna

    2016-08-01

    An important avenue for smoking deterrence may be through familial ties if adult smokers respond to parental health shocks. In this paper, we merge the Original Cohort and the Offspring Cohort of the Framingham Heart Study to study how adult offspring smoking behavior and subjective health assessments vary with elder parent smoking behavior and health outcomes. These data allow us to model the smoking behavior of adult offspring over a 30-year period contemporaneously with parental behaviors and outcomes. We find strong 'like father, like son' and 'like mother, like daughter' correlations in smoking behavior. We find that adult offspring significantly curtail their own smoking following an own health shock; however, we find limited evidence that offspring smoking behavior is sensitive to parent health, with the notable exception that women significantly reduce both their smoking participation and intensity following a smoking-related cardiovascular event of a parent. We also model the subjective health assessment of adult offspring as a function of parent health, and we find that women report significantly worse health following the smoking-related death of a parent. Copyright © 2015 John Wiley & Sons, Ltd. PMID:25981179

  7. The Effects of Parental Health Shocks on Adult Offspring Smoking Behavior and Self-Assessed Health.

    Science.gov (United States)

    Darden, Michael; Gilleskie, Donna

    2016-08-01

    An important avenue for smoking deterrence may be through familial ties if adult smokers respond to parental health shocks. In this paper, we merge the Original Cohort and the Offspring Cohort of the Framingham Heart Study to study how adult offspring smoking behavior and subjective health assessments vary with elder parent smoking behavior and health outcomes. These data allow us to model the smoking behavior of adult offspring over a 30-year period contemporaneously with parental behaviors and outcomes. We find strong 'like father, like son' and 'like mother, like daughter' correlations in smoking behavior. We find that adult offspring significantly curtail their own smoking following an own health shock; however, we find limited evidence that offspring smoking behavior is sensitive to parent health, with the notable exception that women significantly reduce both their smoking participation and intensity following a smoking-related cardiovascular event of a parent. We also model the subjective health assessment of adult offspring as a function of parent health, and we find that women report significantly worse health following the smoking-related death of a parent. Copyright © 2015 John Wiley & Sons, Ltd.

  8. Smoking-related attitudes and perceptions among young adults in Malta and the UK.

    Science.gov (United States)

    Mallia, Catriona; Hamilton-West, Kate

    2010-05-01

    Although youth smoking in Europe has been highlighted as a significant public health concern, there is little data available to guide development of population-specific smoking prevention measures. In this study, we examined smoking-prevalence and smoking-related attitudes and perceptions among 118 young adults in Malta (a country for which there is little existing data), with comparison data from a sample of young adults in the UK (N = 112). To ensure that samples were demographically similar (e.g. in terms of age, level of education, and social status) we obtained data from university students. Only students of Maltese nationality (in Malta), or British nationality (in the UK) were invited to participate. Participants completed measures of smoking behavior, perceived risks of smoking, subjective norms, temptation to smoke, and attitudes towards smoking cessation. Almost half (46%) of the Maltese students were current smokers, compared to 25% of the British students. British students were more aware of the risks of smoking than their Maltese counterparts, perceived greater social pressure not to smoke and held more positive attitudes towards smoking cessation; Maltese students reported greater temptation to smoke and were around others who smoke more often than the British students. Attitudes and perceptions were associated with smoking behavior in both samples although the relative importance of psychological determinants of smoking varied between the two samples. Our data indicate higher smoking prevalence and more pro-smoking attitudes/ perceptions among students in Malta, consistent with data for other Southern European countries. Findings also indicate that the influence of smoking-related attitudes and perceptions varies between populations and the influence of social norms in particular may be moderated by nationality.

  9. Trends of smoking prevalence among Lithuanian school-aged children in 1994-2006.

    Science.gov (United States)

    Zaborskis, Apolinaras; Sumskas, Linas; Zemaitiene, Nida; Grabauskas, Vilius; Veryga, Aurelijus; Petkevicius, Robertas

    2009-01-01

    BACKGROUND. Despite much effort spent on antismoking programs in schools in different countries, limited effects have been observed in many cases. Evidence from European countries shows that active tobacco control actions such as ban on tobacco advertising, increase of tobacco taxes could lead to successful results. Our study was aimed to analyze time trends on smoking in Lithuanian school-aged children during the period of 1994-2006 in the context of antismoking policies, which were implemented in Lithuania. MATERIAL AND METHODS. This study was a part of WHO Cross-National Health Behavior in School-Aged Children (HBSC) study carried out in Lithuania. The standardized methods of international HBSC study protocol were applied. Stratified random representative samples of 5428, 4513, 5645, and 5632 students aged 11, 13, and 15 years were included into school-based anonymous questionnaire surveys in 1994, 1998, 2002, and 2006, respectively (spring semester). Questions on frequency of smoking, age of initiation and other questions were included. Response rates of each of these four questionnaire surveys were higher than 90%. RESULTS. Smoking behavior was more common among boys. The prevalence gap in smoking between boys and girls diminished during period of observation. Prevalence of smoking increased significantly among boys during the period of 1994-2002 (11.3%, 19.8%, and 23.6% in 1994, 1998, and 2002, respectively), but started to decline after (17.3% in 2006, P0.05). Urban girls have reported smoking more frequently in comparison with rural girls. CONCLUSIONS. An increase in tobacco smoking among school-aged children was observed in Lithuania during 1994-2002. A decrease in prevalence of smoking was seen during the period of 2002-2006. These trends could be related to the implementation of tobacco control measures in Lithuania. PMID:19996667

  10. Smoking Initiation Among Young Adults in the United States and Canada, 1998-2010: A Systematic Review

    OpenAIRE

    Freedman, Kit S.; Nelson, Nanette M.; Feldman, Laura L.

    2011-01-01

    Introduction Young adults have the highest smoking rate of any age group in the United States and Canada, and recent data indicate that they often initiate smoking as young adults. The objective of this study was to systematically review peer-reviewed articles on cigarette smoking initiation and effective prevention efforts among young adults. Methods We searched 5 databases for research articles published in English between 1998 and 2010 on smoking initiation among young adults (aged 18-25) ...

  11. Electronic Cigarettes Use and Intention to Cigarette Smoking among Never-Smoking Adolescents and Young Adults: A Meta-Analysis

    Directory of Open Access Journals (Sweden)

    Jieming Zhong

    2016-05-01

    Full Text Available Electronic cigarettes (e-cigarettes use is becoming increasingly common, especially among adolescents and young adults, and there is little evidence on the impact of e-cigarettes use on never-smokers. With a meta-analysis method, we explore the association between e-cigarettes use and smoking intention that predicts future cigarette smoking. Studies were identified by searching three databases up to January 2016. The meta-analysis results were presented as pooled odds ratio (OR with 95% confidence interval (CI calculated by a fixed-effects model. A total of six studies (91,051 participants, including 1452 with ever e-cigarettes use were included in this meta-analysis study. We found that never-smoking adolescents and young adults who used e-cigarettes have more than 2 times increased odds of intention to cigarette smoking (OR = 2.21, 95% CI: 1.86–2.61 compared to those who never used, with low evidence of between-study heterogeneity (p = 0.28, I2 = 20.1%. Among never-smoking adolescents and young adults, e-cigarettes use was associated with increased smoking intention.

  12. Electronic Cigarettes Use and Intention to Cigarette Smoking among Never-Smoking Adolescents and Young Adults: A Meta-Analysis.

    Science.gov (United States)

    Zhong, Jieming; Cao, Shuangshuang; Gong, Weiwei; Fei, Fangrong; Wang, Meng

    2016-05-03

    Electronic cigarettes (e-cigarettes) use is becoming increasingly common, especially among adolescents and young adults, and there is little evidence on the impact of e-cigarettes use on never-smokers. With a meta-analysis method, we explore the association between e-cigarettes use and smoking intention that predicts future cigarette smoking. Studies were identified by searching three databases up to January 2016. The meta-analysis results were presented as pooled odds ratio (OR) with 95% confidence interval (CI) calculated by a fixed-effects model. A total of six studies (91,051 participants, including 1452 with ever e-cigarettes use) were included in this meta-analysis study. We found that never-smoking adolescents and young adults who used e-cigarettes have more than 2 times increased odds of intention to cigarette smoking (OR = 2.21, 95% CI: 1.86-2.61) compared to those who never used, with low evidence of between-study heterogeneity (p = 0.28, I² = 20.1%). Among never-smoking adolescents and young adults, e-cigarettes use was associated with increased smoking intention.

  13. Cigarette Smoking Among Socioeconomically Disadvantaged Young Adults in Association With Food Insecurity and Other Factors

    Directory of Open Access Journals (Sweden)

    Jin E. Kim, PhD

    2016-01-01

    Full Text Available Introduction Low socioeconomic status is associated with high rates of cigarette smoking, and socioeconomic differences in cigarette smoking tend to emerge during young adulthood. To further our understanding of socioeconomic differences in smoking among young adults, we examined correlates of smoking, with attention to multiple socioeconomic indicators that have not been examined in this population. Methods We analyzed data from the 2011–2012 California Health Interview Survey. The analytic sample consisted of young adults aged 18–30 years who were considered socioeconomically disadvantaged as measured by education and poverty. Logistic regression analyses were conducted to examine factors associated with smoking status in this group, and multinomial logistic regression analyses were conducted to examine correlates of smoking frequency. Results In this sample (N = 1,511; 48% female, 66% Hispanic/Latino, 18% non-Hispanic white, 39.7% reported experiencing food insecurity in the past year. Smoking prevalence was significantly higher among young adults who reported being food insecure (26.9% than among those who reported being food secure (16.4%. Past-year food insecurity was significantly associated with current smoking, independent of sociodemographic characteristics and alcohol use. Specifically, food insecurity was significantly associated with daily but not nondaily smoking. Conclusion Socioeconomically disadvantaged young adults with food insecurity may be considered a high-risk group with respect to cigarette smoking. Efforts to reduce tobacco-related health disparities should address diverse sources of socioeconomic influences, including experiences of food insecurity.

  14. Determinants of Exposure to Secondhand Smoke Among Vietnamese Adults: California Vietnamese Adult Tobacco Use Survey, 2007–2008

    OpenAIRE

    Webber, Whitney L.; van Erp, Brianna; Stoddard, Pamela; Tsoh, Janice Y.

    2014-01-01

    Because smoking rates are high among Vietnamese men, we used data from the 2007–2008 California Vietnamese Adult Tobacco Use Survey to estimate secondhand smoke exposure and associated risk factors among Vietnamese nonsmokers. Thirty percent of nonsmokers were exposed to secondhand smoke (SHS) at home, 8% at work, 52% in bars, and 67% on a college campus. At home, odds of SHS exposure were greater for women than for men and for adults aged less than 40 years than for older adults. Odds of SHS...

  15. Current cigarette smoking among adults--United States, 2005-2013.

    Science.gov (United States)

    Jamal, Ahmed; Agaku, Israel T; O'Connor, Erin; King, Brian A; Kenemer, John B; Neff, Linda

    2014-11-28

    Tobacco use is the leading cause of preventable disease and death in the United States, resulting in more than 480,000 premature deaths and $289 billion in direct health care expenditures and productivity losses each year. Despite progress over the past several decades, millions of adults still smoke cigarettes, the most commonly used tobacco product in the United States. To assess progress made toward the Healthy People 2020 target of reducing the proportion of U.S. adults who smoke cigarettes to ≤12.0% (objective TU-1.1), CDC used data from the 2013 National Health Interview Survey (NHIS) to provide updated national estimates of cigarette smoking prevalence among adults aged ≥18 years. Additionally, for the first time, estimates of cigarette smoking prevalence were assessed among lesbian, gay, or bisexual persons (LGB) using NHIS data. The proportion of U.S. adults who smoke cigarettes declined from 20.9% in 2005 to 17.8% in 2013, and the proportion of daily smokers declined from 16.9% to 13.7%. Among daily cigarette smokers, the proportion who smoked 20-29 cigarettes per day (CPD) declined from 34.9% to 29.3%, and the proportion who smoked ≥30 CPD declined from 12.7% to 7.1%. However, cigarette smoking remains particularly high among certain groups, including adults who are male, younger, multiracial or American Indian/Alaska Native, have less education, live below the federal poverty level, live in the South or Midwest, have a disability/limitation, or who are LGB. Proven population-based interventions, including tobacco price increases, comprehensive smoke-free policies in worksites and public places, high-impact anti-tobacco mass media campaigns, and easy access to smoking cessation assistance, are critical to reducing cigarette smoking and smoking-related disease and death among U.S. adults, particularly among subpopulations with the greatest burden. PMID:25426653

  16. Can smoking initiation contexts predict how adult Aboriginal smokers assess their smoking risks? A cross-sectional study using the ‘Smoking Risk Assessment Target’

    Science.gov (United States)

    Gould, Gillian Sandra; Watt, Kerrianne; West, Robert; Cadet-James, Yvonne; Clough, Alan R

    2016-01-01

    Objectives Smoking prevalence is slow to reduce among Indigenous Australians of reproductive age. We analysed the relationships between age of smoking initiation, recalled initiation influences and self-assessment of smoking risks in Aboriginal smokers. Design, setting and participants A community-based cross-sectional survey of Aboriginal smokers aged 18–45 years (N=121; 58 men) was undertaken, using single-item measures. The Smoking Risk Assessment Target (SRAT) as the primary outcome measure enabled self-assessment of smoking risks from 12 options, recategorised into 3 groups. Participants recalled influences on their smoking initiation. Multinomial logistic regression modelling included age, gender, strength of urges to smoke, age at initiation (regular uptake) and statistically significant initiation influences on χ2 tests (‘to be cool’, alcohol and cannabis). Results Frequent initiation influences included friends (74%; SD 0.44), family (57%; SD 0.5) and alcohol (40%; SD 0.49). 54% (n=65) of smokers had the highest risk perception on the SRAT, selected by those who cared about the smoking risks and intended to quit soon. On multivariate analyses, compared with the highest level of SRAT, male gender, lower age of uptake and strong urges to smoke were significantly associated with the lowest level of SRAT, selected by those who refuted risks or thought they could not quit. Lower age of uptake and alcohol were associated with mid-level of SRAT, selected by those who cared about smoking risks, but did not consider quitting as a priority. Conclusions Characteristics of smoking initiation in youth may have far-reaching associations with how smoking risks are assessed by adults of reproductive age, and their intentions to quit smoking. Becoming a regular smoker at under the age of 16 years, and influences of alcohol on smoking uptake, were inversely associated with high-level assessment of smoking risks and intention to quit in regional Aboriginal smokers

  17. Big five personality factors and cigarette smoking: a 10-year study among US adults.

    Science.gov (United States)

    Zvolensky, Michael J; Taha, Farah; Bono, Amanda; Goodwin, Renee D

    2015-04-01

    The present study examined the relation between the big five personality traits and any lifetime cigarette use, progression to daily smoking, and smoking persistence among adults in the United States (US) over a ten-year period. Data were drawn from the Midlife Development in the US (MIDUS) I and II (N = 2101). Logistic regression was used to examine the relationship between continuously measured personality factors and any lifetime cigarette use, smoking progression, and smoking persistence at baseline (1995-1996) and at follow-up (2004-2006). The results revealed that higher levels of openness to experience and neuroticism were each significantly associated with increased risk of any lifetime cigarette use. Neuroticism also was associated with increased risk of progression from ever smoking to daily smoking and persistent daily smoking over a ten-year period. In contrast, conscientiousness was associated with decreased risk of lifetime cigarette use, progression to daily smoking, and smoking persistence. Most, but not all, associations between smoking and personality persisted after adjusting for demographic characteristics, depression, anxiety disorders, and substance use problems. The findings suggest that openness to experience and neuroticism may be involved in any lifetime cigarette use and smoking progression, and that conscientiousness appears to protect against smoking progression and persistence. These data add to a growing literature suggesting that certain personality factors--most consistently neuroticism--are important to assess and perhaps target during intervention programs for smoking behavior.

  18. Effects of passive smoking on the pulmonary function of adults.

    OpenAIRE

    Masjedi, M. R.; Kazemi, H; Johnson, D C

    1990-01-01

    The effects of exposure to environmental tobacco smoke (passive smoking) on pulmonary function of non-smoking, healthy Iranian men (n = 167) and women (n = 108) were investigated. There were significant reductions in % predicted FEV1 (5.7%), forced vital capacity (FVC, 4.6%) and forced expiratory flow 25-75% (FEF25-75, 9.9%) among men exposed to cigarette smoke (n = 78). The adverse effect of passive smoking was greatest among men exposed at the workplace (reduction in % predicted FEV1 9.4%, ...

  19. Relationship between nicotine dependence and temperament and character traits in adults with cigarette smoking

    OpenAIRE

    Zincir, Selma Bozkurt; Zincir, Nihat; Sünbül, Esra Aydın; Kaymak, Esra

    2012-01-01

    Objective: Cigarette smoking is one of the most important health problems today. Nicotine dependence and difficulty to cessate smoking are assumed to be originating both from psychopharmacological effects of nicotine and genetic and environmental factors. The other possible factor which mediates to keep on smoking behavior may be personality traits. Aims: To find out the associations between temperament and character traits and nicotine dependence levels among the adult outpatients presen...

  20. Influence of genes and family environment on adult smoking behavior assessed in an adoption study

    DEFF Research Database (Denmark)

    Osler, M; Holst, C; Prescott, E;

    2001-01-01

    Twin studies suggest that genetic factors influence smoking behavior. However, in these studies, genetic and environmental influences may be confounded. We examined whether smoking behavior of adoptees is associated with smoking behavior in adoptive and biological relatives in a design in which...... was not associated with adoptive or biological parents' status as current smokers. This study of smoking behavior in adult adoptees and their biological and adoptee family supports the finding in twin studies of a genetic influence on smoking within the same generation........1-14.3]), current (OR = 4.0[1.9-8.6]) and heavy (OR = 2.0[1.0-4.2]) smoking. Compared with current smokers, adoptee ex-smokers had full-siblings who were ex-smokers more often (OR = 3.5 [1.0-11.6]), current (OR = 0.4 [0.2-0.8]), and heavy (OR = 0.3 [0.1-0.9]) smokers less often. Adoptees' smoking behavior...

  1. Determinants of daily smoking in Turkish young adults in the Netherlands

    Directory of Open Access Journals (Sweden)

    Verhulst Frank C

    2006-12-01

    Full Text Available Abstract Background As little is known about the determinants of smoking in large ethnic minorities in the Netherlands and other Western European countries, we studied the determinants of smoking young adult offspring of Turkish migrants to the Netherlands. Methods Cross-sectional survey of 439 Turkish adults (18–28 y in 2003. Smokers were compared with never smokers for five groups of determinants: demographic and socioeconomic factors, behavioral and emotional problems, psychosocial factors, and cultural factors. Associations were measured by prevalence rate ratios. Results Prevalences for men were 51% for daily smoking, 12% for former smoking, and 38% for never smoking. For women they were 44%, 11%, and 47%, respectively. Without adjustment for other determinants, higher prevalence was associated with: emotional problems, boredom, life events, and being male; and, specifically among women, with low self-esteem and having children. The strongest determinants of daily smoking In multivariate models were alcohol use and demographic and socio-economic factors. Of the cultural factors only strong Muslim identification was associated with lower smoking prevalence. Conclusion The high prevalence of smoking warrants action. Many of the well-known determinants of smoking in Western countries were also important among young adults from ethnic minorities. Women with children and people of a low educational level deserve special attention.

  2. Determinants of daily smoking in Turkish young adults in the Netherlands

    NARCIS (Netherlands)

    F.V.A. van Oort (Floor); J. van der Ende (Jan); A.A.M. Crijnen (Alfons); F.C. Verhulst (Frank); J.P. Mackenbach (Johan); I.M.A. Joung (Inez)

    2006-01-01

    textabstractBackground: As little is known about the determinants of smoking in large ethnic minorities in the Netherlands and other Western European countries, we studied the determinants of smoking young adult offspring of Turkish migrants to the Netherlands. Methods: Cross-sectional survey of 439

  3. The Effects of Schooling and Cognitive Ability on Smoking and Marijuana Use by Young Adults.

    Science.gov (United States)

    Sander, William

    1998-01-01

    Estimates effects of schooling, cognitive ability, and time preference on the probability that young adults smoke cigarettes or use marijuana, using data from the "High School and Beyond 1980 Study." Results show that all three variables affect the likelihood of smoking. Schooling and time preference have modest effects on using marijuana when…

  4. Young LGBT Adults Are Target of FDA Stop-Smoking Campaign

    Science.gov (United States)

    ... adults is the real and perceived social stigma, discrimination and anxiety they experience when they "come out," ... More Health News on: Gay, Lesbian, Bisexual and Transgender Health Smoking Recent Health News Related MedlinePlus Health ...

  5. Four Arguments against the Adult-Rating of Movies with Smoking Scenes

    OpenAIRE

    Christopher Millett; Polansky, Jonathan R.; Glantz, Stanton A.

    2011-01-01

    Christopher Millett and colleagues examine government inaction on the WHO recommendation for adult content ratings in films with smoking, and highlight the generous film industry subsidies these countries provide.

  6. Vital Signs – Adult Smoking Among People with Mental Illness

    Centers for Disease Control (CDC) Podcasts

    2013-02-05

    This podcast is based on the February 2013 CDC Vital Signs report, which shows that cigarette smoking is a serious problem among adults with mental illness. More needs to be done to help adults with mental illness quit smoking and make mental health facilities tobacco-free.  Created: 2/5/2013 by Centers for Disease Control and Prevention (CDC).   Date Released: 2/5/2013.

  7. Smoking and Diet in Healthy Adults: A Cross-Sectional Study in Tehran, Iran, 2010

    OpenAIRE

    Gholamreza Heydari; Farrokh Heidari; Mahmoud Yousefifard; Mostafa Hosseini

    2014-01-01

    Abstract Background Smoking and unhealthy diet are two major risk factors for non-communicable diseases. The aim of this study was to investigate the possible association between these two risk factors amongst healthy adults 30-60 years old in Tehran, Iran. Methods Overall, 2602 healthy adults 30 to 60 years old in Tehran were studied. The demographic characteristics, anthropometric and smoking status of the participants were questioned. The frequency of consumption of red meat, white meat, f...

  8. Social norms and its correlates as a pathway to smoking among young Latino adults.

    Science.gov (United States)

    Echeverría, Sandra E; Gundersen, Daniel A; Manderski, Michelle T B; Delnevo, Cristine D

    2015-01-01

    Socially and culturally embedded norms regarding smoking may be one pathway by which individuals adopt smoking behaviors. However, few studies have examined if social norms operate in young adults, a population at high risk of becoming regular smokers. There is also little research examining correlates of social norms in populations with a large immigrant segment, where social norms are likely to differ from the receiving country and could contribute to a better understanding of previously reported acculturation-health associations. Using data from a nationally representative sample of young adults in the United States reached via a novel cell-phone sampling design, we explored the relationships between acculturation proxies (nativity, language spoken and generational status), socioeconomic position (SEP), smoking social norms and current smoking status among Latinos 18-34 years of age (n = 873). Specifically, we examined if a measure of injunctive norms assessed by asking participants about the acceptability of smoking among Latino co-ethnic peers was associated with acculturation proxies and SEP. Results showed a strong gradient in smoking social norms by acculturation proxies, with significantly less acceptance of smoking reported among the foreign-born and increasing acceptance among those speaking only/mostly English at home and third-generation individuals. No consistent and significant pattern in smoking social norms was observed by education, income or employment status, possibly due to the age of the study population. Lastly, those who reported that their Latino peers do not find smoking acceptable were significantly less likely to be current smokers compared to those who said their Latino peers were ambivalent about smoking (do not care either way) in crude models, and in models that adjusted for age, sex, generational status, language spoken, and SEP. This study provides new evidence regarding the role of social norms in shaping smoking behaviors among

  9. Trends and Predictors of Cigarette Smoking Among HIV Seropositive and Seronegative Men: The Multicenter Aids Cohort Study.

    Science.gov (United States)

    Akhtar-Khaleel, Wajiha Z; Cook, Robert L; Shoptaw, Steven; Surkan, Pamela; Stall, Ronald; Beyth, Rebecca J; Teplin, Linda A; Plankey, Michael

    2016-03-01

    We measured the trend of cigarette smoking among HIV-seropositive and seronegative men over time from 1984 to 2012. Additionally, we examined the demographic correlates of smoking and smoking consumption. Six thousand and five hundred and seventy seven men who have sex with men (MSM) from the Multicenter AIDS Cohort Study (MACS) were asked detailed information about their smoking history since their visit. Prevalence of smoking and quantity smoked was calculated yearly from 1984 to 2012. Poisson regression with robust error variance was used to estimate prevalence ratios of smoking in univariate and multivariate models. In 2012, 11.8 and 36.9 % of men who were enrolled in the MACS before 2001 or during or after 2001 smoked cigarettes, respectively. In the multivariate analysis, black, non-Hispanic, lower education, enrollment wave, alcohol use, and marijuana use were positively associated with current smoking in MSM. HIV serostatus was not significant in the multivariate analysis. However, HIV variables, such as detectable viral load, were positively associated. Though cigarette smoking has declined over time, the prevalence still remains high among subgroups. There is still a need for tailored smoking cessation programs to decrease the risk of smoking in HIV-seropositive MSM. PMID:26093780

  10. Factors Associated with Successful Smoking Cessation in Korean Adult Males: Findings from a National Survey.

    Directory of Open Access Journals (Sweden)

    Youngmee Kim

    2014-11-01

    Full Text Available Smoking cessation rates have remained stagnant globally. This study was conducted to explore the factors associated with successful smoking cessation among South Korean adult males using nationally representative data from the Korea National Health and Nutrition Examination Survey (KNHANES from 2007 to 2012. A comparison was made between successful quitters and those who failed to quit after attempts to stop smoking.A total of 7,839 males, aged 19-65 years, were included in this cross-sectional study. The outcome measures were the success and failure rates in smoking cessation, sociodemographic and clinical characteristics, health behaviors, perceived health status, quality of life, and mental health. Multiple logistic regression analyses were used to examine the various factors associated with smoking cessation success.The cessation success and failure rates were 45.5% and 54.5%, respectively. Smoking cessation was related to older age, marriage, higher income, smoking larger amounts of cigarettes, use of willpower, alcohol abstinence, cancer history, better mental health, and higher levels of quality of life, after controlling for multiple variables. Second-hand smoke exposure at home and using nicotine replacement therapy were associated with a lower likelihood of smoking cessation.A smoke-free environment, use of willpower, alcohol abstinence, and better stress management are important for smoking cessation. Unlike previous studies, not using nicotine replacement therapy and higher levels of daily cigarette consumption were associated with successful smoking cessation, suggesting that motivation appears to be important to smoking cessation in Korean adult male population.

  11. Smoking behaviors in a community-based cohort of HIV-infected indigent adults

    OpenAIRE

    Vijayaraghavan, M.; Penko, J; Vittinghoff, E.; Bangsberg, DR; Miaskowski, C; Kushel, MB

    2014-01-01

    We conducted a longitudinal study of a community-based cohort of HIV-infected indigent adults to examine smoking behaviors and factors associated with quitting. We assessed "hardcore" smoking behaviors associated with a low probability of quitting. Of the 296 participants, 218 were current smokers (73.6 %). The prevalence of "hardcore" smoking was high: 59.6 % smoked ≥15 cigarettes per day, and 67.3 % were daily smokers. During the study interval, 20.6 % made at least one quit attempt. Of the...

  12. Beyond Smoking Prevalence: Exploring the Variability of Associations between Neighborhood Exposures across Two Nested Spatial Units and Two-Year Smoking Trajectory among Young Adults.

    Science.gov (United States)

    Ghenadenik, Adrian E; Frohlich, Katherine L; Gauvin, Lise

    2016-01-06

    Young adults have the highest prevalence of smoking amongst all age groups. Significant uptake occurs after high school age. Although neighborhood exposures have been found to be associated with smoking behavior, research on neighborhood exposures and the smoking trajectories among young adults, and on the role of geographic scale in shaping findings, is scarce. We examined associations between neighborhood exposures across two nested, increasingly large spatial units and smoking trajectory over two years among young adults living in Montreal, Canada. A sample of 2093 participants aged 18-25 years from the Interdisciplinary Study of Inequalities in Smoking (ISIS) was surveyed. The dependent variable was self-reported smoking trajectory over the course of two years. Residential addresses, data on presence of tobacco retail outlets, and the presence of smoking accommodation facilities were coded and linked to spatial units. Three-level multinomial models were used to examine associations. The likelihood of being a smoker for 2+ years was significantly greater among those living in larger spatial unit neighborhoods that had a greater presence of smoking accommodation. This association was not statistically significant at the smaller spatial units. Our findings highlight the importance of studying young adults' smoking trajectories in addition to static smoking outcomes, and point to the relevance of considering spatial scale in studies of neighborhoods and smoking.

  13. Exploring Young Adult Sexual Minority Women's Perspectives on LGBTQ Smoking

    Science.gov (United States)

    Youatt, Emily J.; Johns, Michelle M.; Pingel, Emily S.; Soler, Jorge H.; Bauermeister, José A.

    2015-01-01

    Smoking rates are higher among lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals than among heterosexuals. These disparities are exacerbated during the transition from youth to young adulthood. The current study uses in-depth qualitative interviews to understand perceptions of LGBTQ smoking among LBQ-identified women (N = 30, ages…

  14. Social Network Characteristics and Daily Smoking among Young Adults in Sweden

    Directory of Open Access Journals (Sweden)

    Mikael Rostila

    2013-11-01

    Full Text Available A large number of studies have shown that friends’ smoking behavior is strongly associated with an individual’s own risk for smoking. However, few studies have examined whether other features of social networks, independently or conjointly with friends’ smoking behavior, may influence the risk for smoking. Because it is characterized by the growing importance of friendship networks, the transition from adolescence to young adulthood may constitute a particularly relevant period on which to focus our investigation of network influences on smoking behavior. The aim of this study was therefore to examine the consequences of peer smoking as well as other network characteristics (friends’ other health behaviors, relationship content, and structural aspects of the network on the risk for smoking among young adults. The data was based on a cross-sectional survey of Swedish 19-year-olds carried out in 2009 (n = 5,695 with a response rate of 51.6%. Logistic regression was the primary method of analysis. The results show that having a large percentage of smokers in one’s network was by far the most important risk factor for daily smoking. The risk of daily smoking was 21.20 (CI 14.24. 31.54 if 76%–100% of the network members smoked. Having a high percentage of physically active friends was inversely associated with daily smoking. The risk of smoking was 0.65 (CI 0.42. 1.00 if 76%–100% of the network members were physically active. No main associations between the other network characteristics (relationship content and structural aspects of the network and smoking were found. However, there was an interaction between the percentage of smokers in the network and relationship content (i.e., trust, relationship quality and propensity to discuss problems: positive relationship content in combination with peer smoking may increase the risk of smoking. Women with a high percentage of smokers in their networks were also at higher risk of daily

  15. Disparities in smoking and acute respiratory illnesses among sexual minority young adults.

    Science.gov (United States)

    Blosnich, John; Jarrett, Traci; Horn, Kimberly

    2010-10-01

    Morbidity and mortality from cigarette smoking remain major public health issues. Particularly, smoking has been associated with increased risk of acute respiratory illnesses (ARIs). Literature indicates that lesbian, gay, and bisexual (i.e., sexual minority) persons smoke more than the general population. Additionally, young adulthood is the second-most prevalent period of smoking uptake. Given this constellation of risk correlates, the authors examined whether sexual minority young adults experience increased odds of ARIs (i.e., strep throat, bronchitis, sinus infection, and asthma). Using cross-sectional data from the Spring 2006 National College Health Assessment, prevalence estimates of smoking were generated among young adult (age range, 18-24 years) lesbian/gay, bisexual, unsure, and heterosexual college students (n = 75,164). Nested logistic regression analyses were used to examine whether smoking status mediated the risk of ARIs among sexual orientation groups. Compared with heterosexual smokers, gay/lesbian smokers were more likely to have had strep throat, and bisexual smokers were more likely to have had sinus infection, asthma, and bronchitis. Whereas smoking mediated the risk of ARI, sexual minorities still showed higher odds of ARIs after adjustment for smoking. Sexual minority young adults may experience respiratory health disparities that may be linked to their higher smoking rates, and their higher rates of smoking lend urgency to the need for cessation interventions. Future studies are needed to explore whether chronic respiratory disease caused by smoking (i.e., lung cancer, COPD, emphysema) disproportionately affect sexual minority populations. PMID:20496074

  16. Socioeconomic position and smoking behaviour in Danish adults

    DEFF Research Database (Denmark)

    Osler, M; Holstein, B; Avlund, K;

    2001-01-01

    . Logistic regression was used to analyse the influence of education and occupation on smoking behaviour controlling for sex and birth cohort. RESULTS: In cohorts born after 1930 ever and current smoking were related to years of school education and current occupation. The prevalences of ever and current......AIMS: The associations between smoking and various socioeconomic indicators may have different implications and causes, which may also vary according to sex and birth cohort. This study analyses how two dimensions of socioeconomic position, an individual (education) and a structural (occupation......) indicator, are associated with ever, current and ex-smoking. METHODS: Data on smoking behaviour were collected in five cross-sectional surveys of random samples of the general Danish population aged 20 years or more at intervals between 1982 and 1994. In total, 8,054 men and 8,281 women participated...

  17. National and State-Specific Attitudes toward Smoke-Free Parks among U.S. Adults

    Science.gov (United States)

    Kruger, Judy; Jama, Amal; Kegler, Michelle; Marynak, Kristy; King, Brian

    2016-01-01

    Outdoor places, such as parks, remain a source of secondhand smoke (SHS) exposure. We assessed attitudes toward smoke-free parks among U.S. adults. Data came from the 2009–2010 National Adult Tobacco Survey, a landline and cellular telephone survey of noninstitutionalized adults aged ≥18 in the 50 U.S. states and D.C. Descriptive statistics and logistic regression were used to assess the prevalence and sociodemographic correlates of attitudes toward smoke-free parks, overall and by current tobacco use. Overall, 38.5% of adults reported favorable attitudes toward complete smoke-free parks; prevalence ranged from 29.2% in Kentucky to 48.2% in Maine. Prevalence of favorable attitudes toward smoke-free parks was higher among nonusers of tobacco (44.6%) and noncombustible-only users (30.0%) than any combustible users (21.3%). The adjusted odds of having a favorable attitude were higher among: women; Hispanics and Black non-Hispanics, American Indian and Alaska Native non-Hispanics, and other non-Hispanics; those with an unspecified sexual orientation; and those with children aged ≤17 in the household, relative to each characteristics respective referent group. Odds were lower among: any combustible tobacco and noncombustible-only tobacco users; adults aged 45–64; and those with some college or an undergraduate degree. Opportunities exist to educate the public about the benefits of smoke-free outdoor environments. PMID:27589779

  18. Racial/Ethnic and Nativity Patterns of U.S. Adolescent and Young Adult Smoking.

    Science.gov (United States)

    Wade, Becky; Lariscy, Joseph T; Hummer, Robert A

    2013-06-01

    We document racial/ethnic and nativity differences in U.S. smoking patterns among adolescents and young adults using the 2006 Tobacco Use Supplement to the Current Population Survey (n=44,202). Stratifying the sample by nativity status within five racial/ethnic groups (Asian American, Mexican American, other Hispanic, non-Hispanic black, and non-Hispanic white), and further by sex and age, we compare self-reports of lifetime smoking across groups. U.S.-born non-Hispanic whites, particularly men, report smoking more than individuals in other racial/ethnic/nativity groups. Some groups of young women (e.g., foreign-born and U.S.-born Asian Americans, foreign-born and U.S.-born Mexican Americans, and foreign-born blacks) report extremely low levels of smoking. Foreign-born females in all of the 25-34 year old racial/ethnic groups exhibit greater proportions of never smoking than their U.S.-born counterparts. Heavy/moderate and light/intermittent smoking is generally higher in the older age group among U.S.-born males and females whereas smoking among the foreign-born of both sexes is low at younger ages and remains low at older ages. Taken together, these findings highlight the importance of considering both race/ethnicity and nativity in assessments of smoking patterns and in strategies to reduce overall U.S. smoking prevalence and smoking-attributable health disparities. PMID:25339787

  19. Secular Trends in Age at Menarche, Smoking, and Oral Contraceptive Use Among Israeli Girls

    Directory of Open Access Journals (Sweden)

    Ran D. Balicer, MD

    2005-03-01

    Full Text Available Introduction The improved nutrition and socioeconomic status of the population in industrialized countries has resulted in a decrease in the mean age at menarche. This trend raises the question of whether cigarette smoking and the use of oral contraceptives, health behaviors often adopted during adolescence, may also be starting at a younger age. Cigarette smoking and use of oral contraceptives are a public health concern because they pose an increased risk for development of chronic diseases, particularly in combination. This study was designed to identify secular trends in age at menarche, at first cigarette, and at first use of oral contraceptives among a large population-based sample of young Israeli women and to assess whether these trends are associated with sociodemographic factors. Methods A systematic, population-based survey used data obtained from female recruits to the Israel Defense Force from 1986 to 2000. During the study period, 11,392 questionnaires were collected from Jewish women aged 18 to 19 years. Participants were interviewed concerning geographic origin and level of education, father’s geographic origin and level of education, current smoking status, use of oral contraceptives, and recalled age at first menstruation, first cigarette, and first use of oral contraceptives. Results Reported mean age (± SD at menarche showed a monotonic trend of decreasing over time, from 13.41 (± 1.30 years for women born before 1970 to 13.03 (± 1.28 years for those born after 1978 (P < .001. Women born after 1978 were twice as likely to experience menarche by the age of 11 as those born prior to 1970 (odds ratio 2.0; 95% confidence interval, 1.41–2.82. Significant trends toward younger age at first use were observed for cigarettes and oral contraceptives. Conclusion The trends of earlier age at menarche, first cigarette, and first use of oral contraceptives suggest health behaviors among young women that may herald increased chronic

  20. Stages of smoking cessation among Malaysian adults--findings from national health morbidity survey 2006.

    Science.gov (United States)

    Lim, Kuang Hock; Ibrahim, Normala; Ghazali, Sumarni Mohd; Kee, Chee Cheong; Lim, Kuang Kuay; Chan, Ying Ying; Teh, Chien Huey; Tee, Eng Ong; Lai, Wai Yee; Nik Mohamad, Mohd Haniki; Sidek, Sherina Mohd

    2013-01-01

    Increasing the rate of smoking cessation will reduce the burden of diseases related to smoking, including cancer. Understanding the process of smoking cessation is a pre-requisite to planning and developing effective programs to enhance the rate of smoking cessation.The aims of the study were to determine the demographic distribution of smokers across the initial stages of smoking cessation (the pre-contemplation and contemplation stages) and to identify the predictors of smoking cessation among Malaysian adult smokers. Data were extracted from a population-based, cross-sectional survey carried out from April 2006 to July 2006. The distribution of 2,716,743 current smokers across the pre-contemplation stage (no intention to quit smoking in the next six months) or contemplation stage (intended to quit smoking in the next six months) was described. Multivariable logistic regression analysis was used to examine the relationship between socio-demographic variables and the stages of smoking cessation. Of the 2,716,743 current smokers, approximately 30% and 70% were in the pre-contemplative and contemplative stages of smoking cessation respectively. Multivariable analysis showed that male gender, low education level, older age group, married and those from higher income group and number of cigarettes smoked were associated with higher likelihood of pre-contemplation to cease smoking in the next six months. The majority of current smokers in Malaysia were in the contemplative stage of smoking cessation. Specific interventions should be implemented to ensure the pre-contemplative smokers proceed to the contemplative stage and eventually to the preparation stage.

  1. Cigarette smoking and alcohol consumption among Chinese older adults: do living arrangements matter?

    Science.gov (United States)

    Zhang, Jiaan; Wu, Liyun

    2015-02-23

    This study used five waves of the Chinese Longitudinal Healthy Longevity Survey to examine the relationship between living arrangements, smoking, and drinking among older adults in China from 1998-2008. We found that living arrangements had strong implications for cigarette smoking and alcohol consumption among the elderly. First, the likelihood of smoking was lower among older men living with children, and older women living either with a spouse, or with both a spouse and children; and the likelihood of drinking was lower among both older men, and women living with both a spouse and children, compared with those living alone. Second, among dual consumers (i.e., being a drinker and a smoker), the amount of alcohol consumption was lower among male dual consumers living with children, while the number of cigarettes smoked was higher among female dual consumers living with others, compared with those living alone. Third, among non-smoking drinkers, the alcohol consumption was lower among non-smoking male drinkers in all types of co-residential arrangements (i.e., living with a spouse, living with children, living with both a spouse and children, or living with others), and non-smoking female drinkers living with others, compared with those living alone. Results highlighted the importance of living arrangements to cigarette smoking and alcohol consumption among Chinese elderly. Co-residential arrangements provided constraints on Chinese older adults' health-risk behaviors, and had differential effects for men and women.

  2. Factors Related to Smoking in College and Not in College Young Adults

    Science.gov (United States)

    Koval, John; Pederson, Linda; Zhang, Xiaohe

    2006-01-01

    This study sought variables associated with current smoking for young adult males and females in college compared with those not in college. A self-administered questionnaire was completed by a cohort of 1,270 young adults (ages 20-24) who have been followed from grade 6 for 10 years. Both bivariate and multivariable analyses of demographic…

  3. Evaluation of smoking genotoxicity in Turkish young adults

    Directory of Open Access Journals (Sweden)

    Ayse G Zamani

    2011-01-01

    Conclusions: Our data showed that cigarette smoke is a DNA damage causitive agent on exfoliative buccal mucosa and urothelial cells and peripheric blood lymphocytes of young smokers, but it has most destructive effect on urothelial cells.

  4. Maternal smoking during pregnancy predicts adult offspring cardiovascular risk factors - evidence from a community-based large birth cohort study.

    Directory of Open Access Journals (Sweden)

    Abdullah A Mamun

    Full Text Available BACKGROUND: Maternal smoking during pregnancy is associated with offspring obesity. However, little is known about whether maternal smoking in pregnancy predicts other offspring cardiovascular risk factors including waist circumference (WC, waist-hip-ratio (WHR, pulse rate (PR, systolic (SBP, and diastolic blood pressure (DBP. METHODS: We studied a sub-sample of 2038 (50% males young adults who were born in Brisbane, Australia to investigate the prospective association of maternal smoking during pregnancy with young adult cardiovascular risk factors. We compared offspring mean BMI, WC, WHR, SBP, DBP and PR and the risk of being overweight and obese at 21 years by three mutually exclusive categories of maternal smoking status defined as never smoked, smoked before and/or after pregnancy but not in pregnancy or smoked during pregnancy and other times. RESULTS: Offspring of mothers who smoked during pregnancy had greater mean BMI, WC, WHR and PR and they were at greater risk of being obese at 21 years compared to offspring of those mothers who never smoked. The mean of these risk factors among those adult offspring whose mothers stopped smoking during pregnancy, but who then smoked at other times in the child's life, were similar to those mothers who never smoked. These results were independent of a range of potential confounding factors. CONCLUSION: The findings of this study suggest a prospective association of maternal smoking during pregnancy and offspring obesity as well as PR in adulthood, and reinforce the need to persuade pregnant women not to smoke.

  5. Does social status predict adult smoking and obesity? Results from the 2000 Mexican National Health Survey

    OpenAIRE

    Buttenheim, A.M.; Wong, R; Goldman, N.; Pebley, A.R.

    2010-01-01

    Socioeconomic status is generally associated with better health, but recent evidence suggests that this ‘social gradient’ in health is far from universal. This study examines whether social gradients in smoking and obesity in Mexico—a country in the midst of rapid socioeconomic change—conform to or diverge from results for richer countries. Using a nationally-representative sample of 39 129 Mexican adults, we calculate the odds of smoking and of being obese by educational attainment and by ho...

  6. Comparison of Regional Brain Perfusion Levels in Chronically Smoking and Non-Smoking Adults

    Directory of Open Access Journals (Sweden)

    Timothy C. Durazzo

    2015-07-01

    Full Text Available Chronic cigarette smoking is associated with numerous abnormalities in brain neurobiology, but few studies specifically investigated the chronic effects of smoking (compared to the acute effects of smoking, nicotine administration, or nicotine withdrawal on cerebral perfusion (i.e., blood flow. Predominately middle-aged male (47 ± 11 years of age smokers (n = 34 and non-smokers (n = 27 were compared on regional cortical perfusion measured by continuous arterial spin labeling magnetic resonance studies at 4 Tesla. Smokers showed significantly lower perfusion than non-smokers in the bilateral medial and lateral orbitofrontal cortices, bilateral inferior parietal lobules, bilateral superior temporal gyri, left posterior cingulate, right isthmus of cingulate, and right supramarginal gyrus. Greater lifetime duration of smoking (adjusted for age was related to lower perfusion in multiple brain regions. The results indicated smokers showed significant perfusion deficits in anterior cortical regions implicated in the development, progression, and maintenance of all addictive disorders. Smokers concurrently demonstrated reduced blood flow in posterior brain regions that show morphological and metabolic aberrations as well as elevated beta amyloid deposition demonstrated by those with early stage Alzheimer disease. The findings provide additional novel evidence of the adverse effects of cigarette smoking on the human brain.

  7. Smoking and diet in healthy adults: a cross-sectional study in tehran, iran, 2010.

    Directory of Open Access Journals (Sweden)

    Gholamreza Heydari

    2015-04-01

    Full Text Available Smoking and unhealthy diet are two major risk factors for non-communicable diseases. The aim of this study was to investigate the possible association between these two risk factors amongst healthy adults 30-60 years old in Tehran, Iran.Overall, 2602 healthy adults 30 to 60 years old in Tehran were studied. The demographic characteristics, anthropometric and smoking status of the participants were questioned. The frequency of consumption of red meat, white meat, fruits and vegetables, dairy products, bread and cereals and fast food were questioned to be daily, weekly, monthly, once every 6 months or yearly and categorized as "healthy" or "unhealthy".Of the 2602 participants, 974 (37.4% had smoked more than 100 cigarettes in their life time and continued daily or smoked occasionally. Smokers significantly consumed more fast food and white meat but less fruit and vegetables and dairy product (P<0.0001. Totally, 586 (22.5% consumed "unhealthy" diet. A positive association between cigarette smoking and unhealthy diet (OR=1.68; 95% CI: 1.40-2.03 were found. After adjusting the analysis for the effect of age, education and gender, the odds ratio of consuming unhealthy diet for the smoker increased to 1.83 (1.50, 2.25 compared with non-smoker.Our study found a noticeable association between cigarette smoking and unhealthy diet. Smoking cessation and changing diet program for smokers is recommended.

  8. The nicotine addiction and the assessment of the effectiveness of smoking cessation in adults

    Directory of Open Access Journals (Sweden)

    Monika Szpringer

    2016-06-01

    Full Text Available Introduction: Smoking cigarettes is currently one of the most significant health and social issues. The consequences of smoking affect both individuals as well as entire society. Addiction to nicotine has been recognised as a major environmental factor fostering numerous diseases. Aim: The aim of this study was to identify the causes of and motives for quitting smoking among the adult inhabitants of Ostrowiec Świętokrzyski. The authors were also interested in the level of nicotine addiction. Material and methods: The study was conducted in a group of 209 inhabitants of Ostrowiec Świętokrzyski who were former or ongoing smokers. The study employed a survey technique, with the authors’ own questionnaire as a study tool. The Fagerström test determining addiction to nicotine (nicotine dependence was used too. Results and conclusions: The study revealed that smoking is a serious social issue. The majority of respondents had quit smoking (63.1%, 19.1% had never made any attempt to quit, whereas in 17.7% of respondents the cessation was unsuccessful and they returned to smoking. All respondents were aware of health-affecting consequences of smoking, but were unable to list more than four smoking-related diseases (lung and tongue cancers, arteriosclerosis, and hypertension. Attempts to cease smoking were made by 81,0% of the survey participants, mostly for health and financial reasons (42.0% and 21.3% respectively. Cessation of smoking resulted in numerous side effects, such as irritability (36.4%, outbursts of anger (20.7%, gaining weight (20.4% or binge eating of sweets (11.7%. The factor preventing respondents from quitting smoking was stress (29,0%.

  9. Cigarette Smoking and Alcohol Consumption among Chinese Older Adults: Do Living Arrangements Matter?

    Directory of Open Access Journals (Sweden)

    Jiaan Zhang

    2015-02-01

    Full Text Available This study used five waves of the Chinese Longitudinal Healthy Longevity Survey to examine the relationship between living arrangements, smoking, and drinking among older adults in China from 1998–2008. We found that living arrangements had strong implications for cigarette smoking and alcohol consumption among the elderly. First, the likelihood of smoking was lower among older men living with children, and older women living either with a spouse, or with both a spouse and children; and the likelihood of drinking was lower among both older men, and women living with both a spouse and children, compared with those living alone. Second, among dual consumers (i.e., being a drinker and a smoker, the amount of alcohol consumption was lower among male dual consumers living with children, while the number of cigarettes smoked was higher among female dual consumers living with others, compared with those living alone. Third, among non-smoking drinkers, the alcohol consumption was lower among non-smoking male drinkers in all types of co-residential arrangements (i.e., living with a spouse, living with children, living with both a spouse and children, or living with others, and non-smoking female drinkers living with others, compared with those living alone. Results highlighted the importance of living arrangements to cigarette smoking and alcohol consumption among Chinese elderly. Co-residential arrangements provided constraints on Chinese older adults’ health-risk behaviors, and had differential effects for men and women.

  10. Exploring the Next Frontier for Tobacco Control: Nondaily Smoking among New York City Adults

    Directory of Open Access Journals (Sweden)

    Rachel Sacks

    2012-01-01

    Full Text Available Objective. Among current smokers, the proportion of Nondaily smokers is increasing. A better understanding of the characteristics and smoking behaviors of Nondaily smokers is needed. Methods. We analyzed data from the New York City (NYC Community Health Survey to explore Nondaily smoking among NYC adults. Univariate analyses assessed changes in Nondaily smoking over time (2002–2010 and identified unique characteristics of Nondaily smokers; multivariable logistic regression analysis identified correlates of Nondaily smoking in 2010. Results. The proportion of smokers who engage in Nondaily smoking significantly increased between 2002 and 2010, from 31% to 36% (P=0.05. A larger proportion of Nondaily smokers in 2010 were low income and made tax-avoidant cigarette purchases compared to 2002. Smoking behaviors significantly associated with Nondaily smoking in 2010 included smoking more than one hour after waking (AOR=8.8, 95% CI (5.38–14.27; buying “loosies” (AOR=3.5, 95% CI (1.72–7.08; attempting to quit (AOR=2.3, 95% CI (1.36–3.96. Conclusion. Nondaily smokers have changed over time and have characteristics distinct from daily smokers. Tobacco control efforts should be targeted towards “ready to quit” Nondaily smokers.

  11. The changing trends in tobacco smoking for young Arab women; narghile, an old habit with a liberal attitude

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    Abu-Hammad Osama A

    2011-08-01

    Full Text Available Abstract Narghile smoking by young females is becoming more acceptable than cigarettes in the conservative societies of Arab countries. Lack of social constraints on narghile smoking has resulted in an increased prevalence of narghile smoking among young Arab females and an earlier age of onset of this habit when compared to cigarette smoking. Documented health hazards of narghile smoking including pulmonary, cardiovascular and neoplastic ailments are consequently expected to affect this vulnerable sector of the population together with their offspring. In this commentary, we shed some light on the changing trend of tobacco use among young Arabic women as shown by an increasing number of studies investigating habits of tobacco use in young people.

  12. Can Public Policy Deter Smoking Escalation among Young Adults?

    Science.gov (United States)

    Tauras, John A.

    2005-01-01

    In the wake of significant budget shortfalls, 37 states and the District of Columbia have recently increased cigarette excise taxes to boost revenues. This study examines the impact of increasing the price of cigarettes, which will occur as a consequence of cigarette excise tax increases, and implementing restrictions on smoking in private…

  13. The adult incidence of asthma and respiratory symptoms by passive smoking in utero or in childhood

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    T. Duelien

    2006-12-01

    Full Text Available The effects of pre- or postnatal passive smoking on the adult incidence of asthma have not been reported previously. Between 1985 and 1996/1997, we conducted an 11-year community cohort study on the incidence of asthma and respiratory symptoms in Western Norway. The cohort included 3,786 subjects aged 15 to 70 years, of which 2,819 were responders at both baseline and follow-up. The incidence of asthma and five respiratory symptoms by self-reported exposure to maternal smoking in utero and in childhood, as well as smoking by other household members in childhood, was examined. After adjustment for sex, age, education, hay fever, personal smoking, and occupational exposure, maternal smoking was associated with asthma, phlegm cough, chronic cough, dyspnoea grade 2, attacks of dyspnoea, and wheezing, with odds ratios (95% confidence intervals [CI] of 3.0 (1.6, 5.6, 1.7 (1.1, 2.6, 1.9 (1.2, 3.0, 1.9 (1.2, 3.0, 2.0 (1.3, 3.0, and 1.4 (0.9, 2.2, respectively. The adjusted attributable fractions (95% CI of the adult incidence of asthma were 17.3% (5.2, 27.9 caused by maternal smoking and 9.3% (23.2, 33.2 caused by smoking by other household members. Exposure to pre- and postnatal smoking carries a substantial risk for developing adult asthma and respiratory symptoms.

  14. The effect of obesity on spirometry tests among healthy non-smoking adults

    OpenAIRE

    Al Ghobain Mohammed

    2012-01-01

    Abstract Introduction The effects of obesity on pulmonary functions have not been addressed previously among Saudi population. We aim to study the effects of obesity on spirometry tests among healthy non-smoking adults. Methods A cross sectional study conducted among volunteers healthy non-smoking adults Subjects. We divided the subjects into two groups according to their BMI. The first group consisted of non-obese subjects with BMI of 18 to 24.9 kg/m2 and the second group consisted of obese ...

  15. Cigarette Smoking Among Urban American Indian Adults - Hennepin and Ramsey Counties, Minnesota, 2011.

    Science.gov (United States)

    Forster, Jean; Poupart, John; Rhodes, Kristine; Peterson-Hickey, Melanie; Lamont, Genelle; D'Silva, Joanne; Erickson, Darin

    2016-01-01

    In 2013, it was estimated that the prevalence of cigarette smoking among American Indians was 36.5%, the highest of all racial/ethnic groups in the continental United States (1). Among American Indians, considerable cultural and geographic variation in cigarette smoking exists. Smoking prevalence among American Indians is lowest in the Southwest and highest in the Upper Midwest/Northern Plains (2). Little information is available about tobacco use among urban American Indians, who might not have ever lived on a reservation or be enrolled in or affiliated with a tribe. In Minnesota, a significant proportion of American Indians reside in urban areas. Among Minnesota's residents who identify as American Indian alone or in combination with another race, 30% live in Hennepin County and Ramsey County, which encompass Minneapolis and St. Paul, respectively (collectively known as the Twin Cities). The predominant tribes (Ojibwe [Chippewa] and Dakota/Lakota/Nakota [Sioux]) traditionally have used locally grown tobacco (Nicotiana rustica), red willow, and other plants for religious ceremonies, although nonceremonial tobacco is often substituted for traditional plants. To assess prevalence of cigarette smoking among this population, it is important to distinguish ceremonial tobacco use (smoked or used in other ways) from nonceremonial tobacco use. To obtain estimates of cigarette smoking prevalence among American Indians in Hennepin and Ramsey counties, the American Indian Adult Tobacco Survey was administered to 964 American Indian residents in 2011, using respondent-driven sampling. Among all participants, 59% were current smokers, 19% were former smokers, and 22% had never smoked. Approximately 40% of employed participants reported that someone smoked in their workplace area during the preceding week. High prevalences of cigarette smoking and secondhand smoke exposure among urban American Indians in Minnesota underscores the need for a comprehensive and culturally

  16. Obesity trends of adults in northern Iran (2006-2010)

    OpenAIRE

    Gholamreza Veghari; Mehdi Sedaghat; Siavash Maghsodlo; Samieh Banihashem; Pooneh Moharloei; Abdolhamid Angizeh; Ebrahim Tazik; Abbas Moghaddami

    2013-01-01

    Background: The main aim of study was to determine obesity trends between 2006 to 2010 among adults aged 15-65 years in northern Iran. Material and Methods: This was a population-based cross-sectional study that enrolled 6,487 subjects chosen by multi stage cluster random sampling. Subjects were randomly chosen from 325 clusters and each cluster included 20 cases. Weight and height were measured and socio-demographic factors recorded. One-way analysis of variance (ANOVA) and Cochran’s test ...

  17. Social Network Characteristics, Social Support, and Cigarette Smoking among Asian/Pacific Islander Young Adults.

    Science.gov (United States)

    Pokhrel, Pallav; Fagan, Pebbles; Cassel, Kevin; Trinidad, Dennis R; Kaholokula, Joseph Keawe'aimoku; Herzog, Thaddeus A

    2016-06-01

    Cigarette smoking may be one of the factors contributing to the high levels of cancer-related mortality experienced by certain Asian/Pacific Islander (A/PI) subgroups (e.g., Native Hawaiian). Given the collectivist cultural orientation attributed to A/PI groups, social strategies are recommended for substance abuse or smoking cessation treatment among A/PI. However, research examining how social network characteristics and social support relate to smoking across A/PI subgroups has been lacking. This study investigated the associations between social network characteristics (e.g., size, composition), perceived social support, and recent cigarette use across Native Hawaiian, Filipino, and East Asian (e.g., Japanese, Chinese) young adults (18-35 year old). Cross-sectional, self-report data were collected from N = 435 participants (M age = 25.6, SD = 8.3; 61% women). Ethnic differences were found in a number of pathways linking social network characteristics, perceived social support, and cigarette smoking. Larger network size was strongly associated with higher perceived social support and lower recent cigarette smoking among Native Hawaiians but not Filipinos or East Asians. Higher perceived social support was associated with lower recent smoking among East Asians and Filipinos but not Native Hawaiians. Implications are discussed with regard to smoking prevention and cessation among A/PI. PMID:27297612

  18. Factors affecting commencement and cessation of smoking behaviour in Malaysian adults

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    Ghani Wan

    2012-03-01

    Full Text Available Abstract Background Tobacco consumption peak in developed countries has passed, however, it is on the increase in many developing countries. Apart from cigarettes, consumption of local hand-rolled cigarettes such as bidi and rokok daun are prevalent in specific communities. Although factors associated with smoking initiation and cessation has been investigated elsewhere, the only available data for Malaysia is on prevalence. This study aims to investigate factors associated with smoking initiation and cessation which is imperative in designing intervention programs. Methods Data were collected from 11,697 adults by trained recording clerks on sociodemographic characteristics, practice of other risk habit and details of smoking such as type, duration and frequency. Smoking commencement and cessation were analyzed using the Kaplan-Meier estimates and log-rank tests. Univariate and multivariate Cox proportional hazard regression models were used to calculate the hazard rate ratios. Results Males had a much higher prevalence of the habit (61.7% as compared to females (5.8%. Cessation was found to be most common among the Chinese and those regularly consuming alcoholic beverages. Kaplan-Meier plot shows that although males are more likely to start smoking, females are found to be less likely to stop. History of betel quid chewing and alcohol consumption significantly increase the likelihood of commencement (p Conclusions Gender, ethnicity, history of quid chewing and alcohol consumption have been found to be important factors in smoking commencement; while ethnicity, betel quid chewing and type of tobacco smoked influences cessation.

  19. Gender and the association of smoking with sleep quantity and quality in American adults.

    Science.gov (United States)

    Mehari, Alem; Weir, Nargues A; Gillum, Richard F

    2014-01-01

    Smoking and gender are known risk factors for sleep disorders. Studies of samples from Norway and Japan have suggested stronger associations between smoking and disrupted sleep in women; therefore, we examined, gender differences in the association in the U.S. population. We analyzed data from the 2005-2006 National Health and Nutrition Examination Survey. We examined the associations between smoking and self-reported measures of sleep disorders (i.e., snoring, short sleep, long sleep, poor sleep, and health care provider diagnosis of sleep disordered breathing) using multivariate logistic regression with odds ratios (OR) and 95% confidence intervals (CI) as measures of association. We also assessed whether the associations varied by gender using a gender x smoking interaction term. Compared to never smokers, current smokers had significantly higher odds of self-reported snoring (OR = 2.0; 95% CI = 1.56-2.56), short sleep (OR 1.68; 95% CI = 1.35-2.10) and poor sleep (OR = 1.38; 95% CI = 1.09-1.74). A dose-response relationship was observed between the amount smoked and sleep symptoms. In multivariate analyses, no significant gender x smoking interaction was observed for snoring, short sleep or poor sleep. Current smoking was independently associated with increased odds of snoring, short sleep, and poor sleep in women and men among U.S. adults.

  20. Social Network Characteristics, Social Support, and Cigarette Smoking among Asian/Pacific Islander Young Adults.

    Science.gov (United States)

    Pokhrel, Pallav; Fagan, Pebbles; Cassel, Kevin; Trinidad, Dennis R; Kaholokula, Joseph Keawe'aimoku; Herzog, Thaddeus A

    2016-06-01

    Cigarette smoking may be one of the factors contributing to the high levels of cancer-related mortality experienced by certain Asian/Pacific Islander (A/PI) subgroups (e.g., Native Hawaiian). Given the collectivist cultural orientation attributed to A/PI groups, social strategies are recommended for substance abuse or smoking cessation treatment among A/PI. However, research examining how social network characteristics and social support relate to smoking across A/PI subgroups has been lacking. This study investigated the associations between social network characteristics (e.g., size, composition), perceived social support, and recent cigarette use across Native Hawaiian, Filipino, and East Asian (e.g., Japanese, Chinese) young adults (18-35 year old). Cross-sectional, self-report data were collected from N = 435 participants (M age = 25.6, SD = 8.3; 61% women). Ethnic differences were found in a number of pathways linking social network characteristics, perceived social support, and cigarette smoking. Larger network size was strongly associated with higher perceived social support and lower recent cigarette smoking among Native Hawaiians but not Filipinos or East Asians. Higher perceived social support was associated with lower recent smoking among East Asians and Filipinos but not Native Hawaiians. Implications are discussed with regard to smoking prevention and cessation among A/PI.

  1. Validity of Self-Reported Tobacco Smoke Exposure among Non-Smoking Adult Public Housing Residents.

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    Shona C Fang

    Full Text Available Tobacco smoke exposure (TSE in public multi-unit housing (MUH is of concern. However, the validity of self-reports for determining TSE among non-smoking residents in such housing is unclear.We analyzed data from 285 non-smoking public MUH residents living in non-smoking households in the Boston area. Participants were interviewed about personal TSE in various locations in the past 7 days and completed a diary of home TSE for 7 days. Self-reported TSE was validated against measurable saliva cotinine (lower limit of detection (LOD 0.02 ng/ml and airborne apartment nicotine (LOD 5 ng. Correlations, estimates of inter-measure agreement, and logistic regression assessed associations between self-reported TSE items and measurable cotinine and nicotine.Cotinine and nicotine levels were low in this sample (median = 0.026 ng/ml and 0.022 μg/m3, respectively. Prevalence of detectable personal TSE was 66.3% via self-report and 57.0% via measurable cotinine (median concentration among those with cotinine>LOD: 0.057 ng/ml, with poor agreement (kappa = 0.06; sensitivity = 68.9%; specificity = 37.1%. TSE in the home, car, and other peoples' homes was weakly associated with cotinine levels (Spearman correlations rs = 0.15-0.25, while TSE in public places was not associated with cotinine. Among those with airborne nicotine and daily diary data (n = 161, a smaller proportion had household TSE via self-report (41.6% compared with measurable airborne nicotine (53.4% (median concentration among those with nicotine>LOD: 0.04 μg/m3 (kappa = 0.09, sensitivity = 46.5%, specificity = 62.7%.Self-report alone was not adequate to identify individuals with TSE, as 31% with measurable cotinine and 53% with measurable nicotine did not report TSE. Self-report of TSE in private indoor spaces outside the home was most associated with measurable cotinine in this low-income non-smoking population.

  2. Self-administration of nicotine and cigarette smoke extract in adolescent and adult rats.

    Science.gov (United States)

    Gellner, Candice A; Belluzzi, James D; Leslie, Frances M

    2016-10-01

    Although smoking initiation typically occurs during adolescence, most preclinical studies of tobacco use involve adult animals. Furthermore, their focus is largely on nicotine alone, even though cigarette smoke contains thousands of constituents. The present study therefore aimed to determine whether aqueous constituents in cigarette smoke affect acquisition of nicotine self-administration during adolescence in rats. Adolescent and adult male rats, aged postnatal day (P) 25 and 85, respectively, were food trained on a fixed ratio 1 (FR1) schedule, then allowed to self-administer one of 5 doses of nicotine (0, 3.75, 7.5, 15, or 30 μg/kg) or aqueous cigarette smoke extract (CSE) with equivalent nicotine content. Three progressively more difficult schedules of reinforcement, FR1, FR2, and FR5, were used. Both adolescent and adult rats acquired self-administration of nicotine and CSE. Nicotine and CSE similarly increased non-reinforced responding in adolescents, leading to enhanced overall drug intake as compared to adults. When data were corrected for age-dependent alterations in non-reinforced responding, adolescents responded more for low doses of nicotine and CSE than adults at the FR1 reinforcement schedule. No differences in adolescent responding for the two drugs were seen at this schedule, whereas adults had fewer responses for CSE than for nicotine. However, when the reinforcement schedule was increased to FR5, animals dose-dependently self-administered both nicotine and CSE, but no drug or age differences were observed. These data suggest that non-nicotine tobacco smoke constituents do not influence the reinforcing effect of nicotine in adolescents. PMID:27346207

  3. [Plasma lipid concentration in smoking and nonsmoking male adults treated from alcohol addiction].

    Science.gov (United States)

    Słodczyk, Ewa; Szołtysek-Bołdys, Izabela; Kozar-Konieczna, Aleksandra; Goniewicz, Jerzy; Ptak, Małgorzata; Olszowy, Zofia; Kośmider, Leon; Goniewicz, Maciej Łukasz; Sobczak, Andrzej

    2013-01-01

    Alcohol drinking and tobacco smoking affect plasma lipid levels and are both independent risk factors of cardiovascular diseases. Alcohol and nicotine addictions are more common among man than women in Poland. The aim of the study was to evaluate changes in plasma lipid levels after cessation of heavy drinking in smoking and nonsmoking Polish male adults. Subjects were recruited from individuals who participated in an inpatient addiction program following alcohol detoxification. We recruited 119 male adults: 48 non-smokers in age between 31 and 60 years (mean 48.7 +/- 8.8) and 71 smokers in age between 30 and 60 years (mean 46.1 +/- 7.8). Each subjects provided three blood samples: at baseline, after 3 weeks, and after 6 weeks of treatment. Plasma samples were analyzed for lipids by manual precipitation and automatic enzymatic methods. Changes in plasma lipid concentrations were analyzed using two-way analysis of variances with repeated measures with smoking status as between subjects factor and time post alcohol cessation as within-subject factors. All analyses were adjusted for age, and BMI. We found that plasma levels of HDL decreased in smoking and nonsmoking subjects by 30% and 24%, respectively (p smoking subjects, plasma levels of triglycerides and LDL increased significantly after 6 weeks post cessation of heavy drinking cessation by 17% and 16%, respectively (p = 0.001). We also found that total cholesterol levels remained high in smoking subjects, but decreased significantly by 7% (p = 0.022) in nonsmoking subjects after 6 weeks post cessation of heavy drinking. We concluded that cigarette smoking increased LDL and inhibited the decline in plasma cholesterol among subjects addicted to alcohol following cessation of heavy drinking. Alcohol addiction therapy should be complemented with smoking cessation to prevent increase in cardiovascular risk.

  4. Child Maltreatment and Adult Cigarette Smoking: A Long-term Developmental Model

    OpenAIRE

    Topitzes, James; Mersky, Joshua P.; Reynolds, Arthur J.

    2009-01-01

    Objective To examine: (a) child maltreatment’s association with young adult daily cigarette smoking, (b) variations in this association by gender, and (c) mediators of this association. Methods For all study participants (N = 1,125, 94% African American), data from multiple sources (e.g., child welfare records) were collected prospectively at child, adolescent, and young adult time points. Authors enlisted multivariate probit regression for objectives a and b versus exploratory and confirmato...

  5. Smoking

    Science.gov (United States)

    ... harms nearly every organ of the body. Cigarette smoking causes 87 percent of lung cancer deaths. It is also responsible for many other ... you quit, the greater the benefit. NIH: National Cancer Institute

  6. Effects of smoking abstinence on smoking-reinforced responding, withdrawal, and cognition in adults with and without attention deficit hyperactivity disorder

    Science.gov (United States)

    English, Joseph S.; Roley, Michelle E.; O’Brien, Benjamin; Blair, Justin; Lane, Scott D.; McClernon, F. Joseph

    2012-01-01

    Rationale Individuals with attention deficit hyperactivity disorder (ADHD) have a more difficult time quitting smoking compared to their non-ADHD peers. Little is known about the underlying behavioral mechanisms associated with this increased risk. Objectives This study aims to assess the effects of 24-h smoking abstinence in adult smokers with and without ADHD on the following outcomes: smoking-reinforced responding, withdrawal, and cognitive function. Methods Thirty-three (n=16 with ADHD, 17 without ADHD) adult smokers (more than or equal to ten cigarettes/day) were enrolled. Each participant completed two experimental sessions: one following smoking as usual and one following biochemically verified 24-h smoking abstinence. Smoking-reinforced responding measured via a progressive ratio task, smoking withdrawal measured via questionnaire, and cognition measured via a continuous performance test (CPT) were assessed at each session. Results Smoking abstinence robustly increased responding for cigarette puffs in both groups, and ADHD smokers responded more for puffs regardless of condition. Males in both groups worked more for cigarette puffs and made more commission errors on the CPT than females, regardless of condition. Smoking abstinence also increased ratings of withdrawal symptoms in both groups and smokers with ADHD, regardless of condition, reported greater symptoms of arousal, habit withdrawal, and somatic complaints. Across groups, smoking abstinence decreased inhibitory control and increased reaction time variability on the CPT. Abstinence-induced changes in inhibitory control and negative affect significantly predicted smoking-reinforced responding across groups. Conclusions Smokers with ADHD reported higher levels of withdrawal symptoms and worked more for cigarette puffs, regardless of condition, which could help explain higher levels of nicotine dependence and poorer cessation outcomes in this population. Abstinence-induced changes in smoking

  7. Ecological momentary assessment of antecedents and consequences of smoking in adults with attention-deficit/hyperactivity disorder.

    Science.gov (United States)

    Mitchell, John T; Dennis, Michelle F; English, Joseph S; Dennis, Paul A; Brightwood, Amy; Beckham, Jean C; Kollins, Scott H

    2014-09-01

    The current study assessed antecedents and consequences of ad lib cigarette smoking in smokers diagnosed with attention-deficit/hyperactivity disorder (ADHD) using ecological momentary assessment (EMA). Adult smokers with ADHD (n = 17) completed 870 smoking and 622 nonsmoking electronic diary entries over a 7-day observation period of their naturalistic smoking behavior. Data collection occurred from 2011 to 2012. Generalized estimating equations indicated that ADHD smokers were more likely to smoke when urge to smoke, negative affect, boredom, stress, worry, and restlessness were elevated. In addition, participants were more likely to smoke in situations that elicited higher levels of nervousness and frustration. ADHD symptoms, in general, did not differ between smoking and nonsmoking contexts, though hyperactive-impulsive ADHD symptoms were elevated prior to smoking in frustrating situations. Additional situational antecedent variables were associated with smoking, including being in the presence of others smoking, being in a bar or restaurant, while outside, and while consuming caffeinated or alcoholic beverages. Participants also reported a significant improvement in urge to smoke, negative affect, stress, hunger, and ADHD symptoms after smoking a cigarette. Findings suggest certain contextual factors that may maintain ad lib cigarette smoking in smokers with ADHD and identify potential treatment targets in smoking cessation interventions for this at-risk group. Clinical implications and future research directions are discussed. Funding for this study was provided by the National Institute on Drug Abuse.

  8. Knowledge of the health consequences of tobacco smoking: a cross-sectional survey of Vietnamese adults

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    Dao Thi Minh An

    2013-01-01

    Full Text Available Background: Although substantial efforts have been made to curtail smoking in Vietnam, the 2010 Global Adult Tobacco Survey (GATS revealed that the proportion of male adults currently smoking remains high at 47.4%. Objectives: To determine the level of, and characteristics associated with, knowledge of the health consequences of smoking among Vietnamese adults. Design: GATS 2010 was designed to survey a nationally representative sample of Vietnamese men and women aged 15 and older drawn from 11,142 households using a two-stage sampling design. Descriptive statistics were calculated and multivariate logistic regression was used to examine associations between postulated exposure factors (age, education, access to information, ethnic group etc. and knowledge on health risks. Results: General knowledge on the health risks of active smoking (AS and exposure to second hand smoke (SHS was good (90% and 83%, respectively. However, knowledge on specific diseases related to tobacco smoking (stroke, heart attack, and lung cancer appeared to be lower (51.5%. Non-smokers had a significantly higher likelihood of demonstrating better knowledge on health risks related to AS (OR 1.6 and SHS (OR 1.7 than smokers. Adults with secondary education, college education or above also had significantly higher levels knowledge of AS/SHS health risks than those with primary education (AS: ORs 1.6, 1.7, and 1.9, respectively, and SHS: ORs 2.4, 3.9, and 5.7 respectively. Increasing age was positively associated with knowledge of the health consequences of SHS, and access to information was significantly associated with knowledge of AS/SHS health risks (ORs 2.3 and 1.9 respectively. Otherwise, non-Kinh ethnic groups had significantly less knowledge on health risks of AS/SHS than Kinh ethnic groups. Conclusions: It may be necessary to target tobacco prevention programs to specific subgroups including current smokers, adults with low education, non-Kinh ethnics in order to

  9. Obesity trends of adults in northern Iran (2006-2010

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    Gholamreza Veghari

    2013-07-01

    Full Text Available Background: The main aim of study was to determine obesity trends between 2006 to 2010 among adults aged 15-65 years in northern Iran. Material and Methods: This was a population-based cross-sectional study that enrolled 6,487 subjects chosen by multi stage cluster random sampling. Subjects were randomly chosen from 325 clusters and each cluster included 20 cases. Weight and height were measured and socio-demographic factors recorded. One-way analysis of variance (ANOVA and Cochran’s test were used to compare the groups and statistical significance was defined as p value < 0.05. Obesity was defined by WHO classification based on Body Mass Index (BMI criteria. Results: Generally, the prevalence of overweight and obesity were seen in 31.5% and 23.0%, respectively. It was significantly common in women more than men (31.8% vs 14.1% (P=0.001. The mean of BMI significantly decreased 0.079 kg/m2 in men (P=0.004 and 0.059 kg/m2 in women (P=0.030 in each of years. In urban areas, obesity decreased in men aged group 15-35 year (P=0.016 and women aged 35-50 years (P=0.003, but in rural areas, obesity increased in men aged 50-65 years (P=0.003 and in women 15-35 years (P=0.025. Conclusion: Alarming rates of obesity were found in Iranian northern adults and a rising trend was shown in rural area whereas it was contrary in urban area. Associated factors leading to the obesity increase need to be identified and national action are necessary to reduce the adult obesity.

  10. The Effects of Smoking-Related Television Advertising on Smoking and Intentions to Quit Among Adults in the United States: 1999–2007

    Science.gov (United States)

    Kim, Yoonsang; Choi, Young Ku; Szczypka, Glen; Wakefield, Melanie; Chaloupka, Frank J.

    2012-01-01

    Objectives. We investigated whether state-sponsored antitobacco advertisements are associated with reduced adult smoking, and interactions between smoking-related advertising types. Methods. We measured mean exposure to smoking-related advertisements with television ratings for the top-75 US media markets from 1999 to 2007. We combined these data with individual-level Current Population Surveys Tobacco Use Supplement data and state tobacco control policy data. Results. Higher exposure to state-sponsored, Legacy, and pharmaceutical advertisements was associated with less smoking; higher exposure to tobacco industry advertisements was associated with more smoking. Higher exposure to state- and Legacy-sponsored advertisements was positively associated with intentions to quit and having made a past-year quit attempt; higher exposure to ads for pharmaceutical cessation aids was negatively associated with having made a quit attempt. There was a significant negative interaction between state- and Legacy-sponsored advertisements. Conclusions. Exposure to state-sponsored advertisements was far below Centers for Disease Control and Prevention–recommended best practices. The significant negative relationships between antismoking advertising and adult smoking provide strong evidence that tobacco-control media campaigns help reduce adult smoking. The significant negative interaction between state- and Legacy-sponsored advertising suggests that the campaigns reinforce one another. PMID:22397350

  11. Integrated smoking cessation and binge drinking intervention for young adults: a pilot efficacy trial.

    Science.gov (United States)

    Ames, Steven C; Pokorny, Steven B; Schroeder, Darrell R; Tan, Winston; Werch, Chudley E

    2014-05-01

    Alcohol consumption is strongly associated with cigarette smoking in young adults. The primary aim of this investigation was to complete a pilot evaluation of the efficacy of an integrated intervention that targets both cigarette smoking and binge drinking on the cigarette smoking and binge behavior of young adults at 6-month follow-up. Participants were 95 young adult (M=24.3; SD=3.5 years) smokers (≥1 cigarettes per day) who binge drink (≥1 time per month) and who were randomly assigned to standard treatment (n=47) involving six individual treatment visits plus eight weeks of nicotine patch therapy or the identical smoking cessation treatment integrated with a binge drinking intervention (integrated intervention; n=48). Using an intent-to-treat analysis for tobacco abstinence, at both 3 month end of treatment and 6 month follow-up, more participants who received integrated intervention were biochemically confirmed abstinent from tobacco than those who received standard treatment at 3 months (19% vs. 9%, p=0.06) and 6 months (21% vs. 9%, p=0.05). At 6 months, participants who completed the study and who received integrated intervention consumed fewer drinks per month (psmoking cessation and reduces binge drinking compared to standard treatment.

  12. Evaluation of smoking genotoxicity in Turkish young adults

    Science.gov (United States)

    Zamani, Ayse G.; Durakbasi-Dursun, H. Gul; Demirel, Sennur; Acar, Aynur

    2011-01-01

    BACKGROUND: For the past few decades, it has been widely known in developed countries that tobacco is dangerous, but it is still insufficiently realized how big these dangers really are. AIMS: To determine and evaluate micronuclei (MN) frequencies of young smokers and nonsmokers in three different tissues (peripheric blood lymphoctes, buccal mucosa, and exfoliative urothelial cells) at the same time. MATERIALS AND METHODS: MN assay was performed on buccal mucosa, urothelial cells, and peripheric blood lymphocyte samples obtained from 15 healthy male smokers (>5 pack-years) and 15 healthy male nonsmoker controls who had not been exposed to any known genotoxic agent. STATISTICAL ANALYSIS USED: The statistical differences between smoker and nonsmoker groups were calculated by using student t test. The differences between smoker-group tissues were compared by ANOVA. RESULTS: It was found that MN frequency (mean value ± standard deviation) in oral mucosa cells from smokers and controls were 1.20 ± 0.22% and 0.26 ± 0.10%; in urothelial exfoliative cells, 1.29 ± 0.28% and 0.12 ± 0.08%; in peripheric blood lymphocytes, 1.53 ± 0.23% and 0.38 ± 0.12%, respectively. The mean MN frequencies in buccal mucosa, urothelial exfoliative cells, and peripheric blood lymphocytes were significantly higher in smokers than in those of controls (P<0.05). All tissues were affected from smoking, but the most destructive effect was seen in urothelial cells of smokers (P<0.05). CONCLUSIONS: Our data showed that cigarette smoke is a DNA damage causitive agent on exfoliative buccal mucosa and urothelial cells and peripheric blood lymphocytes of young smokers, but it has most destructive effect on urothelial cells. PMID:21814336

  13. Contribution of H. pylori and smoking trends to US incidence of intestinal-type noncardia gastric adenocarcinoma: a microsimulation model.

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    Jennifer M Yeh

    Full Text Available BACKGROUND: Although gastric cancer has declined dramatically in the US, the disease remains the second leading cause of cancer mortality worldwide. A better understanding of reasons for the decline can provide important insights into effective preventive strategies. We sought to estimate the contribution of risk factor trends on past and future intestinal-type noncardia gastric adenocarcinoma (NCGA incidence. METHODS AND FINDINGS: We developed a population-based microsimulation model of intestinal-type NCGA and calibrated it to US epidemiologic data on precancerous lesions and cancer. The model explicitly incorporated the impact of Helicobacter pylori and smoking on disease natural history, for which birth cohort-specific trends were derived from the National Health and Nutrition Examination Survey (NHANES and National Health Interview Survey (NHIS. Between 1978 and 2008, the model estimated that intestinal-type NCGA incidence declined 60% from 11.0 to 4.4 per 100,000 men, <3% discrepancy from national statistics. H. pylori and smoking trends combined accounted for 47% (range = 30%-58% of the observed decline. With no tobacco control, incidence would have declined only 56%, suggesting that lower smoking initiation and higher cessation rates observed after the 1960s accelerated the relative decline in cancer incidence by 7% (range = 0%-21%. With continued risk factor trends, incidence is projected to decline an additional 47% between 2008 and 2040, the majority of which will be attributable to H. pylori and smoking (81%; range = 61%-100%. Limitations include assuming all other risk factors influenced gastric carcinogenesis as one factor and restricting the analysis to men. CONCLUSIONS: Trends in modifiable risk factors explain a significant proportion of the decline of intestinal-type NCGA incidence in the US, and are projected to continue. Although past tobacco control efforts have hastened the decline, full benefits will take decades to be

  14. Disparities in Adult Cigarette Smoking - United States, 2002-2005 and 2010-2013.

    Science.gov (United States)

    Martell, Brandi N; Garrett, Bridgette E; Caraballo, Ralph S

    2016-01-01

    Although cigarette smoking has substantially declined since the release of the 1964 Surgeon General's report on smoking and health,* disparities in tobacco use exist among racial/ethnic populations (1). Moreover, because estimates of U.S. adult cigarette smoking and tobacco use are usually limited to aggregate racial or ethnic population categories (i.e., non-Hispanic whites [whites]; non-Hispanic blacks or African Americans [blacks]; American Indians and Alaska Natives [American Indians/Alaska Natives]; Asians; Native Hawaiians or Pacific Islanders [Native Hawaiians/Pacific Islanders]; and Hispanics/Latinos [Hispanics]), these estimates can mask differences in cigarette smoking prevalence among subgroups of these populations. To assess the prevalence of and changes in cigarette smoking among persons aged ≥18 years in six racial/ethnic populations and 10 select subgroups in the United States,(†) CDC analyzed self-reported data collected during 2002-2005 and 2010-2013 from the National Survey on Drug Use and Health (NSDUH) (2) and compared differences between the two periods. During 2010-2013, the overall prevalence of cigarette smoking among the racial/ethnic populations and subgroups ranged from 38.9% for American Indians/Alaska Natives to 7.6% for both Chinese and Asian Indians. During 2010-2013, although cigarette smoking prevalence was relatively low among Asians overall (10.9%) compared with whites (24.9%), wide within-group differences in smoking prevalence existed among Asian subgroups, from 7.6% among both Chinese and Asian Indians to 20.0% among Koreans. Similarly, among Hispanics, the overall prevalence of current cigarette smoking was 19.9%; however, within Hispanic subgroups, prevalences ranged from 15.6% among Central/South Americans to 28.5% among Puerto Ricans. The overall prevalence of cigarette smoking was higher among men than among women during both 2002-2005 (30.0% men versus 23.9% women) and 2010-2013 (26.4% versus 21.1%) (p<0.05). These

  15. Specific dimensions of impulsivity are differentially associated with daily and non-daily cigarette smoking in young adults.

    Science.gov (United States)

    Lee, Dustin C; Peters, Jessica R; Adams, Zachary W; Milich, Richard; Lynam, Donald R

    2015-07-01

    Young adults are at risk for initiation of tobacco use and progression to tobacco dependence. Not every person who smokes cigarettes becomes tobacco dependent, however, and non-daily smoking is becoming more prevalent among those who use tobacco. It is likely that individual differences in psychosocial and behavioral factors influence risk for engaging in non-daily and daily cigarette smoking. The objective of this study was to investigate the associations between impulsivity and smoking status in young adults who vary in frequency of cigarette smoking. Young adult first-year college students between the ages of 18-24 (512) were classified to one of three groups: non-smokers, non-daily smokers, or daily smokers, and impulsivity was assessed using the UPPS-P (negative and positive urgency, lack of premeditation, lack of perseverance, sensation seeking). When all impulsivity dimensions were used simultaneously to predict smoking status, negative urgency predicted increased risk of membership in the daily smoking group and lack of premeditation predicted increased risk of membership in the non-daily smoking group. These results suggest that dimensions of impulsivity may contribute differentially to forms of smoking behavior in young adults.

  16. Specific dimensions of impulsivity are differentially associated with daily and non-daily cigarette smoking in young adults.

    Science.gov (United States)

    Lee, Dustin C; Peters, Jessica R; Adams, Zachary W; Milich, Richard; Lynam, Donald R

    2015-07-01

    Young adults are at risk for initiation of tobacco use and progression to tobacco dependence. Not every person who smokes cigarettes becomes tobacco dependent, however, and non-daily smoking is becoming more prevalent among those who use tobacco. It is likely that individual differences in psychosocial and behavioral factors influence risk for engaging in non-daily and daily cigarette smoking. The objective of this study was to investigate the associations between impulsivity and smoking status in young adults who vary in frequency of cigarette smoking. Young adult first-year college students between the ages of 18-24 (512) were classified to one of three groups: non-smokers, non-daily smokers, or daily smokers, and impulsivity was assessed using the UPPS-P (negative and positive urgency, lack of premeditation, lack of perseverance, sensation seeking). When all impulsivity dimensions were used simultaneously to predict smoking status, negative urgency predicted increased risk of membership in the daily smoking group and lack of premeditation predicted increased risk of membership in the non-daily smoking group. These results suggest that dimensions of impulsivity may contribute differentially to forms of smoking behavior in young adults. PMID:25827335

  17. The impact of smoking in adolescence on early adult anxiety symptoms and the relationship between infant vulnerability factors for anxiety and early adult anxiety symptoms: the TOPP Study.

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    Steven Moylan

    Full Text Available Cigarette smoking is increased in people with trait anxiety and anxiety disorders, however no longitudinal data exist illuminating whether smoking in adolescence can influence the developmental trajectory of anxiety symptoms from early vulnerability in infancy to adult anxiety expression. Using The Tracing Opportunities and Problems in Childhood and Adolescence (TOPP Study, a community-based cohort of children and adolescents from Norway who were observed from the age of 18 months to age 18-19 years, we explored the relationship between adolescent smoking, early vulnerability for anxiety in infancy (e.g. shyness, internalizing behaviors, emotional temperaments and reported early adult anxiety. Structural equation modeling demonstrated that adolescent active smoking was positively associated with increased early adulthood anxiety (β = 0.17, p<0.05, after controlling for maternal education (proxy for socioeconomic status. Adolescent anxiety did not predict early adult smoking. Adolescent active smoking was a significant effect modifier in the relationship between some infant vulnerability factors and later anxiety; smoking during adolescence moderated the relationship between infant internalizing behaviors (total sample: active smokers: β = 0.85, p<0.01, non-active smokers: ns and highly emotional temperament (total sample: active smokers: β = 0.55, p<0.01,non-active smokers: ns, but not shyness, and anxiety in early adulthood. The results support a model where smoking acts as an exogenous risk factor in the development of anxiety, and smoking may alter the developmental trajectory of anxiety from infant vulnerability to early adult anxiety symptom expression. Although alternative non-mutually exclusive models may explain these findings, the results suggest that adolescent smoking may be a risk factor for adult anxiety, potentially by influencing anxiety developmental trajectories. Given the known adverse health effects of cigarette

  18. Point-of-care urine tests for smoking status and isoniazid treatment monitoring in adult patients.

    Directory of Open Access Journals (Sweden)

    Ioana Nicolau

    Full Text Available BACKGROUND: Poor adherence to isoniazid (INH preventive therapy (IPT is an impediment to effective control of latent tuberculosis (TB infection. TB patients who smoke are at higher risk of latent TB infection, active disease, and TB mortality, and may have lower adherence to their TB medications. The objective of our study was to validate IsoScreen and SmokeScreen (GFC Diagnostics, UK, two point-of-care tests for monitoring INH intake and determining smoking status. The tests could be used together in the same individual to help identify patients with a high-risk profile and provide a tailored treatment plan that includes medication management, adherence interventions, and smoking cessation programs. METHODOLOGY/PRINCIPAL FINDINGS: 200 adult outpatients attending the TB and/or the smoking cessation clinic were recruited at the Montreal Chest Institute. Sensitivity and specificity were measured for each test against the corresponding composite reference standard. Test reliability was measured using kappa statistic for intra-rater and inter-rater agreement. Univariate and multivariate logistic regression models were used to explore possible covariates that might be related to false-positive and false-negative test results. IsoScreen had a sensitivity of 93.2% (95% confidence interval [CI] 80.3, 98.2 and specificity of 98.7% (94.8, 99.8. IsoScreen had intra-rater agreement (kappa of 0.75 (0.48, 0.94 and inter-rater agreement of 0.61 (0.27, 0.90. SmokeScreen had a sensitivity of 69.2% (56.4, 79.8, specificity of 81.6% (73.0, 88.0, intra-rater agreement of 0.77 (0.56, 0.94, and inter-rater agreement of 0.66 (0.42, 0.88. False-positive SmokeScreen tests were strongly associated with INH treatment. CONCLUSIONS: IsoScreen had high validity and reliability, whereas SmokeScreen had modest validity and reliability. SmokeScreen tests did not perform well in a population receiving INH due to the association between INH treatment and false-positive Smoke

  19. Knowledge and attitude on ill effects of smoking among adults residing in Lekhnath, Kaski, Nepal

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    Gnanakshi D

    2014-09-01

    Full Text Available Background: Worldwide opinion says, “Smoking is injurious to health”. It is positively injurious in many ways not only to the health of smoker but also to the health of the people around him or her known as the passive smokers. The three main components of inhaled cigarette smoke are nicotine, carbon monoxide and tar, which can cause disease. If this nicotine is absorbed in the blood stream and left within 10 seconds it increases the heart rate and blood pressure by stimulating the release of hormones such as adrenaline and constricting blood vessels [1]. Aim: To assess knowledge and attitude on ill effects of smoking among adults residing in Lekhnath municipality, ward no.12, Khudi, Kaski”. Material & Method: A survey approach with the descriptive design was selected to achieve the objectives of the study. Convenient sampling technique was used to select the samples. The sample size was 100 adults of 20 years & above. Data was collected from 10/03/2013-10/04/2013 by interview technique regarding ill effects of smoking by using questionnaire and finally the data was analyzed using Excel 2007 & SPSS for Windows Version 16.0. Results: The major findings of the present study were as follows: Most of the participants (58% were having good level of knowledge, 31% were having average level of knowledge and remaining 11% were having poor level of knowledge towards ill effects of smoking. Majority of participants had favorable attitude (81% towards ill effects of smoking. The correlation between knowledge and attitude was found to be positive at the significance level of P>0.01.Significant association of knowledge was found with gender, marital status and education level regarding ill effects of smoking. Significant association of attitude was found with family type and source of information regarding ill effects of smoking. Conclusion: Hence, still few people residing in the community are having poor knowledge and attitude on ill effects of

  20. Secular Trends and Smoke-Free Policy Development in Rural Kentucky

    Science.gov (United States)

    Fallin, Amanda; Parker, Lindsay; Lindgreen, Janine; Riker, Carol; Kercsmar, Sarah; Hahn, Ellen J.

    2011-01-01

    Secondhand smoke (SHS) exposure causes cardiovascular disease, lung cancer and pulmonary disorders. Smoke-free policies are the most effective way to prevent exposure to SHS. A 5-year community-based randomized control trial (RCT) is in progress to assess factors associated with smoke-free policy development in rural communities. Considering…

  1. Smoking and increased risk of multiple sclerosis: parallel trends in the sex ratio reinforce the evidence

    DEFF Research Database (Denmark)

    Palacios, Natalia; Alonso, Alvaro; Brønnum-Hansen, Henrik;

    2011-01-01

    Smoking behavior in industrialized nations has changed markedly over the second half of the 20th century, with diverging patterns in male and female smoking rates. We examined whether the female/male incidence of multiple sclerosis (MS) changed concomitantly with smoking, as would be expected...

  2. Predictors of long-term smoking cessation: results from the global adult tobacco survey in Poland (2009–2010

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    Kaleta Dorota

    2012-11-01

    Full Text Available Abstract Background Expanding the information on determinants of smoking cessation is crucial for developing and implementing more effective tobacco control measures at the national as well as European levels. Data on smoking cessation and its social correlates among adults from middle-income countries of Central and Eastern Europe are still poorly reported in the literature. The aim of the study was to analyze the association of socio-demographic indicators with long term tobacco smoking cessation (quit smoking for at least one year prior to interview among adults. Moreover, we evaluated motives for giving up smoking from former smokers. Methods Data on former as well as current smokers’ socio-demographic and smoking-related characteristics were derived from the Global Adult Tobacco Survey (GATS. GATS is a cross-sectional, nationally representative household survey implemented in Poland between 2009 and 2010. GATS collected data on a representative sample of 7,840 individuals including 1,206 individuals who met the criteria of long-term smoking cessation and 2,233 current smokers. Smoking cessation rate was calculated as the number of former smokers divided by the number of ever smokers. Logistic regression analyses were used to obtain odds ratios (ORs and 95% confidence interval (CI of the broad number of variables on successful cessation of smoking. Results Among females the quit rate was 30.4% compared to 37.9% in males (p  Conclusion Results indicated that smoking cessation policies focused on younger age groups are vital for curbing tobacco epidemic in Poland and should become a public health main concern. There is also the need for interventions to raise awareness on smoking health risks and quitting benefits are crucial to increase cessation potential among adult smokers. Nevertheless further effort needs to be done to prevent smoking uptake.

  3. The Systematic Development of an Internet-Based Smoking Cessation Intervention for Adults.

    Science.gov (United States)

    Dalum, Peter; Brandt, Caroline Lyng; Skov-Ettrup, Lise; Tolstrup, Janne; Kok, Gerjo

    2016-07-01

    Objectives The objective of this project was to determine whether intervention mapping is a suitable strategy for developing an Internet- and text message-based smoking cessation intervention. Method We used the Intervention Mapping framework for planning health promotion programs. After a needs assessment, we identified important changeable determinants of cessation behavior, specified objectives for the intervention, selected theoretical methods for meeting our objectives, and operationalized change methods into practical intervention strategies. Results We found that "social cognitive theory," the "transtheoretical model/stages of change," "self-regulation theory," and "appreciative inquiry" were relevant theories for smoking cessation interventions. From these theories, we selected modeling/behavioral journalism, feedback, planning coping responses/if-then statements, gain frame/positive imaging, consciousness-raising, helping relationships, stimulus control, and goal-setting as suitable methods for an Internet- and text-based adult smoking cessation program. Furthermore, we identified computer tailoring as a useful strategy for adapting the intervention to individual users. Conclusion The Intervention Mapping method, with a clear link between behavioral goals, theoretical methods, and practical strategies and materials, proved useful for systematic development of a digital smoking cessation intervention for adults. PMID:27101996

  4. Pulmonary Langerhans Cell Histiocytosis with Lytic Bone Involvement in an Adult Smoker: Regression following Smoking Cessation

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    B. Routy

    2015-01-01

    Full Text Available Langerhans cell histiocytosis (LCH is a rare myeloid neoplasm characterized by the proliferation and dissemination of histiocytes. These in turn may cause symptoms ranging from isolated, infiltrative lesions to severe multisystem disease. Pulmonary Langerhans cell histiocytosis (PLCH presents as a localized polyclonal proliferation of Langerhans cells in the lungs causing bilateral cysts and fibrosis. In adults, this rare condition is considered a reactive process associated with cigarette smoking. Recently, clonal proliferation has been reported with the presence of BRAF V600E oncogenic mutation in a subset of PLCH patients. Spontaneous resolution was described; however, based on case series, smoking cessation remains the most effective way to achieve complete remission and prevent long term complications related to tobacco. Herein, we report the case of an adult woman with biopsy-proven PLCH presenting with thoracic (T8 vertebral bone destruction. Both the lung and the bone diseases regressed following smoking cessation, representing a rare case of synchronous disseminated PCLH with bone localization. This observation underscores the contribution of cigarette smoking as a systemic trigger of both pulmonary and extrapulmonary bone lesions. A review of similar cases in the literature is also presented.

  5. Pulmonary Langerhans Cell Histiocytosis with Lytic Bone Involvement in an Adult Smoker: Regression following Smoking Cessation

    Science.gov (United States)

    Routy, B.; Hoang, J.; Gruber, J.

    2015-01-01

    Langerhans cell histiocytosis (LCH) is a rare myeloid neoplasm characterized by the proliferation and dissemination of histiocytes. These in turn may cause symptoms ranging from isolated, infiltrative lesions to severe multisystem disease. Pulmonary Langerhans cell histiocytosis (PLCH) presents as a localized polyclonal proliferation of Langerhans cells in the lungs causing bilateral cysts and fibrosis. In adults, this rare condition is considered a reactive process associated with cigarette smoking. Recently, clonal proliferation has been reported with the presence of BRAF V600E oncogenic mutation in a subset of PLCH patients. Spontaneous resolution was described; however, based on case series, smoking cessation remains the most effective way to achieve complete remission and prevent long term complications related to tobacco. Herein, we report the case of an adult woman with biopsy-proven PLCH presenting with thoracic (T8) vertebral bone destruction. Both the lung and the bone diseases regressed following smoking cessation, representing a rare case of synchronous disseminated PCLH with bone localization. This observation underscores the contribution of cigarette smoking as a systemic trigger of both pulmonary and extrapulmonary bone lesions. A review of similar cases in the literature is also presented. PMID:25789184

  6. Pulmonary Langerhans Cell Histiocytosis with Lytic Bone Involvement in an Adult Smoker: Regression following Smoking Cessation.

    Science.gov (United States)

    Routy, B; Hoang, J; Gruber, J

    2015-01-01

    Langerhans cell histiocytosis (LCH) is a rare myeloid neoplasm characterized by the proliferation and dissemination of histiocytes. These in turn may cause symptoms ranging from isolated, infiltrative lesions to severe multisystem disease. Pulmonary Langerhans cell histiocytosis (PLCH) presents as a localized polyclonal proliferation of Langerhans cells in the lungs causing bilateral cysts and fibrosis. In adults, this rare condition is considered a reactive process associated with cigarette smoking. Recently, clonal proliferation has been reported with the presence of BRAF V600E oncogenic mutation in a subset of PLCH patients. Spontaneous resolution was described; however, based on case series, smoking cessation remains the most effective way to achieve complete remission and prevent long term complications related to tobacco. Herein, we report the case of an adult woman with biopsy-proven PLCH presenting with thoracic (T8) vertebral bone destruction. Both the lung and the bone diseases regressed following smoking cessation, representing a rare case of synchronous disseminated PCLH with bone localization. This observation underscores the contribution of cigarette smoking as a systemic trigger of both pulmonary and extrapulmonary bone lesions. A review of similar cases in the literature is also presented. PMID:25789184

  7. Smoking cessation among Norwegian adolescents and young adults: preferred cessation methods.

    Science.gov (United States)

    Wiium, Nora; Overland, Simon; Aarø, Leif E

    2011-04-01

    Despite generally declining smoking rates, particularly among young people, a large number of people remain smokers and many young people still pick up smoking. Helping smokers quit therefore remains a high priority for the public health sector. In the present study we examined adolescents and young adults' preferences regarding cessation methods and if these differed between genders and depended on smoking frequency. The data came from a nationally representative survey in Norway among 16-20 year olds. Only regular (weekly and daily) smokers were included in the statistical analyses (n = 509, 51% females). The findings suggest that the majority of both male (83.6%) and female (78.4%) smokers would prefer to quit smoking without help. More males than females reported that they would consider using snus as a cessation aid, while females more often reported willingness to attend cessation classes or use brochures and diaries as cessation aids. Both males and females had similar preferences albeit low, regarding the use of health services, nicotine gum or patches and internet and sms-services to quit smoking. Daily smokers would more often than weekly smokers prefer to attend cessation classes, seek help from health services, use nicotine gum or patches or use brochures and diaries. In contrast, weekly smokers preferred to use snus as a cessation aid more often than daily smokers. Identifying and making appropriate cessation methods attractive may lead to successful quitting and consequently public health gains. PMID:21054423

  8. Reinforcing value of smoking relative to physical activity and the effects of physical activity on smoking abstinence symptoms among young adults.

    Science.gov (United States)

    Audrain-McGovern, Janet; Strasser, Andrew A; Ashare, Rebecca; Wileyto, E Paul

    2015-12-01

    This study sought to evaluate whether individual differences in the reinforcing value of smoking relative to physical activity (RRVS) moderated the effects of physical activity on smoking abstinence symptoms in young adult smokers. The repeated-measures within-subjects design included daily smokers (N = 79) 18-26 years old. RRVS was measured with a validated behavioral choice task. On 2 subsequent visits, participants completed self-report measures of craving, withdrawal, mood, and affective valence before and after they engaged in passive sitting or a bout of physical activity. RRVS did not moderate any effects of physical activity (ps > .05). Physical activity compared with passive sitting predicted decreased withdrawal symptoms, β = -5.23, 95% confidence interval (CI) [-6.93, -3.52] (p smoke. β = -7.13, 95% CI [-9.39, -4.86] (p smoking period, β = 211.76, 95% CI [32.54, 390.98] (p = .02). RRVS predicted higher levels of pleasurable feelings, β = 0.22, 95% CI [0.01, 0.43] (p = .045), increased odds of smoking versus remaining abstinent during the ad libitum smoking period, β = 0.04, 95% CI [0.01, 0.08] (p = .02), and reduced time to first cigarette, β = -163.00, 95% CI [-323.50, -2.49] (p = .047). Regardless of the RRVS, physical activity produced effects that may aid smoking cessation in young adult smokers. However, young adult smokers who have a higher RRVS will be less likely to choose to engage physical activity, especially when smoking is an alternative.

  9. Effect of cigarette smoking on evolution of ventilatory lung function in young adults: an eight year longitudinal study.

    OpenAIRE

    Jaakkola, M S; Ernst, P.; Jaakkola, J J; N'gan'ga, L W; Becklake, M R

    1991-01-01

    BACKGROUND: There are few data on the quantitative effects of cigarette smoking on lung function in young adults. These effects are important in the understanding of the early stages of chronic airflow obstruction. METHODS: A longitudinal study over eight years was carried out to estimate quantitatively the effect of cigarette smoking on ventilatory lung function in young adults and to examine the possibility that the effect is modified by other factors. The study population were 15 to 40 yea...

  10. Reference equations for lung function screening of healthy never-smoking adults aged 18-80 years

    OpenAIRE

    Kuster, S P; Kuster, D; Schindler, C.; Rochat, M K; Braun, J; Held, L.; Brändli, O

    2008-01-01

    The need for updated spirometric reference values to be used on European populations is widely acknowledged, especially for subjects aged >70 yrs. Their reference values are generally based on extrapolations. The aim of the present study was to calculate reference values for lung function screening of healthy, never-smoking adults aged 18-80 yrs and to compare them with the most widely used reference equations. Results of screening spirometry of 8,684 healthy, never-smoking adults were used t...

  11. Trends in the Risk for Cardiovascular Disease among Adults with Diabetes in Oman

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    Jawad Al-Lawati

    2015-01-01

    Full Text Available Objectives: This study aimed to investigate trends in the estimated 10-year risk for developing cardiovascular disease (CVD among adults with diagnosed diabetes in Oman. In addition, the effect of hypothetical risk reductions in this population was examined. Methods: Data from 1,077 Omani adults aged ≥40 years with diagnosed diabetes were collected and analysed from three national surveys conducted in 1991, 2000 and 2008 across all regions of Oman. The estimated 10-year CVD risk and hypothetical risk reductions were calculated using risk prediction algorithms from the Systematic COronary Risk Evaluation (SCORE, Diabetes Epidemiology Collaborative Analysis of Diagnostic Criteria in Europe (DECODE and World Health Organization/International Society of Hypertension (WHO/ISH risk tools. Results: Between 1991 and 2008, the estimated 10-year risk of CVD increased significantly in the total sample and among both genders, regardless of the risk prediction algorithm that was used. Hypothetical risk reduction models for three scenarios (eliminating smoking, controlling systolic blood pressure and reducing total cholesterol identified that reducing systolic blood pressure to ≤130 mmHg would lead to the largest reduction in the 10-year risk of CVD in subjects with diabetes. Conclusion: The estimated 10-year risk for CVD among adults with diabetes increased significantly between 1991 and 2008 in Oman. Focused public health initiatives, involving recognised interventions to address behavioural and biological risks, should be a national priority. Improvements in the quality of care for diabetic patients, both at the individual and the healthcare system level, are required.

  12. Variations in the Gender Ratio of Multiple Sclerosis Linked to Converging Smoking Trends in Men and Women

    DEFF Research Database (Denmark)

    Palacios, Natalia; Alonso, Alvaro; Brønnum-Hansen, Henrik;

    2010-01-01

    [S40.001] Variations in the Gender Ratio of Multiple Sclerosis Linked to Converging Smoking Trends in Men and Women Natalia Palacios, Boston, MA, Alvaro Alonso, Minneapolis, MN, Henrik Bronnum-Hansen, Coppenhagen, Denmark, Alberto Ascherio, Boston, MA OBJECTIVE: To examine if a time-dependent rel...... and Related Diseases - Clinical Science Wednesday, April 14, 2010 4:15 PM Scientific Sessions: Multiple Sclerosis: Epidemiology (4:15 PM-5:30 PM)......[S40.001] Variations in the Gender Ratio of Multiple Sclerosis Linked to Converging Smoking Trends in Men and Women Natalia Palacios, Boston, MA, Alvaro Alonso, Minneapolis, MN, Henrik Bronnum-Hansen, Coppenhagen, Denmark, Alberto Ascherio, Boston, MA OBJECTIVE: To examine if a time......-dependent relationship exists between changing female-to male ratios of smoking and Multiple Sclerosis (MS) in worldwide birth cohorts from previously published studies. BACKGROUND: Smoking behavior in industrialized nations has changed dramatically over the second half of the 20th century, with diverging patterns...

  13. Improving smoking cessation policy by assessing user demand for an inpatient smoking cessation service in adult psychiatric wards.

    Science.gov (United States)

    Liu, Kathy; Creamer, Andrew

    2015-01-01

    Smoking rates are higher among people with mental health conditions compared to the general population. Smoking reduces physical, mental and financial well-being, and interacts with psychotropic drugs. An inpatient admission provides an opportunity to engage and support smokers in smoking cessation. Compliance with Trust/NICE smoking cessation guidelines was assessed in two inpatient wards, and a questionnaire evaluated user demand for an inpatient smoking cessation service. A need for improved documentation of smoking status to identify and treat smokers routinely was revealed. A new electronic health form was designed and introduced, and a clear pathway for onward referrals was developed. This intervention preceded the introduction of the Trust-wide smoke free policy from October 2014. The intervention doubled rates of documentation of smoking status, cessation advice and offer of NRT/referral. There were large differences between the two wards, highlighting the need for a tailored approach.

  14. Epidemiology of smoking among Malaysian adult males: prevalence and associated factors

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    Lim Hock Kuang

    2013-01-01

    Full Text Available Abstract Background Three National Health and Morbidity Surveys (NHMSs had been conducted in Malaysia in 10-year intervals from 1986–2006. Based on the latest NHMS survey in 2006, we describe the prevalence of smoking and identify the social and demographic factors associated with smoking among adult males in Malaysia. Methods A cross-sectional study among 15,639 Malaysian adult males aged 18 years and above was conducted using proportional to size stratified sampling method. The socio-demographic variables examined were level of education, occupation, marital status, residential area, age group and monthly household income. Results The prevalence of smoking among adult males in Malaysia was 46.5% (95% CI: 45.5–47.4%, which was 3% lower than a decade ago. Mean age of smoking initiation was 18.3 years, and mean number of cigarettes smoked daily was 11.3. Prevalence of smoking was highest among the Malays (55.9% and those aged 21–30 years (59.3%. Smoking was significantly associated with level of education (no education OR 2.09 95% CI (1.67–2.60, primary school OR 1.95, 95% CI (1.65–2.30, secondary school OR 1.88, 95% CI (1.63–2.11, with tertiary education as the reference group. Marital status (divorce OR 1.67, 95% CI (1.22–2.28, with married as the reference group, ethnicity (Malay, OR 2.29, 95% CI ( 1.98–2.66; Chinese OR 1.23 95% CI (1.05–1.91, Other Bumis OR 1.75, 95% CI (1.46–2.10, others OR 1.48 95% CI (1.15–1.91, with Indian as the reference group, age group (18–20 years OR 2.36, 95% CI (1.90–2.94; 20–29 years OR 3.31 , 95% CI 2.82–3.89; 31–40 years OR 2.85 , 95% CI ( 2.47–3.28; 41–50 years OR 1.93, 95% CI (1.69–2.20 ; 51–60 years OR 1.32, 95% CI (1.15–1.51, with 60 year-old and above as the reference group and residential area (rural OR 1.12 , 95% CI ( 1.03–1.22 urban as reference. Conclusion The prevalence of smoking among Malaysian males remained high in spite of several population

  15. Stress-related increases in risk taking and attentional failures predict earlier relapse to smoking in young adults: A pilot investigation.

    Science.gov (United States)

    Schepis, Ty S; Tapscott, Brian E; Krishnan-Sarin, Suchitra

    2016-04-01

    Substantial evidence links greater impulsivity and stress exposure to poorer smoking cessation outcomes. Results from adolescents also indicate that stress-related change in risk taking can impede cessation attempts. We investigated the effects of stress-related change in impulsivity, risk taking, attention and nicotine withdrawal, and craving in young adult smokers on time to smoking relapse in a relapse analogue paradigm. Twenty-six young adult smokers (50% women; mean age: 20.9 ± 1.8) were exposed to a stress imagery session followed by a contingency management-based relapse analogue paradigm. Participants smoked at least 5 cigarettes daily, with a mean baseline carbon monoxide (CO) level of 13.7 (±5.1) ppm. Repeated measures analysis of variance (ANOVA) and paired t tests examined stress induction validity and Cox regressions of proportional hazards examined the effects of stress-related changes in nicotine withdrawal, nicotine craving, attention, impulsivity, and risk taking on time to relapse. While stress-related change in impulsivity, nicotine craving and withdrawal did not predict time to relapse (all ps > .10), greater stress-related increases in reaction time (RT) variability (p = .02) were predictive of shorter time to relapse, with trend-level findings for inattention and risk taking. Furthermore, changes in stress-related risk taking affected outcome in women more than in men, with a significant relationship between stress-related change in risk taking only in women (p = .026). Smoking cessation attempts in young adults may be adversely impacted by stress-related increases in risk taking and attentional disruption. Clinicians working with young adults attempting cessation may need to target these stress-related impairments by fostering more adaptive coping and resilience. (PsycINFO Database Record PMID:26901590

  16. Knowledge and attitudes of adults towards smoking in pregnancy: results from the HealthStyles© 2008 survey.

    Science.gov (United States)

    Polen, Kara N D; Sandhu, Paramjit K; Honein, Margaret A; Green, Katie K; Berkowitz, Judy M; Pace, Jill; Rasmussen, Sonja A

    2015-01-01

    Smoking during pregnancy is causally associated with many adverse health outcomes. Quitting smoking, even late in pregnancy, improves some outcomes. Among adults in general and reproductive-aged women, we sought to understand knowledge and attitudes towards prenatal smoking and its effects on pregnancy outcomes. Using data from the 2008 HealthStyles© survey, we assessed knowledge and attitudes about prenatal smoking and smoking cessation. We classified respondents as having high knowledge if they gave ≥ 5 correct responses to six knowledge questions regarding the health effects of prenatal smoking. We calculated frequencies of correct responses to assess knowledge about prenatal smoking and estimated relative risk to examine knowledge by demographic and lifestyle factors. Only 15 % of all respondents and 23 % of reproductive-aged women had high knowledge of the adverse effects of prenatal smoking on pregnancy outcomes. Preterm birth and low birth weight were most often recognized as adverse outcomes associated with prenatal smoking. Nearly 70 % of reproductive-aged women smokers reported they would quit smoking if they became pregnant without any specific reasons from their doctor. Few respondents recognized the benefits of quitting smoking after the first trimester of pregnancy. Our results suggest that many women lack knowledge regarding the increased risks for adverse outcomes associated with prenatal smoking. Healthcare providers should follow the recommendations provided by the American Congress of Obstetricians and Gynecologists, which include educating women about the health risks of prenatal smoking and the benefits of quitting. Healthcare providers should emphasize quitting smoking even after the first trimester of pregnancy. PMID:24825031

  17. [Economic factors and gender differences in the prevalence of smoking among adults].

    Science.gov (United States)

    Paes, Nelson Leitão

    2016-01-01

    This article presents a study that seeks to identify the relevant economic variables in the prevalence of smoking in a group of 37 countries. The chosen methodology was to estimate multiple linear regression using the least square approach. The econometric exercise is performed by gender, seeking to examine whether there are different motivations for cigarette smoking among the adult population of men and women. The results show that although taxation is a common element in the decision of both sexes, the decision to smoke among women is also sensitive to price and other social and cultural factors. These factors were based on the fact that women who live in countries that are part of the Organization for Economic Cooperation and Development reveal a significantly higher prevalence of cigarette consumption. The evidence presented in this study, therefore, reinforces the perception that taxation is in fact a crucial tool in the control of smoking, but in the specific case of women, higher prices and the promotion of greater equality with men, are also important. PMID:26816163

  18. Time trends in blood pressure, body mass index and smoking in the Vietnamese population: a meta-analysis from multiple cross-sectional surveys.

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    Quang Ngoc Nguyen

    Full Text Available INTRODUCTION: Data for trends in cardiovascular disease (CVD risk factors are needed to set priorities and evaluate intervention programmes in the community. We estimated time trends in blood pressure (BP, anthropometric variables and smoking in the Vietnamese population and highlighted the differences between men and women or between rural and urban areas. METHODS: A dataset of 23,563 adults aged 25-74 from 5 cross-sectional surveys undertaken within Vietnam from 2001 to 2009 by the Vietnam National Heart Institute was used to estimate mean BP, weight, waist circumference (WC, body mass index (BMI, the prevalence of hypertension, adiposity or smoking, which were standardised to the national age structure of 2009. Multilevel mixed linear models were used to estimate annual changes in the variables of interest, adjusted by age, sex, residential area, with random variations for age and surveyed provinces. FINDINGS: Among the adult population, the age-standardised mean systolic and diastolic BP increased by 0.8 and 0.3 mmHg in women, 1.1 and 0.4 mmHg in men, while the mean BMI increased by 0.1 kgm(-2 in women, 0.2 kgm(-2 in men per year. Consequently, the prevalence of hypertension and adiposity increased by 0.9 and 0.3% in women, 1.1 and 0.9% in men with similar time trends in both rural and urban areas, while smoking prevalence only increased in women by 0.3% per year. A U-shaped association was found between age-adjusted BP and BMI in both sexes and in both areas. CONCLUSIONS: From 2001 to 2009, mean BP, weight and WC significantly increased in the Vietnamese population, leading to an increased prevalence of hypertension and adiposity, suggesting the need for the development of multi-sectoral cost-effective population-based interventions to improve CVD management and prevention. The U-shaped relationship between BP and BMI highlighted the hypertension burden in the underweight population, which is usually neglected in CVD interventions.

  19. A dose-response relationship between maternal smoking during late pregnancy and adult intelligence in male offspring.

    Science.gov (United States)

    Mortensen, Erik Lykke; Michaelsen, Kim Fleischer; Sanders, Stephanie A; Reinisch, June Machover

    2005-01-01

    An association between maternal smoking during pregnancy and cognitive and behavioural development has been observed in several studies, but potential effects of maternal smoking on offspring adult intelligence have not been investigated. The objective of the present study was to investigate a potential association between maternal smoking during pregnancy and offspring intelligence in young adulthood. Adult intelligence was assessed at the mean age of 18.7 years by a military draft board intelligence test (Borge Priens Prove) for 3044 singleton males from the Copenhagen Perinatal Cohort with information regarding maternal smoking during the third trimester coded into five categories (about 50% of the mothers were smokers). The following potential confounders were included as covariates in multivariable analyses: parental social status and education, single mother status, mother's height and age, number of pregnancies, and gestational age. In separate analyses, birthweight and length were also included as covariates. Maternal cigarette smoking during the third trimester, adjusted for the seven covariates, showed a negative association with offspring adult intelligence (P=0.0001). The mean difference between the no-smoking and the heaviest smoking category amounted to 0.41 standard deviation, corresponding to an IQ difference of 6.2 points [95% confidence interval 0.14, 0.68]. The association remained significant when further adjusted for birthweight and length (P=0.007). Both unadjusted and adjusted means suggested a dose-response relationship between maternal smoking during pregnancy and offspring adult intelligence. When subjects with missing data were excluded, essentially the same results were obtained in the reduced sample (n=1829). These results suggest that smoking during pregnancy may have long-term negative consequences on offspring adult intelligence. PMID:15670102

  20. The Trend of Smoking Behavior and its Relation to Health Knowledge among Medical and Literature Colleges

    Directory of Open Access Journals (Sweden)

    Wijdan Akram

    2011-01-01

    Full Text Available Problem statement: Smoking is a major public health problem all around the world, especially in developing countries when smoking behavior among college students is a major concern to the society. Object of this study to estimate the prevalence of smoking among university students of medical and literature colleges and to assess the students’ knowledge about the health effects of smoking and attitudes towards public action against smoking. Design: cross sectional study. Setting: Al-Kindy Medical College, Baghdad Medical College and Baghdad literature collage/University of Baghdad for the period from first of March till 1st of April 2010. Approach: A random sample of 252 students of 1st and 2nd stages at the above colleges, 124 Literature students and 128 students in two Medical colleges, had been selected and subjected to the modified Arabic version of the World Health Organization (WHO, standard questionnaire for young people, to study their knowledge, attitudes and practices of smoking. All the information elicited from the questionnaire was collected and analyzed. The statistical differences between literature students and medical students were estimated. Results: The prevalence of current smoking was 58, 60% for cigarettes, 65, 56% for sheesha for Medical and Literature students respectively. Friends were the main source of the first cigarette (69%, (62% among students of the literature college and those of the medical college, respectively. followed by parents. Level of awareness of the injurious nature of smoking found to be very high among both medical 100% and literature students 94%, while (74% of medical student and only (51.3% of Literature student Agree with prevention of smoking advertising activity. Conclusion/Recommendations: Smoking still constitutes a major problem among Baghdad university students, in spite of high level of awareness to it’s hazards. This may call for an urgent action to be undertaken by health sectors in

  1. The Systematic Development of an Internet-Based Smoking Cessation Intervention for Adults

    DEFF Research Database (Denmark)

    Dalum, Peter; Brandt, Caroline Lyng; Skov-Ettrup, Lise;

    2016-01-01

    ITALIC! Objectives The objective of this project was to determine whether intervention mapping is a suitable strategy for developing an Internet- and text message-based smoking cessation intervention. ITALIC! Method We used the Intervention Mapping framework for planning health promotion programs......, gain frame/positive imaging, consciousness-raising, helping relationships, stimulus control, and goal-setting as suitable methods for an Internet- and text-based adult smoking cessation program. Furthermore, we identified computer tailoring as a useful strategy for adapting the intervention....... After a needs assessment, we identified important changeable determinants of cessation behavior, specified objectives for the intervention, selected theoretical methods for meeting our objectives, and operationalized change methods into practical intervention strategies. ITALIC! Results We found...

  2. Temporal changes in the attitude towards smoking bans in public arenas among adults in the Capital Region of Denmark from 2007 to 2010

    DEFF Research Database (Denmark)

    Lykke, Maja; Helbech, Bodil; Glümer, Charlotte

    2014-01-01

    Aim: The population's attitude towards smoking bans in public arenas is important for their passing, implementation and compliance. Smoking bans are believed to reduce the social acceptability of smoking, and once people experience them, public support increases - also among pre-ban sceptics....... This study aimed to examine the temporal changes in public attitude towards smoking bans in public arenas from 2007 to 2010 and whether these changes differed across educational attainment, smoking status and intention to quit among smokers. Methods: Data from two surveys among adults (aged 25-79 years...... attainment, smoking status and intention to quit smoking in restaurants and across smoking status for smoking bans in workplaces and bars. Conclusions: The results of this study show that the public's attitude towards smoking in public arenas has changed after the implementation of a comprehensive smoking...

  3. Snus use and smoking behaviors: preliminary findings from a prospective cohort study among US Midwest young adults.

    Science.gov (United States)

    Taylor, Naomi; Choi, Kelvin; Forster, Jean

    2015-04-01

    The effect of snus use on smoking behaviors among US young adults is largely unknown. Data from the Minnesota Adolescent Community Cohort Study collected in 2010 to 2011 and 2011 to 2012 (participants aged 20-28 years) showed that young adult nonsmokers who had tried snus were subsequently more likely than those who had not tried snus to become current smokers (n = 1696; adjusted odds ratio = 1.79; 95% confidence interval = 1.01, 3.14). Snus use was not associated with subsequent smoking cessation or reduction among young adult current smokers (n = 488; P > .46).

  4. Trends in blood pressure among adults with hypertension: United States, 2003 to 2012.

    Science.gov (United States)

    Yoon, Sung Sug; Gu, Qiuping; Nwankwo, Tatiana; Wright, Jacqueline D; Hong, Yuling; Burt, Vicki

    2015-01-01

    The aim of this study is to describe trends in the awareness, treatment, and control of hypertension; mean blood pressure; and the classification of blood pressure among US adults 2003 to 2012. Using data from the National Health and Nutrition Examination Survey 2003 to 2012, a total of 9255 adult participants aged ≥18 years were identified as having hypertension, defined as measured blood pressure ≥140/90 mm Hg or taking prescription medication for hypertension. Awareness and treatment among hypertensive adults were ascertained via an interviewer administered questionnaire. Controlled hypertension among hypertensive adults was defined as systolic blood pressure blood pressure Blood pressure was categorized as optimal blood pressure, prehypertension, and stage I and stage II hypertension. Between 2003 and 2012, the percentage of adults with controlled hypertension increased (P-trend Hypertensive adults with optimal blood pressure and with prehypertension increased from 13% to 19% and 27% to 33%, respectively (P-trend hypertensive adults who were taking antihypertensive medication, uncontrolled hypertension decreased from 38% to 30% (P-trend blood pressure was observed (P-trend blood pressure remained unchanged. The trend in the control of blood pressure has improved among hypertensive adults resulting in a higher percentage with blood pressure at the optimal or prehypertension level and a lower percentage in stage I and stage II hypertension. Overall, mean systolic blood pressure decreased as did the prevalence of uncontrolled hypertension among the treated hypertensive population.

  5. Are time-trends of smoking among pregnant immigrant women in Sweden determined by cultural or socioeconomic factors?

    Directory of Open Access Journals (Sweden)

    Eek Frida

    2010-06-01

    Full Text Available Abstract Background The widening socioeconomic gap in smoking during pregnancy remains a challenge to the Swedish antenatal care services. However, the influence of cultural factors in explaining the socioeconomic differences in smoking during pregnancy is not clear among the immigrant women. The aim of this study was to investigate whether the development of smoking prevalence among pregnant immigrant women in Sweden followed the trajectory which could be expected from the stages of the global smoking epidemic model in the women's countries of origin, or not. Methods Delivery data on pregnancies in Sweden from 1982 to 2001 was collected from the Swedish Medical Birth Registry. From a total of 2,224,469 pregnant women during this period, all immigrant pregnant women (n = 234,731 were selected to this study. A logistic regression analysis and attributable fraction were used to investigate the association between smoking during pregnancy and the socioeconomic differences among immigrant women. Results Overall, the prevalence of smoking among pregnant immigrant women decreased from 30.3% in 1982 to 11.0% in 2001, albeit with remarkable differences between educational levels and country of origin. The greatest decline of absolute prevalence was recorded among low educated women (27,9% and among other Nordic countries (17,9%. In relative terms, smoking inequalities increased between educational levels regardless of country of origin. The odds ratios for low educational level for women from other Nordic countries increased from 4.9 (95% CI 4.4-5.4 in 1982 to 13.4 (95% CI 11.2-16.2 in 2001, as compared to women with high education in the same group. Further, the total attributable fraction for educational difference increased from 55% in 1982 to 62% in 2001, demonstrating the strong effect of educational attainment. Conclusions Our hypothesis that the socioeconomic time trend of smoking based on the stage of the world wide tobacco epidemic model

  6. Gender differentials in the evolution of cigarette smoking habits in a general European adult population from 1993–2003

    Directory of Open Access Journals (Sweden)

    Lopez Alan D

    2006-05-01

    Full Text Available Abstract Background Describe the recent evolution of cigarette smoking habits by gender in Geneva, where incidence rates of lung cancer have been declining in men but increasing in women. Methods Continuous cross-sectional surveillance of the general adult (35–74 yrs population of Geneva, Switzerland for 11 years (1993–2003 using a locally-validated smoking questionnaire, yielding a representative random sample of 12,271 individuals (6,164 men, 6,107 women. Results In both genders, prevalence of current cigarette smoking was stable over the 11-year period, at about one third of men and one quarter of women, even though smoking began at an earlier age in more recent years. Older men were more likely to be former smokers than older women. Younger men, but not women, tended to quit smoking at an earlier age. Conclusion This continuous (1993–2003 risk factor surveillance system, unique in Europe, shows stable prevalence of smoking in both genders. However, sharp contrasts in age-specific prevalence of never and former smoking and of ages at smoking initiation indicate that smoking continues a long-term decline in men but has still not reached its peak in women.

  7. Predictors of tobacco smoking and smokeless tobacco use among adults in Bangladesh

    Directory of Open Access Journals (Sweden)

    K M Palipudi

    2012-01-01

    Full Text Available Introduction: To examine predictors of current tobacco smoking and smokeless tobacco use among the adult population in Bangladesh. Materials and Methods: We used data from the 2009 Global Adult Tobacco Survey (GATS in Bangladesh consisting of 9,629 adults aged ΃15 years. Differences in and predictors of prevalence for both smoking and smokeless tobacco use were analyzed using selected socioeconomic and demographic characteristics that included gender, age, place of residence, education, occupation, and an index of wealth. Results: The prevalence of smoking is high among males (44.7%, 95% confidence interval [CI]: 42.5-47.0 as compared to females (1.5%, 95% CI: 1.1-2.1, whereas the prevalence of smokeless tobacco is almost similar among both males (26.4%, 95% CI: 24.2-28.6 and females (27.9%, 95% CI: 25.9-30.0. Correlates of current smoking are male gender (odds ratio [OR] = 41.46, CI = 23.8-73.4, and adults in older age (ORs range from 1.99 in 24-35 years age to 5.49 in 55-64 years age, less education (ORs range from 1.47 in less than secondary to 3.25 in no formal education, and lower socioeconomic status (ORs range from 1.56 in high wealth index to 2.48 in lowest wealth index. Predictors of smokeless tobacco use are older age (ORs range from 2.54in 24-35 years age to 12.31 in 55-64 years age, less education (ORs range from 1.44 in less than secondary to 2.70 in no formal education, and the low (OR = 1.34, CI = 1.0-1.7 or lowest (OR = 1.43, CI = 1.1-1.9 socioeconomic status. Conclusion: Implementation of tobacco control strategies needs to bring special attention on disadvantaged group and cover all types of tobacco product as outlined in the WHO Framework Convention on Tobacco Control (FCTC and WHO MPOWER to protect people′s health and prevent premature death.

  8. A century of trends in adult human height

    DEFF Research Database (Denmark)

    Sørensen, Thorkild Ingvor A; Zimmermann, Esther

    2016-01-01

    in adult height over the past century has occurred in South Korean women and Iranian men, who became 20.2 cm (95% credible interval 17.5-22.7) and 16.5 cm (13.3-19.7) taller, respectively. In contrast, there was little change in adult height in some sub-Saharan African countries and in South Asia over...

  9. Cigarette smoking is associated with body shape concerns and bulimia symptoms among young adult females.

    Science.gov (United States)

    Kendzor, Darla E; Adams, Claire E; Stewart, Diana W; Baillie, Lauren E; Copeland, Amy L

    2009-01-01

    Elevated rates of cigarette smoking have been reported among individuals with Bulimia Nervosa. However, little is known about eating disorder symptoms within non-clinical samples of smokers. The purpose of the present study was to compare the eating disorder symptoms of young adult female smokers (n=184) and non-smokers (n=56), to determine whether smokers were more likely to endorse bulimic symptoms and report greater body shape concern than non-smokers. Analyses indicated that smokers scored significantly higher than non-smokers on the Body Shape Questionnaire, p=.03, and the Bulimia Test-Revised, p=.006. In addition, a higher proportion of smokers than non-smokers scored > or = 85 on the Bulimia Test-Revised, p=.05, suggesting the possibility that Bulimia Nervosa diagnoses were more prevalent among smokers. No differences were found between smokers and non-smokers on other measures of eating behavior. Overall, findings suggest that smoking is specifically associated with symptoms of Bulimia Nervosa and body shape concern among young adult females.

  10. Severity of psoriasis among adult males is associated with smoking, not with alcohol use

    Directory of Open Access Journals (Sweden)

    N Asokan

    2014-01-01

    Full Text Available Context: Lifestyle factors such as tobacco smoking and alcohol use can affect the presentation and course of psoriasis. There is a paucity of data on this subject from India. Aims: To find out whether increased severity of psoriasis in adult Indian males is associated with tobacco smoking and alcohol use. Settings and Design: Cross-sectional study in the Department of Dermatology of a Tertiary Care Teaching Hospital. Subjects and Methods: Male patients above 18 years of age attending a psoriasis clinic between March 2007 and May 2009 were studied. Severity of psoriasis (measured using Psoriasis Area and Severity Index - PASI among smokers and non-smokers was compared. We also studied the correlation between severity of psoriasis and nicotine dependence (measured using Fagerström Test for Nicotine Dependence and alcohol use disorders (measured using Alcohol Use Disorders Identification Test- AUDIT. Statistical Analysis: Z-test, Odd′s ratio, Chi-square test, Spearman′s correlation coefficient. Results: Of a total of 338 patients, 148 were smokers and 173 used to consume alcohol. Mean PASI score of smokers was more than that of non-smokers (Z-test, z = −2.617, P = 0.009. Those with severe psoriasis were more likely to be smokers (χ2 = 5.47, P = 0.02, OR = 1.8, Confidence Interval 1.09-2.962. There was a significant correlation between PASI scores and Fagerström score (Spearman′s correlation coefficient = 0.164, P 0.05. Conclusions: Increased severity of psoriasis among adult males is associated with tobacco smoking, but not with alcohol use.

  11. Spanish-English Speech Perception in Children and Adults: Developmental Trends

    Science.gov (United States)

    Brice, Alejandro E.; Gorman, Brenda K.; Leung, Cynthia B.

    2013-01-01

    This study explored the developmental trends and phonetic category formation in bilingual children and adults. Participants included 30 fluent Spanish-English bilingual children, aged 8-11, and bilingual adults, aged 18-40. All completed gating tasks that incorporated code-mixed Spanish-English stimuli. There were significant differences in…

  12. Waterpipe Tobacco Smoking and Susceptibility to Cigarette Smoking Among Young Adults in the United States, 2012–2013

    OpenAIRE

    Salloum, Ramzi G.; Haider, M. Rifat; Barnett, Tracey E; Guo, Yi; Getz, Kayla R.; Thrasher, James F.; Maziak, Wasim

    2016-01-01

    Introduction Waterpipe tobacco smoking, also known as hookah and shisha, has surged in popularity among young people in the United States. Waterpipe is also increasingly becoming the first tobacco product that young people try. Given the limited access to and limited portability of waterpipes, waterpipe smokers who become more nicotine dependent over time may be more likely to turn to cigarettes. This study examined the relationship between waterpipe tobacco smoking and susceptibility to ciga...

  13. Recent trends in chronic disease, impairment and disability among older adults in the United States

    OpenAIRE

    Ross Joseph S; Hung William W; Boockvar Kenneth S; Siu Albert L

    2011-01-01

    Abstract Background To examine concurrent prevalence trends of chronic disease, impairment and disability among older adults. Methods We analyzed the 1998, 2004 and 2008 waves of the Health and Retirement Study, a nationally representative survey of older adults in the United States, and included 31,568 community dwelling adults aged 65 and over. Measurements include: prevalence of chronic diseases including hypertension, heart disease, stroke, diabetes, cancer, chronic lung disease and arthr...

  14. Age Trends and Age Norms for the NEO Personality Inventory-3 In Adolescents and Adults

    Science.gov (United States)

    McCrae, Robert R.; Martin, Thomas A.; Costa, Paul T., Jr.

    2005-01-01

    The NEO Personality Inventory-3 (NEO-PI-3) is a modification of the Revised NEO Personality Inventory (NEO-PI-R) designed to be more understandable to adolescents. Data from adults aged 21 to 91 showed that the NEO-PI-3 also functions as well or better than the NEO-PI-R in adults. Age trends from combined adolescent (n = 500) and adult (n = 635)…

  15. Smoking and Risk of All-cause Deaths in Younger and Older Adults: A Population-based Prospective Cohort Study Among Beijing Adults in China.

    Science.gov (United States)

    Li, Kuibao; Yao, Chonghua; Di, Xuan; Yang, Xinchun; Dong, Lei; Xu, Li; Zheng, Meili

    2016-01-01

    Cigarette smoking is the leading preventable cause of death worldwide. Few studies, however, have examined the modified effects of age on the association between smoking and all-cause mortality.In the current study, the authors estimated the association between smoking and age-specific mortality in adults from Beijing, China. This is a large community-based prospective cohort study comprising of 6209 Beijing adults (aged ≥40 years) studied for approximately 8 years (1991-1999). Hazard ratios (HRs) and attributable fractions associated with smoking were estimated by Cox proportional hazard models, adjusting for age, sex, alcohol intake, body mass index, systolic blood pressure, hypertension, and heart rate.The results showed, compared with nonsmokers, the multivariable-adjusted HRs for all-cause mortality were 2.7(95% confidence interval (CI):1.56-4.69) in young adult smokers (40-50 years) and 1.31 (95% CI: 1.13-1.52) in old smokers (>50 years); and the interaction term between smoking and age was significant (P = 0.026). Attributable fractions for all-cause mortality in young and old adults were 63% (95% CI: 41%-85%) and 24% (95% CI: 12%-36%), respectively. The authors estimated multivariate adjusted absolute risk (mortality) by Poisson regression and calculated risk differences and 95% CI by bootstrap estimation. Mortality differences (/10,000 person-years) were 15.99 (95% CI: 15.34-16.64) in the young and 74.61(68.57-80.65) in the old. Compared with current smokers, the HRs of all-cause deaths for former smokers in younger and older adults were 0.57 (95% CI: 0.23-1.42) and 0.96 (95% CI: 0.73-1.26), respectively.The results indicate smoking significantly increases the risks of all-cause mortality in both young and old Beijing adults from the relative and absolute risk perspectives. Smoking cessation could also reduce the excess risk of mortality caused by continuing smoking in younger adults compared with older individuals. PMID:26817876

  16. The fMRI BOLD response to unisensory and multisensory smoking cues in nicotine-dependent adults.

    Science.gov (United States)

    Cortese, Bernadette M; Uhde, Thomas W; Brady, Kathleen T; McClernon, F Joseph; Yang, Qing X; Collins, Heather R; LeMatty, Todd; Hartwell, Karen J

    2015-12-30

    Given that the vast majority of functional magnetic resonance imaging (fMRI) studies of drug cue reactivity use unisensory visual cues, but that multisensory cues may elicit greater craving-related brain responses, the current study sought to compare the fMRI BOLD response to unisensory visual and multisensory, visual plus odor, smoking cues in 17 nicotine-dependent adult cigarette smokers. Brain activation to smoking-related, compared to neutral, pictures was assessed under cigarette smoke and odorless odor conditions. While smoking pictures elicited a pattern of activation consistent with the addiction literature, the multisensory (odor+picture) smoking cues elicited significantly greater and more widespread activation in mainly frontal and temporal regions. BOLD signal elicited by the multisensory, but not unisensory cues, was significantly related to participants' level of control over craving as well. Results demonstrated that the co-presentation of cigarette smoke odor with smoking-related visual cues, compared to the visual cues alone, elicited greater levels of craving-related brain activation in key regions implicated in reward. These preliminary findings support future research aimed at a better understanding of multisensory integration of drug cues and craving. PMID:26475784

  17. Trends in BMI of urban Australian adults, 1980-2000

    DEFF Research Database (Denmark)

    Walls, Helen L; Wolfe, Rory; Haby, Michelle M;

    2010-01-01

    of 7.4 kg/m2 at the higher end for women aged 55-64 years. While the prevalence of obesity (BMI >or= 30 kg/m2) doubled, the prevalence of obesity class III (BMI >or= 40 kg/m2) increased fourfold. CONCLUSIONS: BMI in urban Australian adults has increased and its distribution has become increasingly...

  18. Respiratory and immune response to maximal physical exertion following exposure to secondhand smoke in healthy adults.

    Directory of Open Access Journals (Sweden)

    Andreas D Flouris

    Full Text Available We assessed the cardiorespiratory and immune response to physical exertion following secondhand smoke (SHS exposure through a randomized crossover experiment. Data were obtained from 16 (8 women non-smoking adults during and following a maximal oxygen uptake cycling protocol administered at baseline and at 0-, 1-, and 3- hours following 1-hour of SHS set at bar/restaurant carbon monoxide levels. We found that SHS was associated with a 12% decrease in maximum power output, an 8.2% reduction in maximal oxygen consumption, a 6% increase in perceived exertion, and a 6.7% decrease in time to exhaustion (P<0.05. Moreover, at 0-hours almost all respiratory and immune variables measured were adversely affected (P<0.05. For instance, FEV(1 values at 0-hours dropped by 17.4%, while TNF-α increased by 90.1% (P<0.05. At 3-hours mean values of cotinine, perceived exertion and recovery systolic blood pressure in both sexes, IL4, TNF-α and IFN-γ in men, as well as FEV(1/FVC, percent predicted FEV(1, respiratory rate, and tidal volume in women remained different compared to baseline (P<0.05. It is concluded that a 1-hour of SHS at bar/restaurant levels adversely affects the cardiorespiratory and immune response to maximal physical exertion in healthy nonsmokers for at least three hours following SHS.

  19. Adolescent Psychological and Social Predictors of Young Adult Smoking Acquisition and Cessation: A 10-Year Longitudinal Study

    NARCIS (Netherlands)

    Otten, R.; Bricker, J.B.; Liu, J.M.; Comstock, B.A.; Peterson, A.V.

    2011-01-01

    Objective: A 10-year follow-up study to test the extent to which theory-based adolescent psychological and social factors directly predict and moderate the prediction of young adult smoking acquisition and cessation. Design: A prospective community-based sample. A total of 2,970 adolescents particip

  20. Effectiveness of Non-Primary Care-Based Smoking Cessation Interventions for Adults with Diabetes: A Systematic Literature Review.

    Science.gov (United States)

    Register, Shilpa J; Harrington, Kathy F; Agne, April A; Cherrington, Andrea L

    2016-09-01

    Diabetes is a chronic disease that affects over 25 million adults, many of whom are smokers. The negative health impact of diabetes and comorbid smoking is significant and requires comprehensive interdisciplinary management. The National Diabetes Education Program has identified specific providers, known as PPOD, who include pharmacists, podiatrists, optometrists, and dentists, as key individuals to improve diabetes-related clinical outcomes. These providers are encouraged to work together through interdisciplinary collaboration and to implement evidence-based strategies as outlined in the PPOD toolkit. The toolkit encourages healthcare providers to ask, advise, and assist patients in their efforts to engage in risk reduction and healthy behaviors, including smoking cessation as an important risk factor. While individual PPOD providers have demonstrated effective smoking cessation interventions in adults with other acute and chronic systemic diseases, they lack specific application and focus on adults with diabetes. This literature review examines the current role of PPOD providers in smoking cessation interventions delivered to adults with diabetes. PMID:27424070

  1. Influence of cigarette smoking in the rate pressure product among young adults: a case control study from Manipal, India.

    Directory of Open Access Journals (Sweden)

    Mulki Ganesh Kamath

    2015-12-01

    Full Text Available Background Cigarette smoking is an important cause of mortality across the world, resulting in death of nearly six million people. Nearly 40% of the deaths are caused by cardiovascular disease and 20% are due to lung cancer. Cigarette smoking is said to increase the susceptibility towards vascular injuries by impacting phases of atherosclerosis, and altering blood pressure (BP, heart rate (HR and elevating plasma catecholamine levels. The objective of this study was to assess if cigarette smoking increases the rate pressure product (RPP at rest and after standing in young adult light smokers compared to non-smokers. Methods 30 young adult smokers and 30 non-smokers (19 - 24 years were enrolled in this case control study. The smoking pack-years was calculated. Blood pressure (BP was measured and RPP was calculated. The mean values between both groups were compared using the univariate analysis of variance adjusted for confounding variables. Results The smoking pack-years was 1.6±1.0 (0.2-4.5. RPP in smokers was 88.8±8.0, 96.2±10.2 at rest and after standing respectively. RPP in non-smokers at rest was 81.6±8.1 and 89.5±10.3 after standing. RPP was statistically significant in between both groups at rest. Conclusion Smoking increases the RPP significantly in young adult light smokers due to an increased HR when compared to non-smokers, at rest. This study reinforces that young adults who are light smokers have an increased workload on the heart, which affects their cardiac performance.

  2. Exposure to second-hand tobacco smoke among adults in Myanmar

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    A A Sein

    2012-01-01

    Full Text Available Background: Second-hand smoke (SHS is a threat to people′s health particularly in South-East Region including Myanmar. Aim: To describe the exposure to SHS among the adult population of Myanmar. Materials and Methods: The analysis was done based on the data relating to SHS exposure from 2009 Noncommunicable Risk Factor Survey conducted in Myanmar. A total of 7,429 respondents aged 15-64 from a nationally representative household-based cross-sectional multi-stage probability sample were used. Gender-specific estimates of the proportion of adults exposed to SHS were examined across various socio-demographic characteristics. Results: The exposure to SHS was 55.6% (52% among males and 57.8% among females at home, 63.6% (71.9% among males and 54.7% among females in indoor places and 23.3% (38.8% among males and 13.6% among females in public places. SHS exposure at home was more common among females. However, males were more likely to be exposed at work and public places than females. SHS exposure at home and public places decreased with age in both sexes. In these settings, SHS exposure was related to education, residence, employment status, marital status, and income level. At workplaces, it was mainly related to educational attainment and occupational status. Conclusion: Exposure was significantly high in settings having partial ban as compared with settings having a complete ban. The solution is simple and straightforward, smoke-free environments. The findings emphasize the need for continuing efforts to decrease the exposure and to increase the knowledge of its harmful effects.

  3. The relationship between smoking, body weight, body mass index, and dietary intake among Thai adults: results of the national Thai Food Consumption Survey.

    Science.gov (United States)

    Jitnarin, Nattinee; Kosulwat, Vongsvat; Rojroongwasinkul, Nipa; Boonpraderm, Atitada; Haddock, Christopher K; Poston, Walker S C

    2014-09-01

    This study examined the relationship between dietary intake, body weight, and body mass index (BMI) in adult Thais as a function of smoking status. A cross-sectional, nationally representative survey using health and dietary questionnaires and anthropometric measurements were used. Participants were 7858 Thai adults aged 18 years and older recruited from 17 provinces in Thailand. Results demonstrated that smoking is associated with lower weights and BMI. However, when smokers were stratified by smoking intensity, there was no dose-response relationship between smoking and body weight. There is no conclusive explanation for weight differences across smoking groups in this sample, and the results of the present study did not clearly support any of the purported mechanisms for the differences in body weight or BMI. In addition, because the substantial negative health consequences of smoking are far stronger than those associated with modest weight differences, smoking cannot be viewed as an appropriate weight management strategy.

  4. Trends in adult body-mass index in 200 countries from 1975 to 2014

    DEFF Research Database (Denmark)

    Damsgaard, Camilla Trab; Michaelsen, Kim F.; Molbo, Drude;

    2016-01-01

    BACKGROUND: Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults...... in all countries. METHODS: We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierarchical model to these data to estimate trends from 1975 to 2014 in mean BMI and in the prevalences of BMI...... probability of meeting the target of halting by 2025 the rise in obesity at its 2010 levels, if post-2000 trends continue. FINDINGS: We used 1698 population-based data sources, with more than 19·2 million adult participants (9·9 million men and 9·3 million women) in 186 of 200 countries for which estimates...

  5. Trends in Roll-Your-Own Smoking: Findings from the ITC Four-Country Survey (2002–2008

    Directory of Open Access Journals (Sweden)

    David Young

    2012-01-01

    Methods. Participants were 19,456 cigarette smokers interviewed during the longitudinal International Tobacco Control (ITC Four-Country Survey in Canada, USA, UK, and Australia. Results. “Predominant” RYO use (i.e., >50% of cigarettes smoked increased significantly in the UK and USA as a proportion of all cigarette use (both P<.001 and in all countries as a proportion of any RYO use (all P<.010. Younger, financially stressed smokers are disproportionately contributing to “some” use (i.e., ≤50% of cigarettes smoked. Relative cost was the major reason given for using RYO, and predominant RYO use is consistently and significantly associated with low income. Conclusions. RYO market trends reflect the price advantages accruing to RYO (a product of favourable taxation regimes in some jurisdictions reinforced by the enhanced control over the amount of tobacco used, especially following the impact of the Global Financial Crisis; the availability of competing low-cost alternatives to RYO; accessibility of duty-free RYO tobacco; and tobacco industry niche marketing strategies. If policy makers want to ensure that the RYO option does not inhibit the fight to end the tobacco epidemic, especially amongst the disadvantaged, they need to reduce the price advantage, target additional health messages at (young RYO users, and challenge niche marketing of RYO by the industry.

  6. Results of a Feasibility and Acceptability Trial of an Online Smoking Cessation Program Targeting Young Adult Nondaily Smokers

    Directory of Open Access Journals (Sweden)

    Carla J. Berg

    2012-01-01

    Full Text Available Despite increases in nondaily smoking among young adults, no prior research has aimed to develop and test an intervention targeting this group. Thus, we aimed to develop and test the feasibility, acceptability, and potential effectiveness of an online intervention targeting college student nondaily smokers. We conducted a one-arm feasibility and acceptability trial of a four-week online intervention with weekly contacts among 31 college student nondaily smokers. We conducted assessments at baseline (B, end of treatment (EOT, and six-week followup (FU. We maintained a 100% retention rate over the 10-week period. Google Analytics data indicated positive utilization results, and 71.0% were satisfied with the program. There were increases (P<.001 in the number of people refraining from smoking for the past 30 days and reducing their smoking from B to EOT and to FU, with additional individuals reporting being quit despite recent smoking. Participants also increased in their perceptions of how bothersome secondhand smoke is to others (P<.05; however, no other attitudinal variables were altered. Thus, this intervention demonstrated feasibility, acceptability, and potential effectiveness among college-aged nondaily smokers. Additional research is needed to understand how nondaily smokers define cessation, improve measures for cessation, and examine theoretical constructs related to smoking among this population.

  7. A century of trends in adult human height

    Science.gov (United States)

    2016-01-01

    Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in South Korean women and Iranian men, who became 20.2 cm (95% credible interval 17.5–22.7) and 16.5 cm (13.3–19.7) taller, respectively. In contrast, there was little change in adult height in some sub-Saharan African countries and in South Asia over the century of analysis. The tallest people over these 100 years are men born in the Netherlands in the last quarter of 20th century, whose average heights surpassed 182.5 cm, and the shortest were women born in Guatemala in 1896 (140.3 cm; 135.8–144.8). The height differential between the tallest and shortest populations was 19-20 cm a century ago, and has remained the same for women and increased for men a century later despite substantial changes in the ranking of countries. DOI: http://dx.doi.org/10.7554/eLife.13410.001 PMID:27458798

  8. National, regional, and global trends in adult overweight and obesity prevalences

    OpenAIRE

    Stevens Gretchen A; Singh Gitanjali M; Lu Yuan; Danaei Goodarz; Lin John K; Finucane Mariel M; Bahalim Adil N; McIntire Russell K; Gutierrez Hialy R; Cowan Melanie; Paciorek Christopher J; Farzadfar Farshad; Riley Leanne; Ezzati Majid

    2012-01-01

    Abstract Background Overweight and obesity prevalence are commonly used for public and policy communication of the extent of the obesity epidemic, yet comparable estimates of trends in overweight and obesity prevalence by country are not available. Methods We estimated trends between 1980 and 2008 in overweight and obesity prevalence and their uncertainty for adults 20 years of age and older in 199 countries and territories. Data were from a previous study, which used a Bayesian hierarchical ...

  9. Trends in Current Tobacco Use, Smoking Rates and Quit Attempts among Saudi Population during Periods of 17 Years (1996-2012: Narrative Review Article.

    Directory of Open Access Journals (Sweden)

    Khalid M Almutairi

    2015-02-01

    Full Text Available In this study, we investigated the causes behind increase trends in smoking and extent of tobacco use in Saudi Arabia. We also explored the issues related to and its impact tobacco control research and policy in the Kingdom.Data were collected from various published articles, public data based such as WHO, Geneva and CDC Atlanta. Data were also obtained from surveys conducted by various institutions under The Global Youth Tobacco Survey (GYTS for high school students and Global Adult Tobacco Survey (GATS for medical student. Tobacco importation data and death rates were estimated by various International Organizations.Tobacco importation in Saudi Arabia increased from 1996 to 2012. The proportion of smokers in the KSA almost doubled especially in males from 21% in 1996 to 37% in 2012. Mortality attributable to tobacco in the KSA was estimated to account for 280, 000 premature deaths over the same period (without accounting for smuggled tobacco. The economic burden of tobacco consumption over the last 10 years (2001-2010 in the KSA was 20.5 billion US dollars (based on 2011 prices. Anti-tobacco measures in KSA have been reinforced by the enactment of anti-tobacco laws and collaboration among different government agencies and ministries.If effective tobacco control strategies are not enacted, serious consequences, increasing premature mortality rates among them, will continue to threaten the KSA.

  10. Trends in the Risk for Cardiovascular Disease among Adults with Diabetes in Oman

    OpenAIRE

    Jawad Al-Lawati; Magdi Morsi; Asya Al-Riyami; Ruth Mabry; Medhat El-Sayed; Mahmoud Abd El-Aty; Hawra Al-Lawati

    2015-01-01

    Objectives: This study aimed to investigate trends in the estimated 10-year risk for developing cardiovascular disease (CVD) among adults with diagnosed diabetes in Oman. In addition, the effect of hypothetical risk reductions in this population was examined. Methods: Data from 1,077 Omani adults aged ≥40 years with diagnosed diabetes were collected and analysed from three national surveys conducted in 1991, 2000 and 2008 across all regions of Oman. The estimated 10-year CVD risk and hypothet...

  11. Trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh

    OpenAIRE

    ALFaris, Nora A.; Jozaa Z. Al-Tamimi; Al-Jobair, Moneera O.; AL-SHWAIYAT, Naseem M.

    2015-01-01

    Background: Saudi Arabia has passed through lifestyle changes toward unhealthy dietary patterns such as high fast food consumption. Adolescents and young adults, particularly girls, are the main groups exposed to and affected by these adverse eating behaviors.Objective: The aim of this study was to examine the trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh, and to compare between them.Design: In a cross-sectional survey, 127 adolescent Saudi girl...

  12. Effects of a Mindfulness-Based Smoking Cessation Program for an Adult with Mild Intellectual Disability

    Science.gov (United States)

    Singh, Nirbhay N.; Lancioni, Giulio E.; Winton, Alan S. W.; Singh, Ashvind N. A.; Singh, Judy; Singh, Angela D. A.

    2011-01-01

    Smoking is a major risk factor for a number of health conditions and many smokers find it difficult to quit smoking without specific interventions. We developed and used a mindfulness-based smoking cessation program with a 31-year-old man with mild intellectual disabilities who had been a smoker for 17 years. The mindfulness-based smoking…

  13. Using Ecological Momentary Assessment to Identify Common Smoking Situations Among Korean American Emerging Adults.

    Science.gov (United States)

    Cerrada, Christian Jules; Ra, Chaelin Karen; Shin, Hee-Sung; Dzubur, Eldin; Huh, Jimi

    2016-10-01

    The present study provides detailed contextual information about smoking habits among young Korean American smokers with the goal of characterizing situations where they are most at risk for smoking. Relevant situational factors included location, social context, concurrent activities, time of day, affective states, and food and beverage consumption. Using ecological momentary assessment (EMA) over 7 days, participants (N = 78) were instructed to respond to smoking prompts (n = 2614) and non-smoking prompts (n = 2136) randomly scheduled throughout the day. At each prompt, participants completed a short survey about immediate contextual factors. We used multilevel models to evaluate the association between contextual factors and smoking and further explored the distribution of smoking locations and concurrent activities across each social context and reason for smoking. Compared to non-smoking events, smoking events were associated with being outside, the presence of Korean friends, socializing, consuming alcohol, and experiencing more stress relative to one's average stress level (all ps smoking events showed that when participants smoked alone, they were most commonly at home (50 %) and most often studying/working (28 %). When smoking with Korean friends, participants were most often outside (38 %) and socializing (54 %). When smoking to reduce craving, participants were most often at home (39 %) and studying/working (25 %). To our knowledge, this is the first study to provide detailed descriptions of real-time smoking contexts among young Korean American smokers. Information with this level of granularity is needed to develop effective just-in-time adaptive interventions (JITAIs) for smoking cessation. PMID:27476588

  14. Disparities and trends in indoor exposure to secondhand smoke among U.S. adolescents: 2000-2009.

    Directory of Open Access Journals (Sweden)

    Israel T Agaku

    Full Text Available INTRODUCTION: Secondhand smoke (SHS exposure causes disease and death among nonsmokers. With a plethora of smoke-free legislation implemented and a steady decrease in cigarette consumption noted over the past decade in the U.S., this study assessed trends in indoor SHS exposure among U.S. adolescents in grades 6-12 during 2000-2009. METHODS: Data were obtained from the 2000-2009 National Youth Tobacco Survey - a national survey of U.S. middle and high school students. SHS exposure within an indoor area within the past seven days was self-reported. Trends in indoor SHS exposure during 2000-2009 were assessed overall and by socio-demographic characteristics, using the Wald's test in a binary logistic regression. Within-group comparisons were performed using chi-squared statistics (p<0.05. RESULTS: The proportion of U.S. middle and high school students who were exposed to indoor SHS declined from 65.5% in 2000 to 40.5% in 2009 (p<0.05 for linear trend. Significant declines were also observed across all population subgroups. Between 2000 and 2009, prevalence of indoor SHS exposure declined significantly among both middle (58.5% to 34.3% and high school (71.5% to 45.4% students. Prevalence of indoor SHS exposure was significantly higher among girls (44.0% in 2009 compared to boys (37.2% in 2009 during each survey year. Similarly, prevalence of indoor SHS exposure during 2000-2009 was highest among non-Hispanic whites (44.2% in 2009 and lowest among non-Hispanic Asians (30.2% in 2009. During each survey year, prevalence was highest among the oldest age group (≥18 years and lowest among the youngest (9-11 years. Also, prevalence was significantly higher among current cigarette smokers (83.8% in 2009 compared to nonsmokers (34.0% in 2009. CONCLUSION: Significant declines in indoor SHS exposure among U.S. middle and high school students occurred during 2000-2009. While the results are encouraging, additional efforts are needed to further reduce youth

  15. Trends in Outcomes of the Vocational Rehabilitation Program for Adults with Developmental Disabilities: 1995-2005

    Science.gov (United States)

    Migliore, Alberto; Butterworth, John

    2008-01-01

    This article describes national trends in outcomes of the vocational rehabilitation (VR) program, with a focus on adults with developmental disabilities during the period of 1995 to 2005. Findings show that the VR program has made substantial progress in excluding extended employment from the array of possible employment closures. Efforts are…

  16. Trends in Caries Prevalence in Dutch Adults between 1983 and 1995

    NARCIS (Netherlands)

    Kalsbeek, H.; Truin, G.J.; Rossum, G.M.J.M. van; Rijkom, H.M. van; Poorterman, J.H.G.; Verrips, G.H.

    1998-01-01

    In 1995, a dental survey was performed among adults aged 25-54 in the Dutch city of 's-Hertogenbosch. A similar study was performed in the same city in 1983 and the aim of the present study was to describe trends in oral health from 1983 to 1995. National data show that the percentage of edentulous

  17. Implementation of a campus-wide Irish hospital smoking ban in 2009: prevalence and attitudinal trends among staff and patients in lead up.

    LENUS (Irish Health Repository)

    Fitzpatrick, Patricia

    2012-02-01

    We report the evidence base that supported the decision to implement the first campus-wide hospital smoking ban in the Republic of Ireland with effect from 1 January 2009. Three separate data sources are utilized; surveillance data collected from patients and staff in 8 surveys between 1997 and 2006, a 1-week observational study to assess smoker behaviour in designated smoking shelters and an attitudinal interview with 28 smoker patients and 30 staff on the implications of the 2004 indoors workplace smoking ban, conducted in 2005. The main outcome measures were trends in prevalence of smoking over time according to age, sex and occupational groups and attitudes to the 2004 ban and a projected outright campus ban. Smoking rates among patients remained steady, 24.2% in 1997\\/98 and 22.7% in 2006. Staff smoking rates declined from 27.4% to 17.8%, with a strong occupational gradient. Observational evidence suggested a majority of those using smoking shelters in 2005 were women and health-care workers rather than patients. Attitudes of patients and staff were positive towards the 2004 ban, but with some ambivalence on the effectiveness of current arrangements. Staff particularly were concerned with patient safety issues associated with smoking outdoors. The 2004 ban was supported by 87.6% of patients and 81.3% of staff in 2006 and a majority of 58.6% of patients and 52.4% of staff agreed with an outright campus ban being implemented. These findings were persuasive in instigating a process in 2007\\/08 to go totally smoke-free by 2009, the stages for which are discussed.

  18. Current Trends in Adult Degree Programs: How Public Universities Respond to the Needs of Adult Learners

    Science.gov (United States)

    Gast, Angela

    2013-01-01

    Although many adult students turn to online degree programs due to their flexibility and convenience, a majority of prospective adult learners prefer to take classes on traditional brick-and-mortar campuses. This chapter examines how public research universities create pathways to degree attainment and boost degree completion rates among adult…

  19. Correlates of smoking initiation among young adults in Ukraine: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Krasovsky Konstantin S

    2007-06-01

    Full Text Available Abstract Background Aim: To estimate the impact of smoking restrictions in homes and schools, and tobacco advertising and information on smoking initiation by young people in Ukraine. Methods Data of 609 young people aged 15–29 was taken from the national representative survey conducted in June 2005. Outcome measures: The reported age of cigarette initiation was used to characterize the start of smoking experimentation, and the reported age of daily smoking initiation was considered to be a characteristic of established smoking. Analysis: survival analysis Cox proportional hazard regression models were used. Results Age of smoking initiation was reported by 87% of young men and 61% of young women, the beginning of daily smoking by 71% and 33% respectively. Being frequently exposed to second-hand smoke and having no household smoking restrictions was associated with a higher risk of earlier smoking initiation both for men and women. For women, this risk was associated with age, HR = 0.95, (95% CI 0.91–0.98, that is, younger girls were more likely to smoke their first cigarette earlier in their lifetime. Those women had a higher risk of early smoking initiation who reported to receive tobacco-related information from magazines, HR = 1.40 (1.01–1.92, and outdoor tobacco advertising, HR = 1.99 (1.45–2.75. With both men and women, the risk of establishing daily smoking was higher in those with lower levels of tobacco-related knowledge and less household smoking restrictions. For women, the risk was higher in those who live in larger cities HR = 1.77 (1.10–2.86, and who received information about tobacco smoking from colleagues or friends HR = 1.83 (1.13–2.95. Conclusion Encouraging people to eliminate their homes of tobacco smoke and tobacco advertising bans can be effective measures in preventing the initiation of smoking among young people. Young female smoking initiation is of special concern in Ukraine, since they are more responsive

  20. Human rights violations and smoking status among South African adults enrolled in the South Africa Stress and Health (SASH) study.

    Science.gov (United States)

    Dutra, Lauren M; Williams, David R; Gupta, Jhumka; Kawachi, Ichiro; Okechukwu, Cassandra A

    2014-03-01

    Despite South Africa's history of violent political conflict, and the link between stressful experiences and smoking in the literature, no public health study has examined South Africans' experiences of human rights violations and smoking. Using data from participants in the nationally representative cross-sectional South Africa Stress and Health study (SASH), this analysis examined the association between respondent smoking status and both human rights violations experienced by the respondent and violations experienced by the respondents' close friends and family members. SAS-Callable SUDAAN was used to construct separate log-binomial models by political affiliation during apartheid (government or liberation supporters). In comparison to those who reported no violations, in adjusted analyses, government supporters who reported violations of themselves but not others (RR = 1.76, 95% CI: 1.25-2.46) had a significantly higher smoking prevalence. In comparison to liberation supporters who reported no violations, those who reported violations of self only (RR = 1.56, 95%CI: 1.07-2.29), close others only (RR = 1.97, 95%CI: 1.12-3.47), or violations of self and close others due to close others' political beliefs and the respondent's political beliefs (RR = 2.86, 95%CI: 1.70-4.82) had a significantly higher prevalence of smoking. The results of this analysis suggest that a relationship may exist between human rights violations and smoking among South Africa adults. Future research should use longitudinal data to assess causality, test the generalizability of these findings, and consider how to apply these findings to smoking cessation interventions.

  1. Effects of Smoking and Genotype on the PSR Index of Periodontal Disease in Adults Aged 18–49

    Science.gov (United States)

    Polk, Deborah E.; Wang, Xiaojing; Feingold, Eleanor; Shaffer, John R.; Weeks, Daniel E.; Weyant, Robert J.; Crout, Richard J.; McNeil, Daniel W.; Marazita, Mary L.

    2012-01-01

    Studies have found both genetic and environmental influences on chronic periodontitis. The purpose of this study was to examine the relationships among previously identified genetic variants, smoking status, and two periodontal disease-related phenotypes (PSR1 and PSR2) in 625 Caucasian adults (aged 18–49 years). The PSR Index was used to classify participants as affected or unaffected under the PSR1 and PSR2 phenotype definitions. Using logistic regression, we found that the form of the relationship varied by single nucleotide polymorphism (SNP): For rs10457525 and rs12630931, the effects of smoking and genotype on risk were additive; whereas for rs10457526 and rs733048, smoking was not independently associated with affected status once genotype was taken into consideration. In contrast, smoking moderated the relationships of rs3870371 and rs733048 with affected status such that former and never smokers with select genotypes were at increased genetic risk. Thus, for several groups, knowledge of genotype may refine the risk prediction over that which can be determined by knowledge of smoking status alone. Future studies should replicate these findings. These findings provide the foundation for the exploration of novel pathways by which periodontitis may occur. PMID:23066400

  2. Effects of Smoking and Genotype on the PSR Index of Periodontal Disease in Adults Aged 18–49

    Directory of Open Access Journals (Sweden)

    Mary L. Marazita

    2012-08-01

    Full Text Available Studies have found both genetic and environmental influences on chronic periodontitis. The purpose of this study was to examine the relationships among previously identified genetic variants, smoking status, and two periodontal disease-related phenotypes (PSR1 and PSR2 in 625 Caucasian adults (aged 18–49 years. The PSR Index was used to classify participants as affected or unaffected under the PSR1 and PSR2 phenotype definitions. Using logistic regression, we found that the form of the relationship varied by single nucleotide polymorphism (SNP: For rs10457525 and rs12630931, the effects of smoking and genotype on risk were additive; whereas for rs10457526 and rs733048, smoking was not independently associated with affected status once genotype was taken into consideration. In contrast, smoking moderated the relationships of rs3870371 and rs733048 with affected status such that former and never smokers with select genotypes were at increased genetic risk. Thus, for several groups, knowledge of genotype may refine the risk prediction over that which can be determined by knowledge of smoking status alone. Future studies should replicate these findings. These findings provide the foundation for the exploration of novel pathways by which periodontitis may occur.

  3. An Examination of the Association between Seeing Smoking in Films and Tobacco Use in Young Adults in the West of Scotland: Cross-Sectional Study

    Science.gov (United States)

    Hunt, Kate; Sweeting, Helen; Sargent, James; Lewars, Heather; Cin, Sonya Dal; Worth, Keilah

    2009-01-01

    The objective is to examine the association between the amount of smoking seen in films and current smoking in young adults living in the west of Scotland in the UK. Cross-sectional analyses (using multivariable logistic regression) of data collected at age 19 (2002-04) from a longitudinal cohort originally surveyed at age 11 (1994-95) were…

  4. Trends in children's exposure to second-hand smoke in the INMA-Granada cohort: an evaluation of the Spanish anti-smoking law.

    Science.gov (United States)

    Fernández, Mariana F; Artacho-Cordón, Francisco; Freire, Carmen; Pérez-Lobato, Rocío; Calvente, Irene; Ramos, Rosa; Castilla, Ane M; Ocón, Olga; Dávila, Cristina; Arrebola, Juan P; Olea, Nicolás

    2015-04-01

    The smoke-free legislation implemented in Spain in 2006 imposed a partial ban on smoking in public and work places, but the result did not meet expectations. Therefore, a more restrictive anti-smoking law was passed five years later in 2011 prohibiting smoking in all public places, on public transport, and the workplace. With the objective of assessing the impact of the latter anti-smoking legislation on children's exposure to second-hand smoke (SHS), we assessed parent's smoking habits and children's urine cotinine (UC) concentrations in 118 boys before (2005-2006) and after (2011-2012) the introduction of this law. Repeated cross-sectional follow-ups of the "Environment and Childhood Research Network" (INMA-Granada), a Spanish population-based birth cohort study, at 4-5 years old (2005-2006) and 10-11 years old (2011-2012), were designed. Data were gathered by ad-hoc questionnaire, and median UC levels recorded as an objective indicator of overall SHS exposure. Multivariable logistic regression was used to examine the association between parent's smoking habits at home and SHS exposure, among other potential predictors. An increase was observed in the prevalence of families with at least one smoker (39.0% vs. 50.8%) and in the prevalence of smoking mothers (20.3% vs. 29.7%) and fathers (33.9% vs. 39.0%). Median UC concentration was 8.0ng/mL (interquartile range [IQR]: 2.0-21.8) before legislation onset and 8.7ng/mL (IQR: 2.0-24.3) afterwards. In the multivariable analysis, the smoking status of parents and smoking habits at home were statistically associated with the risk of SHS exposure and with UC concentrations in children. These findings indicate that the recent prohibition of smoking in enclosed public and workplaces in Spain has not been accompanied by a decline in the exposure to SHS among children, who continue to be adversely affected. There is a need to target smoking at home in order to avoid future adverse health effects in a population that has no

  5. Trends in children's exposure to second-hand smoke in the INMA-Granada cohort: an evaluation of the Spanish anti-smoking law.

    Science.gov (United States)

    Fernández, Mariana F; Artacho-Cordón, Francisco; Freire, Carmen; Pérez-Lobato, Rocío; Calvente, Irene; Ramos, Rosa; Castilla, Ane M; Ocón, Olga; Dávila, Cristina; Arrebola, Juan P; Olea, Nicolás

    2015-04-01

    The smoke-free legislation implemented in Spain in 2006 imposed a partial ban on smoking in public and work places, but the result did not meet expectations. Therefore, a more restrictive anti-smoking law was passed five years later in 2011 prohibiting smoking in all public places, on public transport, and the workplace. With the objective of assessing the impact of the latter anti-smoking legislation on children's exposure to second-hand smoke (SHS), we assessed parent's smoking habits and children's urine cotinine (UC) concentrations in 118 boys before (2005-2006) and after (2011-2012) the introduction of this law. Repeated cross-sectional follow-ups of the "Environment and Childhood Research Network" (INMA-Granada), a Spanish population-based birth cohort study, at 4-5 years old (2005-2006) and 10-11 years old (2011-2012), were designed. Data were gathered by ad-hoc questionnaire, and median UC levels recorded as an objective indicator of overall SHS exposure. Multivariable logistic regression was used to examine the association between parent's smoking habits at home and SHS exposure, among other potential predictors. An increase was observed in the prevalence of families with at least one smoker (39.0% vs. 50.8%) and in the prevalence of smoking mothers (20.3% vs. 29.7%) and fathers (33.9% vs. 39.0%). Median UC concentration was 8.0ng/mL (interquartile range [IQR]: 2.0-21.8) before legislation onset and 8.7ng/mL (IQR: 2.0-24.3) afterwards. In the multivariable analysis, the smoking status of parents and smoking habits at home were statistically associated with the risk of SHS exposure and with UC concentrations in children. These findings indicate that the recent prohibition of smoking in enclosed public and workplaces in Spain has not been accompanied by a decline in the exposure to SHS among children, who continue to be adversely affected. There is a need to target smoking at home in order to avoid future adverse health effects in a population that has no

  6. Relationship of Smokefree Laws and Alcohol Use with Light and Intermittent Smoking and Quit Attempts among US Adults and Alcohol Users.

    Directory of Open Access Journals (Sweden)

    Nan Jiang

    Full Text Available Light and intermittent smoking (LITS has become increasingly common. Alcohol drinkers are more likely to smoke. We examined the association of smokefree law and bar law coverage and alcohol use with current smoking, LITS, and smoking quit attempts among US adults and alcohol drinkers.Cross-sectional analyses among a population-based sample of US adults (n = 27,731 using restricted data from 2009 National Health Interview Survey and 2009 American Nonsmokers' Rights Foundation United States Tobacco Control Database. Multivariate logistic regression models examined the relationship of smokefree law coverage and drinking frequency (1 with current smoking among all adults; (2 with 4 LITS patterns among current smokers; and (3 with smoking quit attempts among 6 smoking subgroups. Same multivariate analyses were conducted but substituted smokefree bar law coverage for smokefree law coverage to investigate the association between smokefree bar laws and the outcomes. Finally we ran the above analyses among alcohol drinkers (n = 16,961 to examine the relationship of smokefree law (and bar law coverage and binge drinking with the outcomes. All models controlled for demographics and average cigarette price per pack. The interactions of smokefree law (and bar law coverage and drinking status was examined.Stronger smokefree law (and bar law coverage was associated with lower odds of current smoking among all adults and among drinkers, and had the same effect across all drinking and binge drinking subgroups. Increased drinking frequency and binge drinking were related to higher odds of current smoking. Smokefree law (and bar law coverage and drinking status were not associated with any LITS measures or smoking quit attempts.Stronger smokefree laws and bar laws are associated with lower smoking rates across all drinking subgroups, which provides further support for these policies. More strict tobacco control measures might help reduce cigarette consumption and

  7. Developmental Exposure to Second-Hand Smoke Increases Adult Atherogenesis and Alters Mitochondrial DNA Copy Number and Deletions in apoE−/− Mice

    OpenAIRE

    Fetterman, Jessica L.; Melissa Pompilius; Westbrook, David G.; Dale Uyeminami; Jamelle Brown; Pinkerton, Kent E.; Ballinger, Scott W.

    2013-01-01

    Cardiovascular disease is a major cause of morbidity and mortality in the United States. While many studies have focused upon the effects of adult second-hand smoke exposure on cardiovascular disease development, disease development occurs over decades and is likely influenced by childhood exposure. The impacts of in utero versus neonatal second-hand smoke exposure on adult atherosclerotic disease development are not known. The objective of the current study was to determine the effects of in...

  8. Perceived ethnic discrimination and cigarette smoking: examining the moderating effects of race/ethnicity and gender in a sample of Black and Latino urban adults.

    Science.gov (United States)

    Brondolo, Elizabeth; Monge, Angela; Agosta, John; Tobin, Jonathan N; Cassells, Andrea; Stanton, Cassandra; Schwartz, Joseph

    2015-08-01

    Perceived ethnic discrimination has been associated with cigarette smoking in US adults in the majority of studies, but gaps in understanding remain. It is unclear if the association of discrimination to smoking is a function of lifetime or recent exposure to discrimination. Some sociodemographic and mood-related risk factors may confound the relationship of discrimination to smoking. Gender and race/ethnicity differences in this relationship have been understudied. This study examines the relationship of lifetime and recent discrimination to smoking status and frequency, controlling for sociodemographic and mood-related variables and investigating the moderating role of race/ethnicity and gender. Participants included 518 Black and Latino(a) adults from New York, US. Lifetime and past week discrimination were measured with the Perceived Ethnic Discrimination Questionnaire-Community Version. Ecological momentary assessment methods were used to collect data on smoking and mood every 20 min throughout one testing day using an electronic diary. Controlling for sociodemographic and mood-related variables, there was a significant association of recent (past week) discrimination exposure to current smoking. Lifetime discrimination was associated with smoking frequency, but not current smoking status. The association of recent discrimination to smoking status was moderated by race/ethnicity and gender, with positive associations emerging for both Black adults and for men. The association of lifetime discrimination on smoking frequency was not moderated by gender or race/ethnicity. Acute race/ethnicity-related stressors may be associated with the decision to smoke at all on a given day; whereas chronic stigmatization may reduce the barriers to smoking more frequently.

  9. The Association between active and passive smoking and latent tuberculosis infection in adults and children in the united states: results from NHANES.

    Directory of Open Access Journals (Sweden)

    Ryan P Lindsay

    Full Text Available BACKGROUND: Few studies assessing the relationship between active and passive smoking and tuberculosis have used biomarkers to measure smoke exposure. We sought to determine the association between active and passive smoking and LTBI in a representative sample of US adults and children. METHODS: We used the 1999-2000 US National Health and Nutrition Examination Survey (NHANES dataset with tuberculin skin test (TST data to assess the association between cotinine-confirmed smoke exposure and latent tuberculosis infection (LTBI among adults ages ≥20 years (n = 3598 and children 3-19 years (n = 2943 and estimate the prevalence of smoke exposure among those with LTBI. Weighted multivariate logistic regression was used to measure the associations between active and passive smoking and LTBI. RESULTS: LTBI prevalence in 1999-2000 among cotinine-confirmed active, passive, and non-smoking adults and children was 6.0%, 5.2%, 3.3% and 0.3%, 1.0%, 1.5%, respectively. This corresponds to approximately 3,556,000 active and 3,379,000 passive smoking adults with LTBI in the US civilian non-institutionalized population in 1999-2000. Controlling for age, gender, socioeconomic status, race, birthplace (US vs. foreign-born, household size, and having ever lived with someone with TB, adult active smokers were significantly more likely to have LTBI than non-smoking adults (AOR = 2.31 95% CI 1.17-4.55. Adult passive smokers also had a greater odds of LTBI compared with non-smokers, but this association did not achieve statistical significance (AOR = 2.00 95% CI 0.87-4.60. Neither active or passive smoking was associated with LTBI among children. Among only the foreign-born adults, both active (AOR = 2.56 (95% CI 1.20-5.45 and passive smoking (AOR = 2.27 95% CI 1.09-4.72 were significantly associated with LTBI. CONCLUSIONS: Active adult smokers and both foreign-born active and passive smokers in the United States are at elevated risk for LTBI

  10. SMOKING PREVALENCE AND NICOTINE DEPENDENCY AMONG YOUNG ADULT MEN AND FACTORS AFFECTING THIS

    Directory of Open Access Journals (Sweden)

    Cengiz Han ACIKEL

    2006-04-01

    Full Text Available Smoking is a health risk with highest mortality and morbidity among the worldwide preventable diseases. While military period is a risky period for starting smoking, it is also a good opportunity for population based education studies opposed to smoking. At this point of view it is important to know the smoking behaviors of enlisted people. This study was planned as cross-sectional research, and performed on 455 people selected by simple random method in Etimesgut Armed Unities School and Training Center Commandership at 2002. 53.8% of the participants reported that they had been smoking, and 9.9% of the participants reported that they had been smoking some times. The frequency of the symptoms of nicotine dependence was found as 16.2%. It was found that smoking frequency was very high in enlisted people and significant amount of them had had nicotine dependency symptoms. It is considered that educations about the hazards of smoking and activities for smoking cessation were needed during the military service. [TAF Prev Med Bull 2006; 5(2.000: 105-117

  11. Trends in diet quality among adolescents, adults and older adults: A population-based study.

    Science.gov (United States)

    Andrade, Samantha Caesar de; Previdelli, Ágatha Nogueira; Cesar, Chester Luiz Galvão; Marchioni, Dirce Maria Lobo; Fisberg, Regina Mara

    2016-12-01

    This study aimed to monitor diet quality and associated factors in adolescents, adults and older adults from the city of São Paulo, Brazil. We conducted a cross-sectional population-based study involving 2376 individuals surveyed in 2003, and 1662 individuals in 2008 (Health Survey of São Paulo, ISA-Capital). Participants were of both sexes and aged 12 to 19 years old (adolescents), 20 to 59 years old (adults) and 60 years old or over (older adults). Food intake was assessed using the 24-h dietary recall method while diet quality was determined by the Brazilian Healthy Eating Index (BHEI-R). The prevalence of descriptive variables for 2003 and 2008 was compared adopting a confidence interval of 95%. The means of total BHEI-R score and its components for 2003 and 2008 were compared for each age group. Associations between the BHEI-R and independent variables were evaluated for each survey year using multiple linear regression analysis. Results showed that the mean BHEI-R increased (54.9 vs. 56.4 points) over the five-year period. However, the age group evaluation showed a deterioration in diet quality of adolescents, influenced by a decrease in scores for dark-green and orange vegetables and legumes, total grains, oils and SoFAAS (solid fat, alcohol and added sugar) components. In the 2008 survey, adults had a higher BHEI-R score, by 6.1 points on average, compared to adolescents. Compared to older adults, this difference was 10.7 points. The diet quality remains a concern, especially among adolescents, that had the worst results compared to the other age groups. PMID:27547722

  12. Correlates of smoking cessation in a nationally representative sample of U.S. adults

    NARCIS (Netherlands)

    A. Agrawal (Arpana); C. Sartor (Chiara); M.L. Pergadia (Michele); A.C. Huizink (Anja); M.T. Lynskey (Michael)

    2008-01-01

    textabstractPersistent cigarette smoking is associated with significant morbidity and mortality. Correlates of difficulty quitting smoking include psychopathology, such as major depressive disorder, and problems with other substances, such as alcoholism. In addition, socio-demographic risk (e.g. pov

  13. ATTITUDE OF ADULT POPULATION OF THE KRASNOYARSK TERRITORY TO SMOKING BAN AT WORKPLACES

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    Dmitriy Olegovich Trufanov

    2013-08-01

    Full Text Available We have conducted an opinion survey among representative sample of working population of the Krasnoyarsk Territory (1000 persons aged from 18 to 60 to study their attitude to the introduction of smoking ban at workplaces. Data was collected from questionnaires and telephone interviews.The collected data suggests, that 32,7% of respondents smoke on a regular basis, 45,2% are exposed to cigarette smoke at workplaces, 67,2% of nonsmokers are passive smokers. 64,8% of respondents support the idea of smoking ban at indoor workplaces;  46,3% of respondents support imposing sanctions for violation of the ban; 52,6% of smokers are ready to smoke only outdoors or in specially allotted places. After the introduction of smoking ban at cafes, restaurants and bars 90,8% of working population will still continue visiting them or visit more often, and 16,9% of those who did  not attend them before because of cigarette smoke present in the air. In the view of the working population introduction of smoking ban at indoor workplaces is essential for the preservation of the population’s health.DOI: http://dx.doi.org/10.12731/2218-7405-2013-8-3

  14. Smoking, antioxidant supplementation and dietary intakes among older adults with age-related macular degeneration over 10 years.

    Directory of Open Access Journals (Sweden)

    Bamini Gopinath

    Full Text Available We aimed to compare the micronutrient usage and other lifestyle behaviors over 10 years among those with and without age-related macular degeneration (AMD. 1612 participants aged 49+ years at baseline were re-examined over 10 years, west of Sydney, Australia. AMD was assessed from retinal photographs. Dietary data were collected using a semi-quantitative food frequency questionnaire. Smoking status was self-reported. 56 participants had any AMD at baseline, of these 25% quit smoking at 5 years and were still not smoking at 10-year follow-up. Among participants who had below the recommended intake of vitamins A, C or E supplements at baseline, those who did compared to those who did not develop late AMD over 10 years were more likely to report vitamins A (total, C or E supplement intake above the recommended intake at 10-year follow-up: multivariable-adjusted OR 4.21 (95% CI 1.65-10.73; OR 6.52 (95% CI 2.76-15.41; and OR 5.71 (95% CI 2.42-13.51, respectively. Participants with compared to without AMD did not appreciably increase fish, fruit and vegetable consumption and overall diet quality. Adherence to smoking and dietary recommendations was poor among older adults with AMD. However, uptake of antioxidant supplements increased significantly among those with late AMD.

  15. Vocational technical and adult education: Status, trends and issues related to electronic delivery

    Science.gov (United States)

    Rothenberg, D.

    1973-01-01

    Data are analyzed, and trends and issues are discussed to provide information useful to the systems designer who wishes to identify and assess the opportunities for large scale electronic delivery in vocational/technical and adult education. Issues connected with vocational/technical education are investigated, with emphasis on those issues in the current spotlight which are relevant to the possibilities of electronic delivery. The current role of media is examined in vocational/technical instruction.

  16. Nationwide Hospitalization Trends in Adult Congenital Heart Disease Across 2003–2012

    OpenAIRE

    Agarwal, Shikhar; Sud, Karan; Menon, Venu

    2016-01-01

    Background We aimed to assess trends in hospitalization, outcomes, and resource utilization among patients admitted with adult congenital heart disease (ACHD). Methods and Results We used the 2003–2012 US Nationwide Inpatient Sample for this study. All admissions with an ACHD were identified using standard ICD codes. Resource utilization was assessed using length of stay, invasive procedure utilization, and cost of hospitalization. There was a significant increase in the number of both simple...

  17. Trends in Cohabitation Outcomes: Compositional Changes and Engagement Among Never-Married Young Adults

    OpenAIRE

    Guzzo, Karen Benjamin

    2014-01-01

    Cohabitation is now the modal first union for young adults, and most marriages are preceded by cohabitation even as fewer cohabitations transition to marriage. These contrasting trends may be due to compositional shifts among cohabiting unions, which are increasingly heterogeneous in terms of cohabitation order, engagement, and the presence of children, as well as across socioeconomic and demographic characteristics. The author constructs 5-year cohabitation cohorts for 18- to 34-year-olds fr...

  18. Maternal smoking promotes chronic obstructive lung disease in the offspring as adults

    Directory of Open Access Journals (Sweden)

    Beyer D

    2009-12-01

    Full Text Available Abstract Introduction In utero and/or childhood environmental tobacco smoke exposure is well known to adversely affect lung function and to depreciate child's health in many ways. Fewer studies have assessed the long-term effects on COPD development and disease severity in later adulthood. Methods COPD patients were interviewed using a structured questionnaire regarding their personal as well as the smoking habits of their parents. Data were compared with the disease history, e.g. COPD exacerbation rate, and their lung function data. Results Between 2003 and 2004 COPD patients were recruited a in a private practice specialized in pulmonary medicine (n = 133 and b in a hospital (n = 158. 75% of their fathers and only 15.4 of all mothers smoked regularly. COPD patients from smoking mothers had lower FEV1 predicted than those raised in household without maternal smoking exposure: 39.4 ± 9.5% vs. 51.9 ± 6.0% (P = 0.037. Fathers had no effect on FEV1 regardless if they are smokers or non-smokers. Rate of severe exacerbations requiring hospitalization remained unaffected by parental second hand smoke exposure. Conclusion Maternal smoking negatively affects lung function of their offspring even in late adulthood when they develop COPD. It even aggravates the cumulative effect of active cigarette consumption. Clinical course of the COPD remained unaffected.

  19. Are time-trends of smoking among pregnant immigrant women in Sweden determined by cultural or socioeconomic factors?

    OpenAIRE

    Eek Frida; Ostergren P-O; Moussa Kontie M; Kunst Anton E

    2010-01-01

    Abstract Background The widening socioeconomic gap in smoking during pregnancy remains a challenge to the Swedish antenatal care services. However, the influence of cultural factors in explaining the socioeconomic differences in smoking during pregnancy is not clear among the immigrant women. The aim of this study was to investigate whether the development of smoking prevalence among pregnant immigrant women in Sweden followed the trajectory which could be expected from the stages of the glob...

  20. Association Between Smoking and Physician-Diagnosed Stroke and Myocardial Infarction in Male Adults in Korea.

    Science.gov (United States)

    Chang, Sounghoon; Kim, Hyeongsu; Kim, Vitna; Lee, Kunsei; Jeong, Hyoseon; Lee, Jung-Hyun; Shin, Soon-Ae; Shin, Eunyoung; Park, Minsu; Ko, Eunjung

    2016-01-25

    To evaluate the association between smoking and physician-diagnosed stroke and myocardial infarction, this study used Community Health Survey data from 2009 on 92,082 males over the age of 30 years. Using multiple logistic regression, association index between smoking and physician-diagnosed stroke and myocardial infarction was calculated after adjusting the effects of age, hypertension, and diabetes. The odds ratios (95% confidence interval) of the physician-diagnosed stroke and myocardial infarction in the smoking group were 1.12 (1.02-1.24) and 1.21 (1.06-1.38) compared to the non-smoking group. The values of the physician-diagnosed stroke and myocardial infarction were 0.84 (0.74-0.94) and 0.96 (0.82-1.12) in the current-smoking subgroup, 1.38 (1.24-1.53) and 1.45 (1.26-1.67) in the ex-smoking subgroup, 1.39 (1.18-1.63) and 1.85 (1.53-2.24) in the 10- to 19-year smokers groups, 1.39 (1.22-1.58) and 1.36 (1.15-1.60) in the 30- to 40-year smokers groups, and 0.53 (0.44-0.63) and 0.47 (0.36-0.63) in those who had smoked for over 50 years. These results showed smoking was a risk factor for stroke and myocardial infarction in Korean males. This objective evidence should guide policy-making and public health interventions in the fields of smoking prevention and prohibition.

  1. Adult and prenatal exposures to tobacco smoke as risk indicators of fertility among 430 Danish couples

    DEFF Research Database (Denmark)

    Jensen, Tina Kold; Henriksen, T B; Hjollund, N H;

    1998-01-01

    menstrual cycles or until a clinically recognized pregnancy. At enrollment and each month throughout the follow-up, both partners completed a questionnaire that asked them about their smoking, alcohol consumption, and intake of caffeinated beverages. The effect of current smoking and smoking exposure...... in utero was evaluated by using a logistic regression model with pregnancy outcome of each cycle in a Cox discrete model calculating the fecundability odds ratio. After adjustment for female body mass index and alcohol intake, diseases in female reproductive organs, semen quality, and duration of menstrual...

  2. The efficacy of vigorous-intensity exercise as an aid to smoking cessation in adults with elevated anxiety sensitivity: study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Smits Jasper A J

    2012-11-01

    Full Text Available Abstract Background Although cigarette smoking is a leading cause of death and disability in the United States (US, over 40 million adults in the US currently smoke. Quitting smoking is particularly difficult for smokers with certain types of psychological vulnerability. Researchers have frequently called attention to the relation between smoking and anxiety-related states and disorders, and evidence suggests that panic and related anxiety vulnerability factors, specifically anxiety sensitivity (AS or fear of somatic arousal, negatively impact cessation. Accordingly, there is merit to targeting AS among smokers to improve cessation outcome. Aerobic exercise has emerged as a promising aid for smoking cessation for this high-risk (for relapse group because exercise can effectively reduce AS and other factors predicting smoking relapse (for example, withdrawal, depressed mood, anxiety, and it has shown initial efficacy for smoking cessation. The current manuscript presents the rationale, study design and procedures, and design considerations of the Smoking Termination Enhancement Project (STEP. Methods STEP is a randomized clinical trial that compares a vigorous-intensity exercise intervention to a health and wellness education intervention as an aid for smoking cessation in adults with elevated AS. One hundred and fifty eligible participants will receive standard treatment (ST for smoking cessation that includes cognitive behavioral therapy (CBT and nicotine replacement therapy (NRT. In addition, participants will be randomly assigned to either an exercise intervention (ST+EX or a health and wellness education intervention (ST+CTRL. Participants in both arms will meet 3 times a week for 15 weeks, receiving CBT once a week for the first 7 weeks, and 3 supervised exercise or health and wellness education sessions (depending on randomization per week for the full 15-week intervention. Participants will be asked to set a quit date for 6 weeks after

  3. Association of Smoking and Khat (Catha edulis Forsk Use With High Blood Pressure Among Adults in Addis Ababa, Ethiopia, 2006

    Directory of Open Access Journals (Sweden)

    Fikru Tesfaye, MD, MPH, PhD

    2008-07-01

    Full Text Available IntroductionWe assessed the prevalence of substance use and its association with high blood pressure among adults in Addis Ababa, Ethiopia.MethodsWe employed a cross-sectional descriptive study design. The World Health Organization instrument for stepwise surveillance of risk factors for chronic diseases was applied on a probabilistic sample of 4001 men and women aged 25 to 64 years in Addis Ababa. We determined the prevalence of cigarette smoking, alcohol drinking, and khat (Catha edulis Forsk chewing. We measured blood pressure by using a digital device and determined mean levels of systolic and diastolic blood pressure.ResultsSmoking cigarettes, drinking alcohol, and chewing khat were widely prevalent among men. Among men, the prevalence of current daily smoking was 11.0% (95% confidence interval [CI], 9.5%–12.5%. Binge drinking of alcohol was reported by 10.4% (95% CI, 9.0%–11.9% of men. Similarly, 15.9% (95% CI, 14.1%–17.6% of men regularly chewed khat. Consequently, 26.6% of men and 2.4% of women reported practicing one or more of the behaviors. Current daily smoking and regular khat chewing were significantly associated with elevated mean diastolic blood pressure (β = 2.1, P = .03 and β = 1.9, P = .02, respectively.ConclusionCigarette smoking and khat chewing among men in Addis Ababa were associated with high blood pressure, an established risk factor for cardiovascular disease. Health promotion interventions should aim to prevent proliferation of such behaviors among young people and adoption by women. Surveillance for risk factors for cardiovascular disease should be implemented nationwide to provide information for policy decisions and to guide prevention and control programs.

  4. CDC Vital Signs: Secondhand Smoke

    Science.gov (United States)

    ... to secondhand smoke-related Sudden Infant Death Syndrome. Deaths among nonsmoking adults due to secondhand smoke-related lung cancer and heart disease. Problem 58 million nonsmokers in the US are still exposed to secondhand smoke. Who is ...

  5. Factors affecting commencement and cessation of smoking behaviour in Malaysian adults

    OpenAIRE

    Ghani Wan; Razak Ishak; Yang Yi; Talib Norain; Ikeda Noriaki; Axell Tony; Gupta Prakash C; Handa Yujiro; Abdullah Norlida; Zain Rosnah

    2012-01-01

    Abstract Background Tobacco consumption peak in developed countries has passed, however, it is on the increase in many developing countries. Apart from cigarettes, consumption of local hand-rolled cigarettes such as bidi and rokok daun are prevalent in specific communities. Although factors associated with smoking initiation and cessation has been investigated elsewhere, the only available data for Malaysia is on prevalence. This study aims to investigate factors associated with smoking initi...

  6. Relationship between salivary stress biomarker levels and cigarette smoking in healthy young adults: an exploratory analysis

    OpenAIRE

    SUZUKI, Nao; Nakanishi, Kosuke; Yoneda, Masahiro; Hirofuji, Takao; Hanioka, Takashi

    2016-01-01

    Background This study investigated the relationships among salivary stress biomarkers, cigarette smoking, and mood states. Methods The study population comprised 49 healthy sixth-year dental students at Fukuoka Dental College (39 men, 10 women; age, 23–31 years). Lifetime exposure to smoking was calculated using the Brinkman index (BI). Resting saliva samples were collected, and concentrations of cortisol, secretory immunoglobulin A (SIgA), interleukin (IL)-1β, interleukin-6, and tumor necros...

  7. Tabagismo em estudantes de Medicina: tendências temporais e fatores associados Smoking among medical students: temporal trends and related variables

    Directory of Open Access Journals (Sweden)

    Ana Maria Baptista Menezes

    2004-06-01

    Full Text Available INTRODUÇÃO: Após o declínio observado na prevalência de tabagismo entre estudantes de Medicina entre as décadas de 1960 e 1980, parece estar ocorrendo, atualmente, uma estabilização nessa prevalência. OBJETIVO: Avaliar as tendências temporais de tabagismo entre estudantes de Medicina da Universidade Federal de Pelotas (RS nos últimos dezessete anos, e alguns dos fatores associados ao hábito de fumar desses estudantes. MÉTODO: Estudos transversais com metodologias comparáveis foram conduzidos em 1986, 1991, 1996 e 2002. Questionários auto-aplicáveis foram utilizados. Definiu-se como fumante o indivíduo que fumava mais de um cigarro por dia há mais de um mês. Foram realizadas análises descritivas iniciais, análises brutas com utilização dos testes de qui-quadrado para heterogeneidade e tendência linear, e regressão de Poisson para avaliar o efeito do ano cursado sobre a freqüência de tabagismo, com controle para a idade do estudante. RESULTADOS: A prevalência atual de tabagismo entre os estudantes foi de 10,1%, valor estatisticamente similar ao dos levantamentos de 1991 e 1996. Não foram encontradas diferenças na prevalência de tabagismo por sexo, idade, tabagismo materno ou paterno. A freqüência de tabagismo aumentou durante a faculdade. CONCLUSÕES: A tendência de declínio na prevalência de tabagismo em estudantes de Medicina da Universidade Federal de Pelotas parece estar sendo substituída por uma estabilização em torno de 10% a 15%. O combate ao fumo ainda parece indispensável em ambientes universitários, especialmente nas escolas de Medicina.BACKGROUND: Although the prevalence of smoking among medical students declined steadily between the 1960s and 1980s, it seems to have stabilized in recent years. OBJECTIVES: To evaluate temporal trends, over the last 17 years, in the smoking habits of medical students at the Universidade Federal de Pelotas, in the state of Rio Grande do Sul, Brazil, and to identify

  8. Are time-trends of smoking among pregnant immigrant women in Sweden determined by cultural or socioeconomic factors?

    NARCIS (Netherlands)

    K. Moussa; P.O. Ostergren; F. Eek; A.E. Kunst

    2010-01-01

    ABSTRACT: BACKGROUND: The widening socioeconomic gap in smoking during pregnancy remains a challenge to the Swedish antenatal care services. However, the influence of cultural factors in explaining the socioeconomic differences in smoking during pregnancy is not clear among the immigrant women. The

  9. Exposure to environmental tobacco smoke among South Korean adults: a cross-sectional study of the 2005 Korea National Health and Nutrition Examination Survey

    Directory of Open Access Journals (Sweden)

    Ha Eun-Hee

    2011-04-01

    Full Text Available Abstract Background Studies have identified that environmental tobacco smoke exposure is associated with sociodemographic factors such as age, sex, and socioeconomic status, but few studies have been conducted in South Korea. In this study, the authors investigated the extent of environmental tobacco smoke exposure and factors related in a nationally representative sample of Korean adults. Methods The data of 7,801 adults aged 19 years and over collected during the 2005 Korea National Health and Nutrition Examination Survey were analyzed. Information on smoking habits and exposure to environmental tobacco smoke was obtained by self-reports using a standardized questionnaire. Risks of environmental tobacco smoke exposure conferred by sociodemographic variables and behavioral risk factors were evaluated using logistic regression methods. Results Overall, 36.1% of nonsmokers (defined as those not currently smoking and 50.1% of current smokers were found to be exposed to environmental tobacco smoke either at work or at home. Among the nonsmokers, women were more likely to be exposed to environmental tobacco smoke at home (OR = 5.22, 95%CI, 4.08-6.67. Furthermore, an inverse relationship was found between education level and the risk of environmental tobacco smoke exposure at home (OR = 1.73, 95%CI, 1.38-2.17 for those with a high school education; OR = 2.30, 95%CI, 1.68-3.16 for those with a middle school education; and OR = 2.58, 95%CI, 1.85-3.59 for those with less than an elementary school education vs. those with a college education or more. In addition, those with office, sales service, or manual labor jobs were found to be at significantly higher risk of environmental tobacco smoke exposure at work than those with professional, administrative, or managerial jobs. Also, the risk of environmental tobacco smoke exposure in the workplace was significantly higher for alcohol drinkers than non-drinkers (OR = 1.23, 95%CI, 1.07-1.47. After adjusting

  10. A Review of Adult Obesity Prevalence, Trends, Risk Factors, and Epidemiologic Methods in Kuwait

    Directory of Open Access Journals (Sweden)

    Stalo Karageorgi

    2013-01-01

    Full Text Available Objective. Kuwait is among the countries with the highest obesity rates worldwide; however, little is known about the state of obesity epidemiology research in Kuwait. In this paper, we therefore review the findings and methodology of studies on the prevalence, trends and risk factors of obesity in Kuwait. Methods. The PubMed database was searched using the keyword combination: obesity and adults and Kuwait. Out of 111 articles, 39 remained after abstract review, and 18 were selected after full-text review. Results. The studies were all cross-sectional and published in the last fifteen years (1997–2012. The sample size ranged from 177 to 38,611 individuals. Only 30% of studies used random sampling. The prevalence (BMI ≥ 30 in studies with a nationally representative sample ranged from 24% to 48% overall and in adults >50 years was greater than 52%. Rates were significantly higher in women than those in men. Studies that examined trends showed an increase in obesity prevalence between 1980 and 2009. Multiple risk factors including sociocultural factors were investigated in the studies; however, factors were only crudely assessed. Conclusion. There is a need for future studies, particularly surveillance surveys and prospective cohort studies utilizing advanced methods, to monitor trends and to comprehensively assess the factors contributing to the obesity epidemic in Kuwait.

  11. Effectiveness of regular reporting of spirometric results combined with a smoking cessation advice by a primary care physician on smoking quit rate in adult smokers: a randomized controlled trial. ESPIROTAB study

    Directory of Open Access Journals (Sweden)

    Martínez-González Silvia

    2011-06-01

    Full Text Available Abstract Background Undiagnosed airflow limitation is common in the general population and is associated with impaired health and functional status. Smoking is the most important risk factor for this condition. Although primary care practitioners see most adult smokers, few currently have spirometers or regularly order spirometry tests in these patients. Brief medical advice has shown to be effective in modifying smoking habits in a large number of smokers but only a small proportion remain abstinent after one year. The aim of this study is to evaluate the effectiveness of regular reporting of spirometric results combined with a smoking cessation advice by a primary care physician on smoking quit rate in adult smokers. Methods/design Intervention study with a randomized two arms in 5 primary care centres. A total of 485 smokers over the age of 18 years consulting their primary care physician will be recruited. On the selection visit all participants will undergo a spirometry, peak expiratory flow rate, test of smoking dependence, test of motivation for giving up smoking and a questionnaire on socio-demographic data. Thereafter an appointment will be made to give the participants brief structured advice to give up smoking combined with a detailed discussion on the results of the spirometry. After this, the patients will be randomised and given appointment for follow up visits at 3, 6, 12 and 24 months. Both arms will receive brief structured advice and a detailed discussion of the spirometry results at visit 0. The control group will only be given brief structured advice about giving up smoking on the follow up. Cessation of smoking will be tested with the carbon monoxide test. Discussion Early identification of functional pulmonary abnormalities in asymptomatic patients or in those with little respiratory symptomatology may provide "ideal educational opportunities". These opportunities may increase the success of efforts to give up smoking and

  12. Italian Multicenter Cross-Sectional Study (AISAG) on light smoking and allergic diseases in adults.

    Science.gov (United States)

    Lombardi, C; Passalacqua, G

    2016-03-01

    Allergic rhinitis, allergic dermatitis, and food allergy are extremely common diseases and are frequently associated to each other and to asthma. Smoking is a potential risk factor for these conditions, but so far, results from individual studies have been conflicting. On the basis of these contradictory data in the literature we have carried out a multicenter cross-sectional study to evaluate the relationship between some allergic conditions and exposure or not to active light smoking. The study was carried out between May 2013 and November 2013 in 22 different Italian hospitals. Patients with respiratory and/or food allergy, and aged 18 years and over, visited at Allergy Outpatient Clinics, were invited to participate. A total of 1586 allergic patients (21.6% smokers) with a mean age of 39.2 years (standard deviation, SD = 15.1) were included. We demonstrated that the prevalence of tobacco smoking was higher in patients with food allergy and in asthmatic patients in stage III-IV. But no other statistical differences were found at univariate analysis. The sensitization patterns of non-smokers and smokers were similar. Furthermore, tobacco smoking was associated with higher risk of food allergy and lower risk of asthma. Moreover, tobacco smoking was an independent risk factor for persistent respect to intermittent rhinitis, and for asthma GINA stage III-IV with respect to stage I-II.

  13. Cigarette smoking in young-adult workers: a cross-sectional analysis from Abruzzo, Italy

    Directory of Open Access Journals (Sweden)

    Carlos Chiatti

    2010-09-01

    Full Text Available

    Background: The “Valentino” cross-sectional study is aimed at evaluating the prevalence and pattern of cigarette smoking according to occupational group in a representative sample of workers aged 18-35 years from Abruzzo, Italy.

    Methods: Randomly selected workers anonymously self-compiled a structured questionnaire containing validated items. Job type was coded according to the International Standard Classification of Occupations.

    Results: The sample consisted of 3989 workers. Current smoking prevalence was 45.9%, varying across occupational groups and ranged from 37.2% among clerical support workers, up to 57.1% among craft, agricultural and fishery sector workers. After controlling for several potential confounders using logistic regression, craft, agricultural, forestry and fishery workers (adjusted odds ratio 1.65; 95%confidence intervals 1.21-2.27, and call-center operators (1.91; 1.44-2.53 were significantly more likely to be current smokers than professionals and clerical or support workers. Interestingly, when alcohol and cannabis use were included in multivariate analysis, the association between smoking and gender was no longer significant.

    Conclusions: An independent association was found between specific occupational classes and tobacco smoking, suggesting occupation type should be considered in prioritizing subsets of populations towards which smoking cessation campaigns should be targeted first.

  14. Low FEV1, smoking history, and obesity are factors associated with oxygen saturation decrease in an adult population cohort

    Directory of Open Access Journals (Sweden)

    Vold ML

    2014-10-01

    Full Text Available Monica Linea Vold,1,3 Ulf Aasebø,1,2 Hasse Melbye3 1Department of Respiratory Medicine, University Hospital of North Norway, 2Department of Clinical Medicine, 3Department of Community Medicine, University of Tromsø, Tromsø, Norway Background: Worsening of pulmonary diseases is associated with a decrease in oxygen saturation (SpO2. Such a decrease in SpO2 and associated factors has not been previously evaluated in a general adult population. Aim: We sought to describe SpO2 in a sample of adults, at baseline and after 6.3 years, to determine whether factors predicting low SpO2 in a cross-sectional study were also associated with a decrease in SpO2 in this cohort. Methods: As part of the Tromsø Study, 2,822 participants were examined with pulse oximetry in Tromsø 5 (2001/2002 and Tromsø 6 (2007/2008. Low SpO2 by pulse oximetry was defined as an SpO2 ≤95%, and SpO2 decrease was defined as a ≥2% decrease from baseline to below 96%. Results: A total of 139 (4.9% subjects had a decrease in SpO2. Forced expiratory volume in 1 second (FEV1 <50% of the predicted value and current smoking with a history of ≥10 pack-years were the baseline characteristics most strongly associated with an SpO2 decrease in multivariable logistic regression (odds ratio 3.55 [95% confidence interval (CI 1.60–7.89] and 2.48 [95% CI 1.48–4.15], respectively. Male sex, age, former smoking with a history of ≥10 pack-years, body mass index ≥30 kg/m2, and C-reactive protein ≥5 mg/L were also significantly associated with an SpO2 decrease. A significant decrease in FEV1 and a new diagnosis of asthma or chronic obstructive pulmonary disease during the observation period most strongly predicted a fall in SpO2. A lower SpO2 decrease was observed in those who quit smoking and those who lost weight, but these tendencies were not statistically significant. Conclusion: A decrease in SpO2 was most strongly associated with severe airflow limitation and a history of

  15. Indoor second-hand smoking could mediate the associations of foods and adult happiness: Scottish Health Survey, 2012.

    Science.gov (United States)

    Shiue, Ivy

    2016-02-01

    There has been literature on the relationship of food and happiness, but the role of second-hand smoking is less understood. Therefore, the aim of the present study was to examine if second-hand smoking might mediate the associations of food consumption and subjective happiness in a country-wide and population-based setting. Data was retrieved from the Scottish Health Survey, 2012. Information on demographics, frequency of consuming certain foods and subjective happiness was obtained by household interview. Chi-square test and survey-weighted logistic regression modelling were performed. Of the included Scottish adults aged 16-99 (n = 4815), 15.4 % (n = 677) reported that they were unhappy. It was observed that eating lots of potatoes, some meat, some oily fish and some pastries were inversely associated with unhappiness. People who consumed vegetables and fruits on the day before the health interview were also found to be less unhappy, compared to their counterparts. However, the protective effect from fruits disappeared after additionally adjusting for indoor second-hand smoking while the protective effects from other foods mentioned above have also been lessened. In addition, cumulatively people who consumed more "happy foods" (mentioned above) were more likely to report subjective happiness, compared to those who did not consume any of those. For future research, longitudinally monitoring on the associations among food, household environment and psychological well-being and both the short-term and long-term effects would be suggested. For policy implications, Removal of indoor second-hand smoking to retain the protective effects from happy foods on well-being should be encouraged.

  16. A Periodization of North American Adult Education (1919-1970): A Critical Sociological Analysis of Trends and Perspectives

    Science.gov (United States)

    Grace, André P.

    2014-01-01

    This article provides a critical sociological analysis of trends and perspectives pervasive during the emergence of North American adult education (1919-1970). In discussing transitions during the first 50 years of what is considered modern practice, it draws on Webster E. Cotton's (1986, "On Behalf of Adult Education: A Historical…

  17. Thai Adolescents' Normative Beliefs of the Popularity of Smoking among Peers, Adults, the Successful and Elite, and Parents

    Science.gov (United States)

    Page, Randy M.; Suwanteerangkul, Jiraporn; Sloan, Arielle; Kironde, Jennifer; West, Joshua

    2012-01-01

    The purpose of this study was to assess the perceptions of Thailand adolescents regarding the prevalence of smoking, the popularity of smoking among successful/elite elements of society, and disapproval of smoking by friends and parents. These perceptions were analyzed in conjunction with actual smoking and smoking susceptibility rates among the…

  18. Trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh.

    Science.gov (United States)

    ALFaris, Nora A; Al-Tamimi, Jozaa Z; Al-Jobair, Moneera O; Al-Shwaiyat, Naseem M

    2015-01-01

    Background : Saudi Arabia has passed through lifestyle changes toward unhealthy dietary patterns such as high fast food consumption. Adolescents and young adults, particularly girls, are the main groups exposed to and affected by these adverse eating behaviors. Objective : The aim of this study was to examine the trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh, and to compare between them. Design : In a cross-sectional survey, 127 adolescent Saudi girls (13-18 years) and 69 young adult Saudi girls (19-29 years) were randomly recruited to participate in this study. Weight, height, waist circumference, and hip circumference were measured using standardized methods. Twenty-four-hour diet recall and a face-to-face interview food questionnaire were performed. Results : Most of the participants had adequate intake of protein, riboflavin, iron, and sodium, but exhibited low intake for several other nutrients. Among study participants, 95.4% consume restaurants' fast food and 79.1% eat fast food at least once weekly. Burgers and carbonated soft drinks were the main kinds of fast food meals and beverages usually eaten by girls. Adolescent girls who usually ate large portion sizes of fast food had significantly higher mean waist circumference and hip circumference. Participants eat fast food primarily for enjoying the delicious taste, followed by convenience. Restaurants' hygiene and safety standards were the main concern regarding fast food for 62.2% of girls. Finally, international restaurants were preferable by participants to buy fast food compared with local restaurants (70.9% vs. 29.1%). Conclusion : Our findings provide evidence on the high prevalence of fast food consumption among Saudi girls, suggesting an urgent need for community-based nutrition interventions that consider the trends of fast food consumption and targeted eating behaviors of adolescent and young adult girls. PMID:25792229

  19. Trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh

    Directory of Open Access Journals (Sweden)

    Nora A. ALFaris

    2015-03-01

    Full Text Available Background: Saudi Arabia has passed through lifestyle changes toward unhealthy dietary patterns such as high fast food consumption. Adolescents and young adults, particularly girls, are the main groups exposed to and affected by these adverse eating behaviors. Objective: The aim of this study was to examine the trends of fast food consumption among adolescent and young adult Saudi girls living in Riyadh, and to compare between them. Design: In a cross-sectional survey, 127 adolescent Saudi girls (13–18 years and 69 young adult Saudi girls (19–29 years were randomly recruited to participate in this study. Weight, height, waist circumference, and hip circumference were measured using standardized methods. Twenty-four-hour diet recall and a face-to-face interview food questionnaire were performed. Results: Most of the participants had adequate intake of protein, riboflavin, iron, and sodium, but exhibited low intake for several other nutrients. Among study participants, 95.4% consume restaurants’ fast food and 79.1% eat fast food at least once weekly. Burgers and carbonated soft drinks were the main kinds of fast food meals and beverages usually eaten by girls. Adolescent girls who usually ate large portion sizes of fast food had significantly higher mean waist circumference and hip circumference. Participants eat fast food primarily for enjoying the delicious taste, followed by convenience. Restaurants’ hygiene and safety standards were the main concern regarding fast food for 62.2% of girls. Finally, international restaurants were preferable by participants to buy fast food compared with local restaurants (70.9% vs. 29.1%. Conclusion: Our findings provide evidence on the high prevalence of fast food consumption among Saudi girls, suggesting an urgent need for community-based nutrition interventions that consider the trends of fast food consumption and targeted eating behaviors of adolescent and young adult girls.

  20. Relationship between smoking and obesity: a cross-sectional study of 499,504 middle-aged adults in the UK general population.

    Directory of Open Access Journals (Sweden)

    Shadrach Dare

    Full Text Available There is a general perception that smoking protects against weight gain and this may influence commencement and continuation of smoking, especially among young women.A cross-sectional study was conducted using baseline data from UK Biobank. Logistic regression analyses were used to explore the association between smoking and obesity; defined as body mass index (BMI >30 kg/m2. Smoking was examined in terms of smoking status, amount smoked, duration of smoking and time since quitting and we adjusted for the potential confounding effects of age, sex, socioeconomic deprivation, physical activity, alcohol consumption, hypertension and diabetes.The study comprised 499,504 adults aged 31 to 69 years. Overall, current smokers were less likely to be obese than never smokers (adjusted OR 0.83 95% CI 0.81-0.86. However, there was no significant association in the youngest sub-group (≤40 years. Former smokers were more likely to be obese than both current smokers (adjusted OR 1.33 95% CI 1.30-1.37 and never smokers (adjusted OR 1.14 95% CI 1.12-1.15. Among smokers, the risk of obesity increased with the amount smoked and former heavy smokers were more likely to be obese than former light smokers (adjusted OR 1.60, 95% 1.56-1.64, p<0.001. Risk of obesity fell with time from quitting. After 30 years, former smokers still had higher risk of obesity than current smokers but the same risk as never smokers.Beliefs that smoking protects against obesity may be over-simplistic; especially among younger and heavier smokers. Quitting smoking may be associated with temporary weight gain. Therefore, smoking cessation interventions should include weight management support.

  1. Secular trends in child and adult sexual violence--one decreasing and the other increasing: a population survey in Ireland.

    OpenAIRE

    McGee, Hannah; Garavan, Rebecca; Byrne, Joanne; O'Higgins, Madeleine; Conroy, Ronán M

    2011-01-01

    BACKGROUND: Sexual violence is a worldwide problem affecting children and adults. Knowledge of trends in prevalence is essential to inform the design and evaluation of preventive and intervention programmes. We aimed to assess the prevalence of lifetime sexual violence for both sexes and to document the prevalence of adult and child abuse by birth year in the general population. METHODS: National cluster-randomized telephone interview study of 3120 adults in Ireland was done. RESULTS: C...

  2. Association of Cigarette Smoking and Metabolic Syndrome in a Puerto Rican Adult Population

    Directory of Open Access Journals (Sweden)

    William A Calo

    2014-01-01

    Conclusion: This study supports previous reports of an increased risk of MetSyn among current smokers, particularly those with a heavier consumption. Tobacco control strategies, such as preventing smoking initiation and disseminating evidence-based cessation programs, are necessary to reduce the burden of MetSyn in Puerto Rico.

  3. Asthma, Smoking and BMI in Adults with Intellectual Disabilities: A Community-Based Survey

    Science.gov (United States)

    Gale, L.; Naqvi, H.; Russ, L.

    2009-01-01

    Background: Recent research evidence from the general population has shown that tobacco smoking and raised body mass index (BMI) are associated with worse asthma outcomes. There are indications that asthma morbidity and mortality may be higher among people with intellectual disabilities (ID) than the general population, but the reason for this is…

  4. CUMULATIVE AND REVERSIBLE EFFECTS OF LIFETIME SMOKING ON SIMPLE TESTS OF LUNG FUNCTION IN ADULTS

    Science.gov (United States)

    Data from a random sample of 8191 men and women from six U.S. cities are used to fit a model describing the effects of cumulative and current cigarette smoking on pulmonary function. he data show that smokers suffer an irreversible loss of FVC and FEV1 which is described by a lin...

  5. Smoking and Risk of Coronary Heart Disease in Younger, Middle-Aged, and Older Adults

    DEFF Research Database (Denmark)

    Tolstrup, Janne S; Hvidtfeldt, Ulla Arthur; Flachs, Esben Meulengracht;

    2014-01-01

    Objectives. We investigated associations of smoking and coronary heart disease (CHD) by age. Methods. Data came from the Pooling Project on Diet and Coronary Heart Disease (8 prospective studies, 1974-1996; n = 192 067 women and 74 720 men, aged 40-89 years). Results. During follow-up, 4326 cases...

  6. GST-omega genes interact with environmental tobacco smoke on adult level of lung function

    NARCIS (Netherlands)

    de Jong, Kim; Boezen, Hendrika; ten Hacken, Nicolaas; Postma, Dirkje S; Vonk, Judith M

    2013-01-01

    BACKGROUND: Lung growth in utero and lung function loss during adulthood can be affected by exposure to environmental tobacco smoke (ETS). The underlying mechanisms have not been fully elucidated. Both ETS exposure and single nucleotide polymorphisms (SNPs) in Glutathione S-Transferase (GST) Omega g

  7. The Systematic Development of an Internet-Based Smoking Cessation Intervention for Adults

    NARCIS (Netherlands)

    Dalum, Peter; Brandt, Caroline Lyng; Skov-Ettrup, Lise; Tolstrup, Janne; Kok, Gerjo

    2016-01-01

    ITALIC! Objectives The objective of this project was to determine whether intervention mapping is a suitable strategy for developing an Internet- and text message-based smoking cessation intervention. ITALIC! Method We used the Intervention Mapping framework for planning health promotion programs. A

  8. Trends and risk factors of hyperglycemia and diabetes among Kuwaiti adults: National Nutrition Surveillance Data from 2002 to 2009

    Directory of Open Access Journals (Sweden)

    Ahmed Faruk

    2013-02-01

    Full Text Available Abstract Background Current prevalence estimates for diabetes in Arabian Gulf countries are some of the world’s highest, yet regional trends and contributing factors are poorly documented. The present study was designed to determine temporal changes in the prevalence of impaired fasting glucose (IFG and diabetes and associated factors in Kuwaiti adults. Methods Data analysis from the nationally representative cross-sectional Kuwait National Nutrition Surveillance System. 2745 males and 3611 females, aged 20–69 years, attending registration for employment or pensions and Hajj Pilgrimage health check-ups or accompanying children for immunizations from 2002 through 2009 were participated. Socio-demographic and lifestyle information, height and weight, and blood samples were collected. Results During the 8 years (2002–09, prevalences of IFG in males and females decreased by 7.4% and 6.8% and of diabetes by 9.8% and 8.9% in males and females, respectively. Linear regression for blood glucose level with time, adjusted for age, BMI, blood cholesterol and education level, showed a greater decrease in males than females (1.12 vs 0.93 mmol/L; males also showed an increase in 2002–2003 followed by a marked decrease in 2006–2007 while females showed a significant decrease in 2008–2009. Both males and females showed the largest decrease in the 2nd half of the study accounting for the majority of the overall decrease (1.13 mmol/L for males and 0.87 mmol/l for females for the 4 years. Compared with 2002–03, the OR for IFG in males decreased with time, and becoming significantly lower (OR=0.32; 95% CI: 0.21-0.49 for 2008–09. In females, the OR for IFG decreased significantly with time, except in 2006–07. Similarly, the OR for diabetes in males decreased to 0.34 (95% CI: 0.24-0.49 and in females to 0.33 (95% CI: 0.22-0.50 in 2008–09. For both genders, age and BMI were independently positively associated with IFG and diabetes, while education

  9. Trends and risk factors of hyperglycemia and diabetes among Kuwaiti adults: National Nutrition Surveillance Data from 2002 to 2009

    Science.gov (United States)

    2013-01-01

    Background Current prevalence estimates for diabetes in Arabian Gulf countries are some of the world’s highest, yet regional trends and contributing factors are poorly documented. The present study was designed to determine temporal changes in the prevalence of impaired fasting glucose (IFG) and diabetes and associated factors in Kuwaiti adults. Methods Data analysis from the nationally representative cross-sectional Kuwait National Nutrition Surveillance System. 2745 males and 3611 females, aged 20–69 years, attending registration for employment or pensions and Hajj Pilgrimage health check-ups or accompanying children for immunizations from 2002 through 2009 were participated. Socio-demographic and lifestyle information, height and weight, and blood samples were collected. Results During the 8 years (2002–09), prevalences of IFG in males and females decreased by 7.4% and 6.8% and of diabetes by 9.8% and 8.9% in males and females, respectively. Linear regression for blood glucose level with time, adjusted for age, BMI, blood cholesterol and education level, showed a greater decrease in males than females (1.12 vs 0.93 mmol/L); males also showed an increase in 2002–2003 followed by a marked decrease in 2006–2007 while females showed a significant decrease in 2008–2009. Both males and females showed the largest decrease in the 2nd half of the study accounting for the majority of the overall decrease (1.13 mmol/L for males and 0.87 mmol/l for females for the 4 years). Compared with 2002–03, the OR for IFG in males decreased with time, and becoming significantly lower (OR=0.32; 95% CI: 0.21-0.49) for 2008–09. In females, the OR for IFG decreased significantly with time, except in 2006–07. Similarly, the OR for diabetes in males decreased to 0.34 (95% CI: 0.24-0.49) and in females to 0.33 (95% CI: 0.22-0.50) in 2008–09. For both genders, age and BMI were independently positively associated with IFG and diabetes, while education levels and smoking

  10. Recent trends in chronic disease, impairment and disability among older adults in the United States

    Directory of Open Access Journals (Sweden)

    Ross Joseph S

    2011-08-01

    Full Text Available Abstract Background To examine concurrent prevalence trends of chronic disease, impairment and disability among older adults. Methods We analyzed the 1998, 2004 and 2008 waves of the Health and Retirement Study, a nationally representative survey of older adults in the United States, and included 31,568 community dwelling adults aged 65 and over. Measurements include: prevalence of chronic diseases including hypertension, heart disease, stroke, diabetes, cancer, chronic lung disease and arthritis; prevalence of impairments, including impairments of cognition, vision, hearing, mobility, and urinary incontinence; prevalence of disability, including activities of daily living (ADLs and instrumental activities of daily living (IADLs. Results The proportion of older adults reporting no chronic disease decreased from 13.1% (95% Confidence Interval [CI], 12.4%-13.8% in 1998 to 7.8% (95% CI, 7.2%-8.4% in 2008, whereas the proportion reporting 1 or more chronic diseases increased from 86.9% (95% CI, 86.2%-89.6% in 1998 to 92.2% (95% CI, 91.6%-92.8% in 2008. In addition, the proportion reporting 4 or more diseases increased from 11.7% (95% CI, 11.0%-12.4% in 1998 to 17.4% (95% CI, 16.6%-18.2% in 2008. The proportion of older adults reporting no impairments was 47.3% (95% CI, 46.3%-48.4% in 1998 and 44.4% (95% CI, 43.3%-45.5% in 2008, whereas the proportion of respondents reporting 3 or more was 7.2% (95% CI, 6.7%-7.7% in 1998 and 7.3% (95% CI, 6.8%-7.9% in 2008. The proportion of older adults reporting any ADL or IADL disability was 26.3% (95% CI, 25.4%-27.2% in 1998 and 25.4% (95% CI, 24.5%-26.3% in 2008. Conclusions Multiple chronic disease is increasingly prevalent among older U.S. adults, whereas the prevalence of impairment and disability, while substantial, remain stable.

  11. Secular trends in prevalence of overweight and obesity among adults in rural Tianjin, China from 1991 to 2011: a population-based study.

    Directory of Open Access Journals (Sweden)

    Xianjia Ning

    Full Text Available OBJECTIVES: Obesity is associated with cardiovascular diseases and has become the main public health issue in western countries and urban China. However, the prevalence and secular trends of obesity in rural China are currently unknown. The aim of this study was to investigate secular trends in the prevalence of overweight and obesity among rural adults in northern China between 1991 and 2011. METHOD: The prevalence of overweight and obesity was assessed in adults aged 35-74 years living in a rural area in northern China by comparing two surveys that were conducted in 1991 and 2011, respectively. RESULT: The age-adjusted prevalence of overweight increased from 24.5% in 1991 to 42.0% in 2011, and the prevalence of obesity increased from 5.7% in 1991 to 19.6% in 2011. Over the 21-year period, there were significant increases in the prevalence of overweight and obesity for both men and women in all age groups; however, the greatest increase was observed in men aged 35-44 years, with an 10.3-fold increase in obesity prevalence. The prevalence of obesity increased significantly in all risk factors categories, including education levels, blood pressure categories, diabetes previous history, current smoking situation and alcohol drinking situation over the past 21 years overall (p<0.05. The greatest increase in obesity prevalence appeared among those who consumed alcohol (increased by 8.0-fold. Next, there was a 5.3-fold increase in the prevalence of obesity in illiterate residents. CONCLUSION: The prevalence of overweight and obesity has increased rapidly among rural adults in Tianjin over the past 21 years, with the most dramatic increase observed in young men. Therefore, the burden of obesity should serve as a call for action.

  12. State-specific prevalence of current cigarette smoking and smokeless tobacco use among adults aged ≥18 years - United States, 2011-2013.

    Science.gov (United States)

    Nguyen, Kimberly; Marshall, LaTisha; Hu, Sean; Neff, Linda

    2015-05-22

    Cigarette smoking and the use of smokeless tobacco both cause substantial morbidity and premature mortality. The concurrent use of these products might increase dependence and the risk for tobacco-related disease and death. State-specific estimates of prevalence and relative percent change in current cigarette smoking, smokeless tobacco use, and concurrent cigarette smoking and smokeless tobacco use among U.S. adults during 2011-2013, developed using data from the Behavioral Risk Factor Surveillance System (BRFSS), indicate statistically significant (padvertising and promotion, controlling access to tobacco products, and promoting cessation assistance for smokers to quit, as well as continuing and implementing mass media campaigns that contain graphic anti-smoking ads, such as the Tips from Former Smokers (TIPS) campaign. PMID:25996096

  13. The mediating sex-specific effect of psychological distress on the relationship between adverse childhood experiences and current smoking among adults

    Directory of Open Access Journals (Sweden)

    Strine Tara W

    2012-07-01

    Full Text Available Abstract Background Research suggests that ACEs have a long-term impact on the behavioral, emotional, and cognitive development of children. These disruptions can lead to adoption of unhealthy coping behaviors throughout the lifespan. The present study sought to examine psychological distress as a potential mediator of sex-specific associations between adverse childhood experiences (ACEs and adult smoking. Method Data from 7,210 Kaiser-Permanente members in San Diego California collected between April and October 1997 were used. Results Among women, psychological distress mediated a significant portion of the association between ACEs and smoking (21% for emotional abuse, 16% for physical abuse, 15% for physical neglect, 10% for parental separation or divorce. Among men, the associations between ACEs and smoking were not significant. Conclusions These findings suggest that for women, current smoking cessation strategies may benefit from understanding the potential role of childhood trauma.

  14. Trends in smoking, diet, physical exercise, and attitudes toward health in European university students from 13 countries, 1990-2000

    NARCIS (Netherlands)

    Steptoe, A; Wardle, J; Cui, WW; Bellisle, F; Zotti, AM; Baranyai, R; Sanderman, R; Bellisie, F

    2002-01-01

    Background. Smoking, diet, and physical exercise are key determinants of health. This study assessed changes over 10 years and their relationship to changes in health beliefs and risk awareness. Method. A survey was carried out of university students from 13 European countries (Belgium, England, Fra

  15. Influence of Recruitment Strategy on the Reach and Effect of a Web-Based Multiple Tailored Smoking Cessation Intervention among Dutch Adult Smokers

    Science.gov (United States)

    Smit, Eline Suzanne; Hoving, Ciska; Cox, Vincent Cornelis Maria; de Vries, Hein

    2012-01-01

    This study investigated the influence of two different recruitment strategies on the reach and effect of a web-based multiple tailored smoking cessation program. From May 2009 until June 2010, Dutch adult smokers were recruited via mass media or general practices. Those who completed the baseline questionnaire were followed up during 6 weeks (two…

  16. Menthol cigarette smoking and obesity in young adult daily smokers in Hawaii

    Directory of Open Access Journals (Sweden)

    Alyssa Marie M. Antonio

    2015-01-01

    Full Text Available This study investigates 1 the relationship between menthol cigarette smoking and obesity and 2 the association of body mass index with the nicotine metabolite ratio among menthol and non-menthol daily smokers aged 18–35 (n = 175. A brief survey on smoking and measures of height and weight, carbon monoxide, and saliva samples were collected from participants from May to December 2013 in Honolulu, Hawaii. Multiple regression was used to estimate differences in body mass index among menthol and non-menthol smokers and the association of menthol smoking with obesity. We calculated the log of the nicotine metabolite ratio to examine differences in the nicotine metabolite ratio among normal, overweight, and obese smokers. Sixty-eight percent of smokers used menthol cigarettes. Results showed that 62% of normal, 54% of overweight, and 91% of obese smokers used menthol cigarettes (p = .000. The mean body mass index was significantly higher among menthol compared with non-menthol smokers (29.4 versus 24.5, p = .000. After controlling for gender, marital status, educational attainment, employment status, and race/ethnicity, menthol smokers were more than 3 times as likely as non-menthol smokers to be obese (p = .04. The nicotine metabolite ratio was significantly lower for overweight menthol smokers compared with non-menthol smokers (.16 versus .26, p = .02 in the unadjusted model, but was not significant after adjusting for the covariates. Consistent with prior studies, our data show that menthol smokers are more likely to be obese compared with non-menthol smokers. Future studies are needed to determine how flavored tobacco products influence obesity among smokers.

  17. Burden of total and cause-specific mortality related to tobacco smoking among adults aged ≥ 45 years in Asia: a pooled analysis of 21 cohorts.

    Directory of Open Access Journals (Sweden)

    Wei Zheng

    2014-04-01

    Full Text Available BACKGROUND: Tobacco smoking is a major risk factor for many diseases. We sought to quantify the burden of tobacco-smoking-related deaths in Asia, in parts of which men's smoking prevalence is among the world's highest. METHODS AND FINDINGS: We performed pooled analyses of data from 1,049,929 participants in 21 cohorts in Asia to quantify the risks of total and cause-specific mortality associated with tobacco smoking using adjusted hazard ratios and their 95% confidence intervals. We then estimated smoking-related deaths among adults aged ≥45 y in 2004 in Bangladesh, India, mainland China, Japan, Republic of Korea, Singapore, and Taiwan-accounting for ∼71% of Asia's total population. An approximately 1.44-fold (95% CI = 1.37-1.51 and 1.48-fold (1.38-1.58 elevated risk of death from any cause was found in male and female ever-smokers, respectively. In 2004, active tobacco smoking accounted for approximately 15.8% (95% CI = 14.3%-17.2% and 3.3% (2.6%-4.0% of deaths, respectively, in men and women aged ≥45 y in the seven countries/regions combined, with a total number of estimated deaths of ∼1,575,500 (95% CI = 1,398,000-1,744,700. Among men, approximately 11.4%, 30.5%, and 19.8% of deaths due to cardiovascular diseases, cancer, and respiratory diseases, respectively, were attributable to tobacco smoking. Corresponding proportions for East Asian women were 3.7%, 4.6%, and 1.7%, respectively. The strongest association with tobacco smoking was found for lung cancer: a 3- to 4-fold elevated risk, accounting for 60.5% and 16.7% of lung cancer deaths, respectively, in Asian men and East Asian women aged ≥45 y. CONCLUSIONS: Tobacco smoking is associated with a substantially elevated risk of mortality, accounting for approximately 2 million deaths in adults aged ≥45 y throughout Asia in 2004. It is likely that smoking-related deaths in Asia will continue to rise over the next few decades if no effective smoking control programs are

  18. Normal thymus in adults: appearance on CT and associations with age, sex, BMI and smoking

    International Nuclear Information System (INIS)

    To investigate CT appearance and size of the thymus in association with participant characteristics. 2540 supposedly healthy participants (mean age 58.9 years, 51 % female) were evaluated for the CT appearance of thymic glands with four-point scores (according to the ratio of fat and soft tissue), size and morphology. These were correlated with participants' age, sex, BMI and smoking history. Of 2540 participants, 1869 (74 %) showed complete fatty replacement of the thymus (Score 0), 463 (18 %) predominantly fatty attenuation (Score 1), 172 (7 %) half fatty and half soft-tissue attenuation (Score 2) and 36 (1 %) solid thymic gland with predominantly soft-tissue attenuation (Score 3). Female participants showed less fatty degeneration of the thymus with higher thymic scores within age 40-69 years (P < 0.001). Participants with lower thymic scores showed higher BMI (P < 0.001) and were more likely to be former smokers (P < 0.001) with higher pack-years (P = 0.04). Visual assessment with four-point thymic scores revealed a sex difference in the fatty degeneration of the thymus with age. Women show significantly higher thymic scores, suggesting less fat content of the thymus, during age 40-69 years. Cigarette smoking and high BMI are associated with advanced fatty replacement of the thymus. (orig.)

  19. Normal thymus in adults: appearance on CT and associations with age, sex, BMI and smoking

    Energy Technology Data Exchange (ETDEWEB)

    Araki, Tetsuro [Harvard Medical School, Department of Radiology, Center for Pulmonary Functional Imaging, Brigham and Women' s Hospital, Boston, MA (United States); Kinki University Faculty of Medicine, Department of Radiology, Osaka-Sayama (Japan); Nishino, Mizuki; Hatabu, Hiroto [Harvard Medical School, Department of Radiology, Center for Pulmonary Functional Imaging, Brigham and Women' s Hospital, Boston, MA (United States); Gao, Wei [Boston University School of Public Health, Department of Biostatistics, Boston, MA (United States); Dupuis, Josee [Boston University School of Public Health, Department of Biostatistics, Boston, MA (United States); The National Heart Lung and Blood Institute' s Framingham Heart Study, Framingham, MA (United States); Hunninghake, Gary M.; Washko, George R. [Harvard Medical School, The Pulmonary and Critical Care Division, Brigham and Women' s Hospital, Boston, MA (United States); Murakami, Takamichi [Kinki University Faculty of Medicine, Department of Radiology, Osaka-Sayama (Japan); O' Connor, George T. [The National Heart Lung and Blood Institute' s Framingham Heart Study, Framingham, MA (United States); Boston University School of Medicine, Pulmonary Center and Department of Medicine, Boston, MA (United States)

    2016-01-15

    To investigate CT appearance and size of the thymus in association with participant characteristics. 2540 supposedly healthy participants (mean age 58.9 years, 51 % female) were evaluated for the CT appearance of thymic glands with four-point scores (according to the ratio of fat and soft tissue), size and morphology. These were correlated with participants' age, sex, BMI and smoking history. Of 2540 participants, 1869 (74 %) showed complete fatty replacement of the thymus (Score 0), 463 (18 %) predominantly fatty attenuation (Score 1), 172 (7 %) half fatty and half soft-tissue attenuation (Score 2) and 36 (1 %) solid thymic gland with predominantly soft-tissue attenuation (Score 3). Female participants showed less fatty degeneration of the thymus with higher thymic scores within age 40-69 years (P < 0.001). Participants with lower thymic scores showed higher BMI (P < 0.001) and were more likely to be former smokers (P < 0.001) with higher pack-years (P = 0.04). Visual assessment with four-point thymic scores revealed a sex difference in the fatty degeneration of the thymus with age. Women show significantly higher thymic scores, suggesting less fat content of the thymus, during age 40-69 years. Cigarette smoking and high BMI are associated with advanced fatty replacement of the thymus. (orig.)

  20. Lifelong education for older adults in Malta: Current trends and future visions

    Science.gov (United States)

    Formosa, Marvin

    2012-04-01

    With European demographic developments causing a decline of the available workforce in the foreseeable future and the unsustainability of dominant pay-as-you-go pension systems (where contributions from the current workforce sustain pensioners), governments need to come up with strategies to deal with this upcoming challenge and to adjust their policies. Based on a study carried out between September 2009 and May 2010, this article evaluates the policies guiding late-life education in Malta, as well as the local plethora of learning opportunities for older adult education, and participation rates. The Maltese government is committed to supporting the inclusion of older persons (aged 60+) in lifelong education policies and programmes, to the extent that local studies have uncovered a recent rise in the overall participation of older adults in formal, non-formal and informal areas of learning. While the present and future prospects for late-life education in Malta seem promising, a critical scrutiny of present ideologies and trends finds the field to be no more than seductive rhetoric. Though the coordination of late-life education in Malta does result in various social benefits to older learners and Maltese society in general, it also occurs within five intersecting lines of inequality - namely an economic rationale, elitism, gender bias, the urban-rural divide and third ageism. This article ends by proposing policy recommendations for the future of late-life education.

  1. Family roles and smoking.

    Science.gov (United States)

    Waldron, I; Lye, D

    1989-01-01

    This study analyzes the relationships of cigarette smoking and smoking histories to marital and parental status. Data from a large, representative sample of U.S. adults in 1985 were analyzed separately for white men, white women, black men, and black women, with controls for age, education, and marital status included in the analyses. Divorced and separated adults were the most likely to be current smokers or ever to have adopted smoking; currently married adults and widowed adults were intermediate; and never married adults were the least likely to be current smokers or ever to have adopted smoking. (There were some exceptions to these patterns for never married and widowed blacks). The differences in smoking adoption had begun during adolescence, before the usual age of marriage, which suggests that the differences in smoking, adoption were not caused by marriage or divorce. Rather, it appears that personal characteristics or early experiences influenced both the likelihood of smoking adoption and the likelihood of marriage or divorce. Currently married adults were more likely to have quit smoking than never married, divorced and separated, or widowed adults. It may be that the social support provided by marriage increases smoking cessation. In contrast to the strong relationships between marital status and smoking, relationships between parental status and smoking were relatively weak and variable. Among white women, mothers of preschoolers were less likely to be smokers than women without children. The mothers of preschoolers were more likely to have quit smoking, possibly as a result of increased smoking cessation during pregnancy. PMID:2787160

  2. Trends and patterns of caffeine consumption among US teenagers and young adults, NHANES 2003-2012.

    Science.gov (United States)

    Tran, N L; Barraj, L M; Bi, X; Jack, M M

    2016-08-01

    Caffeine consumption among US teenagers (13-17y), young adults (18-24y) and adults (25-29y) for a 10 year period was examined using NHANES 2003-12. Of the 85% who consume caffeine 84% consume caffeinated beverages. This percentage remained constant despite new caffeine sources. Less than 7.1% of the population consume energy drinks. While mean caffeine intake among teenage caffeine consumers decreased from 62 to 55 mg/day (p-value = 0.018) over the 10-year period, no discernable trend was observed for other age groups. Caffeine intake from energy drinks increased, and was only statistically significant for age 18-24y accounting for <9% of total caffeine intake. Mean caffeine intake per consumption occasion was equivalent between coffee and energy drinks for teenagers and young adults. During a 30-min period mean caffeine consumption was similar when an energy drink was the only consumption event or when it occurred with other caffeinated beverage products suggestive of a substitution effect. Linear regression models of caffeine intake from energy drinks against caffeine from coffee, tea and soda among energy drink consumers in the upper 50th percentile shows a statistically significant inverse relationship (R2 = 28%, coffee: β = -0.35, p < 0.001; tea: β = -0.44, p < 0.001; soda: β = -0.22, p = 0.036) and further supports the substitution concept. PMID:27288929

  3. Smoking problem in Indonesia

    OpenAIRE

    Tjandra Y Aditama

    2002-01-01

    Smoking is an important public health probLem in Indonesia. Up to 60% of male adult population as well as about 4% of female adult population are smokers. In fact, some of Indonesian kretek cigarettes have quite high tar and nicotine content. Besides health effect, smoking habit also influence economic status of the individuals as well as the family. In health point of view, even though reliable nation wide morbidity and mortality data are scarce, report from various cities showed smoking rel...

  4. National, regional, and global trends in adult overweight and obesity prevalences

    Directory of Open Access Journals (Sweden)

    Stevens Gretchen A

    2012-11-01

    Full Text Available Abstract Background Overweight and obesity prevalence are commonly used for public and policy communication of the extent of the obesity epidemic, yet comparable estimates of trends in overweight and obesity prevalence by country are not available. Methods We estimated trends between 1980 and 2008 in overweight and obesity prevalence and their uncertainty for adults 20 years of age and older in 199 countries and territories. Data were from a previous study, which used a Bayesian hierarchical model to estimate mean body mass index (BMI based on published and unpublished health examination surveys and epidemiologic studies. Here, we used the estimated mean BMIs in a regression model to predict overweight and obesity prevalence by age, country, year, and sex. The uncertainty of the estimates included both those of the Bayesian hierarchical model and the uncertainty due to cross-walking from mean BMI to overweight and obesity prevalence. Results The global age-standardized prevalence of obesity nearly doubled from 6.4% (95% uncertainty interval 5.7-7.2% in 1980 to 12.0% (11.5-12.5% in 2008. Half of this rise occurred in the 20 years between 1980 and 2000, and half occurred in the 8 years between 2000 and 2008. The age-standardized prevalence of overweight increased from 24.6% (22.7-26.7% to 34.4% (33.2-35.5% during the same 28-year period. In 2008, female obesity prevalence ranged from 1.4% (0.7-2.2% in Bangladesh and 1.5% (0.9-2.4% in Madagascar to 70.4% (61.9-78.9% in Tonga and 74.8% (66.7-82.1% in Nauru. Male obesity was below 1% in Bangladesh, Democratic Republic of the Congo, and Ethiopia, and was highest in Cook Islands (60.1%, 52.6-67.6% and Nauru (67.9%, 60.5-75.0%. Conclusions Globally, the prevalence of overweight and obesity has increased since 1980, and the increase has accelerated. Although obesity increased in most countries, levels and trends varied substantially. These data on trends in overweight and obesity may be used to set

  5. Prevalence and Trends of Obesity and Association with Socioeconomic Status in Thai Adults: National Health Examination Surveys, 1991–2009

    OpenAIRE

    Wichai Aekplakorn; Rungkarn Inthawong; Pattapong Kessomboon; Rassamee Sangthong; Suwat Chariyalertsak; Panwadee Putwatana; Surasak Taneepanichskul

    2014-01-01

    We determined the prevalence of obesity in Thai adults aged 20 and over in 2009 and examined trends of body mass index (BMI) between 1991 and 2009. Data from Thai National Health Examination Survey for 19,181 adults in 2009 and 64,480 adults between 1991 and 2004 were used to calculate age-adjusted mean and prevalence. Logistic regression was used to examine the association of obesity with education level. In 2009, age-adjusted prevalence of obesity classes I (BMI 25–29.9 kg/m2) and II (BMI ≥...

  6. Job strain and tobacco smoking: an individual-participant data meta-analysis of 166,130 adults in 15 European studies.

    Directory of Open Access Journals (Sweden)

    Katriina Heikkilä

    Full Text Available BACKGROUND: Tobacco smoking is a major contributor to the public health burden and healthcare costs worldwide, but the determinants of smoking behaviours are poorly understood. We conducted a large individual-participant meta-analysis to examine the extent to which work-related stress, operationalised as job strain, is associated with tobacco smoking in working adults. METHODOLOGY AND PRINCIPAL FINDINGS: We analysed cross-sectional data from 15 European studies comprising 166,130 participants. Longitudinal data from six studies were used. Job strain and smoking were self-reported. Smoking was harmonised into three categories never, ex- and current. We modelled the cross-sectional associations using logistic regression and the results pooled in random effects meta-analyses. Mixed effects logistic regression was used to examine longitudinal associations. Of the 166,130 participants, 17% reported job strain, 42% were never smokers, 33% ex-smokers and 25% current smokers. In the analyses of the cross-sectional data, current smokers had higher odds of job strain than never-smokers (age, sex and socioeconomic position-adjusted odds ratio: 1.11, 95% confidence interval: 1.03, 1.18. Current smokers with job strain smoked, on average, three cigarettes per week more than current smokers without job strain. In the analyses of longitudinal data (1 to 9 years of follow-up, there was no clear evidence for longitudinal associations between job strain and taking up or quitting smoking. CONCLUSIONS: Our findings show that smokers are slightly more likely than non-smokers to report work-related stress. In addition, smokers who reported work stress smoked, on average, slightly more cigarettes than stress-free smokers.

  7. "Smoking": Use of Cigarettes, Cigars and Blunts among Southeast Asian American Youth and Young Adults

    Science.gov (United States)

    Lee, J. P.; Battle, R. S.; Lipton, R.; Soller, B.

    2010-01-01

    Increased use of cigars has been noted among youth, as well as use of blunts (hollowed-out cigars filled with marijuana). Three types of relationships have been previously hypothesized between use of tobacco and marijuana in substance use progression. We aimed to assess these relationships for Southeast Asian American youth and adults in an urban…

  8. Prevalence and time trends in diabetes and physical inactivity among adult West African populations: The epidemic has arrived

    NARCIS (Netherlands)

    A.R. Abubakari; W. Lauder; M.C. Jones; A. Kirk; C. Agyemang; R.S. Bhopal

    2009-01-01

    Objective: To determine the prevalence and distribution of, and trends in, physical inactivity and diabetes in adult West African populations. Design: Systematic review and meta-analysis. Methods: Literature searches were conducted using four electronic databases. journal hand searches and examinati

  9. Smoking problem in Indonesia

    Directory of Open Access Journals (Sweden)

    Tjandra Y. Aditama

    2002-03-01

    Full Text Available Smoking is an important public health probLem in Indonesia. Up to 60% of male adult population as well as about 4% of female adult population are smokers. In fact, some of Indonesian kretek cigarettes have quite high tar and nicotine content. Besides health effect, smoking habit also influence economic status of the individuals as well as the family. In health point of view, even though reliable nation wide morbidity and mortality data are scarce, report from various cities showed smoking related diseases, such as Lung cancer, COPD, effect of pregnancy, etc. Other problem is a fact that smoking habit start quite in early age in Indonesia. This article also describe factors complicate smoking control program as well as several things to be done to strengthen smoking control program in Indonesia. (Med J Indones 2002; 11: 56-65Keywords : smoking, Indonesia, impact

  10. Pulmonary Langerhans Cell Histiocytosis with Lytic Bone Involvement in an Adult Smoker: Regression following Smoking Cessation

    OpenAIRE

    Routy, B.; J. Hoang; Gruber, J

    2015-01-01

    Langerhans cell histiocytosis (LCH) is a rare myeloid neoplasm characterized by the proliferation and dissemination of histiocytes. These in turn may cause symptoms ranging from isolated, infiltrative lesions to severe multisystem disease. Pulmonary Langerhans cell histiocytosis (PLCH) presents as a localized polyclonal proliferation of Langerhans cells in the lungs causing bilateral cysts and fibrosis. In adults, this rare condition is considered a reactive process associated with cigarette ...

  11. Prenatal and adult exposures to smoking are associated with adverse effects on reproductive hormones, semen quality, final height and body mass index

    DEFF Research Database (Denmark)

    Ravnborg, Trine L; Jensen, Tina K; Andersson, Anna-Maria;

    2011-01-01

    these factors while controlling for the effects of current smoking in young adulthood. METHODS This cross-sectional study (1996-2006) included 3486 Danish men (median age: 19 years), participating in a semen-quality study. Data were obtained from questionnaires, physical examinations, semen analyses......BACKGROUND Exposure to tobacco smoking prenatally is a risk factor for reduced semen quality, but whether the exposure has adverse effects on reproductive hormones, pubertal development or adult BMI remain largely unexplored. The aim of this study was to investigate the associations between...... and assessments of reproductive hormones. The main outcome measures were markers of pubertal onset, BMI, reproductive hormones and semen variables. RESULTS Maternal smoking during pregnancy was associated with earlier onset of puberty (e.g. early pubic hair development in 25.2 versus 18.9% of unexposed subjects...

  12. Lung cancer trends: smoking, obesity, and sex assessed in the Staten Island University’s lung cancer patients

    Directory of Open Access Journals (Sweden)

    Gupta S

    2014-07-01

    Full Text Available Shilpi Gupta,1 Samer Hassan,1 Vijaya R Bhatt,2 Houssein Abdul Sater,1 Asma Dilawari31Hematology-Oncology, Staten Island University Hospital, Staten Island, NY, USA; 2Hematology-Oncology, Nebraska Medical Ctr, Omaha, NE, USA; 3Hematology-Oncology, MedStar Georgetown University Hospital, Olney, Maryland, USAIntroduction: The incidence of lung cancer in the United States decreased by 1.8% from 1991 to 2005 while it increased by 0.5% in females. We assessed whether nonsmokers afflicted with lung cancer at Staten Island University Hospital are disproportionately female in comparison to national averages. We also evaluated different factors including race, histology, and body mass index (BMI in correlation with smoking history.Methods: A retrospective chart review was conducted from 2005 to 2011 on 857 patients. Patients were divided into two groups according to their smoking status: current or ever-smokers, and former or never-smokers. A chi-square test for categorical data and multivariate logistic regression analyses was used to study the relation between BMI and the other clinical and demographic data.Results: Forty-nine percent of patients were men and 51% were women with a mean age at diagnosis of 67.8 years. Current smokers were most common (50.2% followed by ever-smokers (18.2%, former smokers (15.8% and never-smokers (15.6%. Forty eight percent had stage IV lung cancer upon presentation. Never-smokers with lung cancer were 24 times more likely to be females. However, the proportion of female former smokers (31.6% was lower than the proportion of male former smokers (68.4% (P=0.001. There was no significant association between American Joint Committee on Cancer (AJCC stage, sex, race, and histological type in the two smoking groups. Current/ever-smokers tended to be younger at age of diagnosis (P=0.0003. BMI was lower in the current/ever-smokers (26.8 kg/m2 versus former/never-smokers (28.8 in males (P=0.0005. BMI was significantly higher in

  13. Associations between a History of Traumatic Brain Injuries and Current Cigarette Smoking, Substance Use, and Elevated Psychological Distress in a Population Sample of Canadian Adults.

    Science.gov (United States)

    Ilie, Gabriela; Adlaf, Edward M; Mann, Robert E; Ialomiteanu, Anca; Hamilton, Hayley; Rehm, Jürgen; Asbridge, Mark; Cusimano, Michael D

    2015-07-15

    This study describes the prevalence of reported history of traumatic brain injury (TBI) and its association with reports of current substance use, cigarette smoking, and psychological distress among Canadian adults in a population sample. A cross-sectional sample of 1999 Ontario adults 18-93 years of age were surveyed by telephone in 2011 as part of the Center for Addiction and Mental Health's ongoing representative survey of adult mental health and substance use in Ontario, Canada. Loss of consciousness for at least 5 min or at least one overnight hospitalization resulting from symptoms associated with the TBI injury represented minimum criteria for TBI. An estimated 16.8% (95% confidence interval, 14.8, 19.0) of adults reported a TBI in their lifetime. Men had higher prevalence of TBI than women. Adults who reported a history of TBI had higher odds of reported past-year daily smoking (adjusted odds ratio [AOR] = 2.15), using cannabis (AOR = 2.80) and nonmedical opioids (AOR = 2.90), as well as screened significantly for recent elevated psychological distress (AOR = 1.97) in the past few weeks, compared to adults without a history of TBI. Co-occurrence of a history of TBI with current elevated psychological distress and substance use warrants vigilance among medical practitioners to assess the possibility of a history of TBI during reviews of the history leading to the occurrence of these conditions.

  14. Associations between a History of Traumatic Brain Injuries and Current Cigarette Smoking, Substance Use, and Elevated Psychological Distress in a Population Sample of Canadian Adults.

    Science.gov (United States)

    Ilie, Gabriela; Adlaf, Edward M; Mann, Robert E; Ialomiteanu, Anca; Hamilton, Hayley; Rehm, Jürgen; Asbridge, Mark; Cusimano, Michael D

    2015-07-15

    This study describes the prevalence of reported history of traumatic brain injury (TBI) and its association with reports of current substance use, cigarette smoking, and psychological distress among Canadian adults in a population sample. A cross-sectional sample of 1999 Ontario adults 18-93 years of age were surveyed by telephone in 2011 as part of the Center for Addiction and Mental Health's ongoing representative survey of adult mental health and substance use in Ontario, Canada. Loss of consciousness for at least 5 min or at least one overnight hospitalization resulting from symptoms associated with the TBI injury represented minimum criteria for TBI. An estimated 16.8% (95% confidence interval, 14.8, 19.0) of adults reported a TBI in their lifetime. Men had higher prevalence of TBI than women. Adults who reported a history of TBI had higher odds of reported past-year daily smoking (adjusted odds ratio [AOR] = 2.15), using cannabis (AOR = 2.80) and nonmedical opioids (AOR = 2.90), as well as screened significantly for recent elevated psychological distress (AOR = 1.97) in the past few weeks, compared to adults without a history of TBI. Co-occurrence of a history of TBI with current elevated psychological distress and substance use warrants vigilance among medical practitioners to assess the possibility of a history of TBI during reviews of the history leading to the occurrence of these conditions. PMID:25496189

  15. TOBACCO SMOKING IN ADULTS: A CROSS SECTIONAL STUDY FROM A RURAL AREA OF KASHMIR J&K

    Directory of Open Access Journals (Sweden)

    Yasmeen

    2015-01-01

    Full Text Available INTRODUCTION : Tobacco is a major risk factor of numerous adult chronic non - communicable diseases. In India, the GATS Survey revealed that the prevalence of smoking is more than one - third in the adults (35%, the overall prevalence in males being 48% and among females it is 20%. AIM : The aim of our study was to determine the socio - demography of tobacco use in rural setting and to assess the knowledge, attitude & practices of tobacco use in the rural area. METHODS : All patients aged 18 years or above attending subcentre at village Panzinara of Block Sumbal. The data was collected on a semi - structured questionnaire. RESULTS : 71 patients attending the sub center for various health states were taken up for the study. Majority of the patients were in the age group of 58 - 68 years (23.9%. Males comprised 56.3%. 63.4% gave positive response to ever any tobacco use & amongst the tobacco users 80% were daily users. Tob acco use was significantly associated with male sex. 51.1% of the patients had started tobacco use in adolescent age of 10 - 19 years. 62.2% were Hookah smokers, 24.4% cigarette smokers. Tobacco being injurious to health was known by 39.4% patients, 21.1% kn ew it lead to some cancers, 4.2% were aware that it can cause hypertension, diabetes & cancers. 35.3% were aware that it is to be avoided. CONCLUSION : In spite of awareness about hazards of tobacco use & knowledge of non - communicable diseases, this high pr evalence calls for more active psychological, social & medical interventions for tobacco users. Targeting the adolescent population for raising awareness would be additionally beneficial.

  16. The relationship between waterpipe and cigarette smoking in low and middle income countries: cross-sectional analysis of the global adult tobacco survey.

    Directory of Open Access Journals (Sweden)

    Mohammed Jawad

    Full Text Available INTRODUCTION: Waterpipe tobacco smoking is receiving growing attention due to accumulating evidence suggesting increasing prevalence in some populations and deleterious health effects. Nevertheless, the relationship between waterpipe and cigarette smoking remain unknown, particularly in low and middle income countries. MATERIALS AND METHODS: We analysed waterpipe and cigarette smoking using data from Global Adult Tobacco Survey, a household survey of adults aged ≥15 years conducted between 2008-2010 in LMICs. Factors associated with waterpipe and cigarette use were assessed using multiple logistic regression. Factors associated with the quantity of waterpipe and cigarette smoking were assessed using log-linear regression models. RESULTS: After adjusting for age, gender, residence, education, occupation and smokeless tobacco use, waterpipe smoking was significantly higher among cigarette users than in non-cigarette users in India (5.6% vs. 0.6%, AOR 13.12, 95% CI 7.41-23.23 and Russia (6.7% vs. 0.2%, AOR 27.73, 95% CI 11.41-67.43, but inversely associated in Egypt (2.6% vs. 3.4%, AOR 0.21, 95% CI 0.15-0.30 and not associated in Vietnam (13.3% vs. 4.7%, AOR 0.96, 95% CI 0.74-1.23. Compared to non-cigarette smokers, waterpipe smokers who also used cigarettes had more waterpipe smoking sessions per week in Russia (1.3 vs. 2.9, beta coefficient 0.31, 95% CI 0.06, 0.57, but less in Egypt (18.2 vs. 10.7, beta coefficient -0.45, 95% CI -0.73, -0.17 and Vietnam (102.0 vs. 79.3, beta coefficient -0.31, 95% CI -0.56, -0.06 and similar amounts in India (29.4 vs. 32.6, beta coefficient -0.12, 95% CI -0.46, 0.22. CONCLUSIONS: Waterpipe smoking is low in most LMICs but important country-level differences in use, including concurrent cigarette smoking, should be taken into account when designing and evaluating tobacco control interventions.

  17. Quality of care for older adults with chronic obstructive pulmonary disease and asthma based on comparisons to practice guidelines and smoking status

    Directory of Open Access Journals (Sweden)

    Chewning Betty A

    2008-07-01

    Full Text Available Abstract Background The purpose of this study was to describe the prevalence of respiratory diseases in older adults and compare the demographic, health and smoking characteristics of those with and without these diseases. Furthermore, we evaluate the association between smoking status and patterns in health care and how concordant this care is with guidelines. Methods Using a nationally representative sample of 29,902 older adults who participated in the Medicare Current Beneficiary Survey (1992–2002, we compared guideline recommendations on the treatment and prevention of chronic obstructive pulmonary disease and asthma with survey utilization data, including the use of bronchodilators, spirometry and influenza vaccine. Results 26% to 30% of older adults were diagnosed with or self-reported chronic respiratory diseases; however 69% received no pharmacological treatment and 30% of patients reporting use of pharmacological treatments did not receive short-acting bronchodilator inhalers. Current smokers appeared to receive significantly less care for respiratory diseases than non-smokers or former smokers. Conclusion Disparities between recommended and actual care for older adults with chronic lung disease require further research. The needs of older adults with co-morbidities and nicotine addiction deserve special attention in care as well as guideline development and implementation.

  18. 浙江省台州市成年人吸烟和被动吸烟状况调查%Epidemiological survey on smoking and passive smoking situation among adults in Taizhou City, Zhejiang Province

    Institute of Scientific and Technical Information of China (English)

    刘令初; 王良友; 王旭; 陈潇潇; 徐飚; 余运贤

    2013-01-01

    目的 了解浙江省台州市成年人群的吸烟和被动吸烟情况,为制定有针对性的控烟措施提供基础资料.方法 采用多阶段整群抽样方法于2010-2011年在全市9个县(市、区)抽取符合条件的成年人群作为本次研究的受试对象.分析指标包括吸烟率、开始吸烟年龄、吸烟者平均每日吸烟量、戒烟率和被动吸烟率等.结果 调查对象吸烟率为23.6%,男性、女性吸烟率分别为48.0%和1.2%,两者差异有统计学意义(x2=683.60,P<0.01).开始吸烟的平均年龄为(22.9±5.5)岁,平均每天吸烟(20.4±12.8)支.不吸烟的调查对象被动吸烟率为40.2%,其中男性、女性分别为31.6%和43.2%.调查对象戒烟率为21.8%,其中男性、女性分别为21.9%和17.6%.被调查的吸烟者中有53.9%不打算戒烟.男性和女性吸烟者打算现在开始戒烟比例仅为5.4%和14.3%.分别仅有35.2%和29.5%的调查对象认为吸烟和被动吸烟对健康重度有害.结论 台州市成人居民烟草暴露严重,居民吸烟率、被动吸烟率处于较高水平,戒烟率较低,烟草控制面临巨大挑战.%Objective To describe the smoking and passive smoking status among adults in Taizhou City and provide baseline data for specialized tobacco control development.Methods A multi-staged cluster sampling survey was carried out in 9 districts from 2010 to 2011.Several indicators were analyzed such as smoking rate,age of smoke beginning,smoking amount per day,quit rate and passive smoking rate.Results The overall smoking rate was 23.6% (48.0% for males and 1.2% for females).There was statistically significant difference between males and females (x2 =683.60,P <0.01).The average age of smoke beginning was (22.9 ± 5.5) years old,and (20.4 ± 12.8) cigarettes were consumed per day.Passive smoking rate in non-smokers was 40.2% (31.6% for males and 43.2% for females).The quit smoking rate was 21.8% (21.9% for males and 17

  19. Cancer incidence and mortality trends in Australian adolescents and young adults, 1982–2007

    Directory of Open Access Journals (Sweden)

    Haggar Fatima A

    2012-04-01

    Full Text Available Abstract Background Increasing incidence and lack of survival improvement in adolescents and young adults (AYAs with cancer have led to increased awareness of the cancer burden in this population. The objective of this study was to describe overall and type-specific cancer incidence and mortality trends among AYAs in Western Australia from 1982–2007. Methods Age–adjusted incidence and mortality rates were calculated for all malignancies combined and for each of the most common diagnostic groups, using five-year age–specific rates. Joinpoint regression analysis was used to derive annual percentage changes (APC for incidence and mortality rates. Results The annual incidence rate for all cancers combined increased in males from 1982 until 2000 (APC = 1.5%, 95%CI: 0.9%; 2.1% and then plateaued, whilst rates for females remained stable across the study period (APC = −0.1%; 95%CI: −0.2%; 0.4% across the study period. For males, significant incidence rate increases were observed for germ cell tumors, lymphoblastic leukemia and thyroid cancer. In females, the incidence of Hodgkin’s lymphoma, colorectal and breast cancers increased. Significant incidence rate reductions were noted for cervical, central nervous system and lung cancers. Mortality rates for all cancers combined decreased from 1982 to 2005 for both males (APC = −2.6%, 95%CI:−3.3%;−2.0% and females (APC = −4.6%, 95%CI:−5.1%;−4.1%. With the exception of bone sarcoma and lung cancer in females, mortality rates for specific cancer types decreased significantly for both sexes during the study period. Conclusions Incidence of certain AYA cancers increased, whilst it decreased for others. Mortality rates decreased for most cancers, with the largest improvement observed for breast carcinomas. Further research is needed to identify the reasons for the increasing incidence of certain cancers.

  20. Time trends of viral meningitis among young adults in Israel: 1978-2012.

    Science.gov (United States)

    Levine, Hagai; Mimouni, Daniel; Zurel-Farber, Anat; Zahavi, Alon; Molina-Hazan, Vered; Bar-Zeev, Yael; Huerta-Hartal, Michael

    2014-07-01

    Viral meningitis (VM) is a medical condition of public health concern, as it is a common sporadic and epidemic illness. However, there is limited data on the epidemiology of VM. The purpose of this study was to analyze long-term and seasonal trends of VM in a young adult military population. VM is a obligatory notifiable disease in the Israel Defense Forces. For the present study, the archives of the Army Health Branch were reviewed for all cases of VM from January 1, 1978 to December 31, 2012, and the annual, monthly, and seasonal rates were calculated. The annual incidence over the 35-year period showed a high peak every 3-5 years followed by a quiescent period of 2-3 years, reaching as high as 58.4 per 100,000 in 1980 and as low as 3.0 per 100,000 in 2005. This cyclic pattern has diminished over the last decade, reflected by a decline in mean incidence (10.46 per 100,000 in 2003-2012 compared to 19.79 per 100,000 in 1978-2002). Average monthly rates ranged from 1.0 cases per 100,000 soldiers in January/February to 2.2 per 100,000 in July/August. The difference in average rates between winter (1.2 cases per 100,000) and summer (1.9 cases per 100,000) was statistically significant (p viral causes of meningitis may spare patients unnecessary treatment while prompting the introduction of public health interventions and control measures, especially in crowded settings.

  1. Clinical signs indicative of temporomandibular disorders in adults: time trends and associated factors.

    Science.gov (United States)

    Köhler, Alkisti Anastassaki; Hugoson, Anders; Magnusson, Tomas

    2013-01-01

    The study aimed to examine possible time trends in the prevalence of clinical signs indicative of temporomandibular disorder (TMD) in an adult population, to analyse possible associations between TMD signs and associated factors and to estimate the need for TMD treatment. Three independent, stratified and randomly selected samples of around 100 individuals in the age groups of 20, 30, 40, 50, 60 and 70 years participated in the Jönköping studies in 1983,1993 and 2003. The study material consisted of 1,693 subjects who, after answering a questionnaire and being interviewed about the presence of TMD symptoms, were clinically examined in terms of the presence of TMD signs according to the Clinical Dysfunction Index (Di) by Helkimo. Associations between clinical signs and the Di as dependent variables and each of the independent variables of age group, gender, reported bruxism, trauma, self-perceived healthiness and the year of investigation were analysed in binary logistic regression models. Estimates of the need for TMD treatment were based on the presence of a combination of severe symptoms and clinical signs. The prevalence of severely impaired jaw movement capacity, relating to horizontal movements, had increased in 2003. The prevalence of muscle pain and temporomandibular joint pain upon posterior palpation was found to vary statistically significantly between 1993 and 2003. Gender differences were noted in these changes overtime. Female gender, advancing age, awareness of bruxism, self-perceived health impairment and the wearing of complete dentures were associated with TMD signs and a higher degree of clinical dysfunction. The estimated need for TMD treatment increased from 5% in 1983 to 8% in 2003 and was higher in women than in men. In conclusion, the results indicate that the prevalence of some TMD signs and of estimated treatment need increased during the period 1983-2003.

  2. Trends in food and nutritional intakes of French adults from 1999 to 2007: results from the INCA surveys.

    Science.gov (United States)

    Dubuisson, Carine; Lioret, Sandrine; Touvier, Mathilde; Dufour, Ariane; Calamassi-Tran, Gloria; Volatier, Jean-Luc; Lafay, Lionel

    2010-04-01

    Two independent cross-sectional dietary surveys (the Individual and National Food Consumption Surveys, INCA), performed in 1998-99 (INCA1) and in 2006-07 (INCA2) on nationally representative samples of French people, were used to analyse trends in the dietary habits and nutritional intake of French adults. Food consumption was recorded through 7-d dietary records, and nutritional intakes were assessed using the French food composition database. After exclusion of under-reporters, analyses were performed on 3267 adults, aged 18-79 years: 1345 from INCA1 and 1922 from INCA2. The trends highlighted over the 8-year period showed a decrease in consumption of dairy products, meat, bread, potatoes, pastries/croissant-like pastries/cakes/biscuits and sugar/confectionery. In contrast, the consumption of fruits and vegetables, rice, ice cream and chocolate increased. Other food groups, like fish and snacking foods, remained stable. Food choices were mostly age specific. These age differences remained consistent over the years and underlined two opposite dietary trends: a 'traditional' one mainly followed by the elderly, and a 'snacking and convenience' one mainly adopted by young adults. The overall trends in food consumption did not influence the mean energy intake, but did slightly modify the contribution of each macronutrient to energy intake. These repeated surveys highlighted the fact that trends in French food habits have moved towards an average European diet at the crossroads between Mediterranean and Northern diets, and that food consumption changes impacted, to a lesser extent, nutritional intake. PMID:20028601

  3. Comparing Tailored and Untailored Text Messages for Smoking Cessation: A Randomized Controlled Trial among Adolescent and Young Adult Smokers

    Science.gov (United States)

    Skov-Ettrup, L. S.; Ringgaard, L. W.; Dalum, P.; Flensborg-Madsen, T.; Thygesen, L. C.; Tolstrup, J. S.

    2014-01-01

    The aim was to compare the effectiveness of untailored text messages for smoking cessation to tailored text messages delivered at a higher frequency. From February 2007 to August 2009, 2030 users of an internet-based smoking cessation program with optional text message support aged 15-25 years were consecutively randomized to versions of the…

  4. Smoking status and abdominal obesity among normal- and overweight/obese adults: Population-based FINRISK study.

    Science.gov (United States)

    Tuovinen, Eeva-Liisa; Saarni, Suoma E; Männistö, Satu; Borodulin, Katja; Patja, Kristiina; Kinnunen, Taru H; Kaprio, Jaakko; Korhonen, Tellervo

    2016-12-01

    Several studies have reported direct associations of smoking with body mass index (BMI) and abdominal obesity. However, the interplay between them is poorly understood. Our first aim was to investigate the interaction between smoking status and BMI on abdominal obesity (waist circumference, WC). Our second aim was to examine how the association of smoking status with WC varies among normal and overweight/obese men and women. We examined 5833 participants from the National FINRISK 2007 Study. The interactions between smoking and BMI on WC were analyzed. Participants were categorized into eight groups according to BMI (normal weight vs. overweight/obese) and smoking status (never smoker, ex-smoker, occasional/light/moderate daily smoker, heavy daily smoker). The associations between each BMI/smoking status -group and WC were analyzed by multiple regressions, the normal-weight never smokers as the reference group. The smoking status by BMI-interaction on WC was significant for women, but not for men. Among the overweight/obese women, ex-smokers (β = 2.73; 1.99, 3.46) and heavy daily smokers (β = 4.90; 3.35, 6.44) had the highest estimates for WC when adjusted for age, BMI, alcohol consumption and physical activity. In comparison to never smoking overweight/obese women, the β-coefficients of ex-smokers and heavy daily smokers were significantly higher. Among men and normal weight women the β -coefficients did not significantly differ by smoking status. An interaction between smoking status and BMI on abdominal obesity was observed in women: overweight/obese heavy daily smokers were particularly vulnerable for abdominal obesity. This risk group should be targeted for cardiovascular disease prevention. PMID:27486563

  5. Active or passive exposure to tobacco smoking and allergic rhinitis, allergic dermatitis, and food allergy in adults and children: a systematic review and meta-analysis.

    Directory of Open Access Journals (Sweden)

    Jurgita Saulyte

    2014-03-01

    .43 [1.12-1.83] when cohort studies only were examined, but not when all studies were combined. The findings are limited by the potential for confounding and bias given that most of the individual studies used a cross-sectional design. Furthermore, the studies showed a high degree of heterogeneity and the exposure and outcome measures were assessed by self-report, which may increase the potential for misclassification.We observed very modest associations between smoking and some allergic diseases among adults. Among children and adolescents, both active and passive exposure to SHS were associated with a modest increased risk for allergic diseases, and passive smoking was associated with an increased risk for food allergy. Additional studies with detailed measurement of exposure and better case definition are needed to further explore the role of smoking in allergic diseases.

  6. Quit Smoking

    Science.gov (United States)

    ... Quit Smoking Print This Topic En español Quit Smoking Browse Sections The Basics Overview Secondhand Smoke How ... with It The Basics The Basics: Overview Quitting smoking is one of the most important things you ...

  7. Secondhand Smoke

    Science.gov (United States)

    ... Stress & Smoking Causes of Stress Quiz: What's Your Stress Level? Smoking & Depression Understanding Depression Quiz: Are You Depressed? Coping With ... Stress & Smoking Causes of Stress Quiz: What's Your Stress Level? Smoking & Depression Understanding Depression Quiz: Are You Depressed? Coping With ...

  8. 青海省疾病监测点成年居民吸烟、戒烟及被动吸烟状况分析%Analysis on smoking,smoking cessation and passive smoking among adults in surveillance sites in Qinghai Province

    Institute of Scientific and Technical Information of China (English)

    马福昌; 周敏茹; 岳建宁; 沙琼癑; 周素霞; 郭淑玲

    2015-01-01

    目的:掌握青海省成年居民吸烟、戒烟和被动吸烟流行状况,为加强控烟教育及行为干预提供政策和科学依据。方法采用青海省“中国慢性病及其危险因素监测(2010)”调查数据,对3个国家级疾病监测点的1792名18岁及以上调查对象的吸烟和戒烟行为、被动吸烟等情况进行分析。结果调查对象的现在吸烟率和现在每日吸烟率分别为28.9%和26.3%;男性居民的现在吸烟率(62.6%)和现在每日吸烟率(56.9%)均明显高于女性(2.6%,2.4%)(P <0.01);吸烟者开始每日吸烟年龄为20.7岁,日均吸烟量为14.8支;吸烟者的打算戒烟率、戒烟率和成功戒烟率分别为39.2%、19.8%和14.6%;非吸烟居民的被动吸烟率为54.1%,其中农村非吸烟居民的被动吸烟率(59.1%)高于城市(52.5%)和半农半牧地区(50.7%),女性非吸烟居民的被动吸烟率(55.6%)高于男性(49.0%),其差异均有统计学意义(P <0.05)。结论青海省成年居民吸烟率和被动吸烟率都较高,而戒烟率低,各级政府和卫生行政部门应加强控烟干预和宣传,监督执行公共场所禁烟的规定,深入推进全省的控烟工作。%Objective To describe the prevalence of smoking,smoking cessation and passive smoking among a-dults in Qinghai Province so as to provide policy and scientific evidence for smoking control and behavior intervention.Meth-ods By using Qinghai non-communicable diseases and behavioral risk factors surveillances (2010)survey data,the char-acteristics of smoking,smoking cessation and passive smoking among 1792 adults aged 18 and over in three national disease surveillance sites in Qinghai Province.Results The current smoking rate and daily smoking rate is 28.9% and 26.3% re-spectively among the study participants.The current smoking rate (62.6%)and daily smoking rate (56.9%)among men is much higher than

  9. Passive smoking at home is a risk factor for community-acquired pneumonia in older adults: a population-based case–control study

    Science.gov (United States)

    Almirall, Jordi; Serra-Prat, Mateu; Bolíbar, Ignasi; Palomera, Elisabet; Roig, Jordi; Hospital, Imma; Carandell, Eugenia; Agustí, Mercè; Ayuso, Pilar; Estela, Andreu; Torres, Antoni

    2014-01-01

    Objective To assess whether passive smoking exposure at home is a risk factor for community-acquired pneumonia (CAP) in adults. Setting A population-based case-control study was designed in a Mediterranean area with 860 000 inhabitants >14 years of age. Participants 1003 participants who had never smoked were recruited. Primary and secondary outcome measures Risk factors for CAP, including home exposure to passive smoking, were registered. All new cases of CAP in a well-defined population were consecutively recruited during a 12-month period. Methods A population-based case-control study was designed to assess risk factors for CAP, including home exposure to passive smoking. All new cases of CAP in a well-defined population were consecutively recruited during a 12-month period. The subgroup of never smokers was selected for the present analysis. Results The study sample included 471 patients with CAP and 532 controls who had never smoked. The annual incidence of CAP was estimated to be 1.14 cases×10–3 inhabitants in passive smokers and 0.90×10−3 in non-passive smokers (risk ratio (RR) 1.26; 95% CI 1.02 to 1.55) in the whole sample. In participants ≥65 years of age, this incidence was 2.50×10−3 in passive smokers and 1.69×10−3 in non-passive smokers (RR 1.48, 95% CI 1.08 to 2.03). In this last age group, the percentage of passive smokers in cases and controls was 26% and 18.1%, respectively (p=0.039), with a crude OR of 1.59 (95% CI 1.02 to 2.38) and an adjusted (by age and sex) OR of 1.56 (95% CI 1.00 to 2.45). Conclusions Passive smoking at home is a risk factor for CAP in older adults (65 years or more). PMID:24928592

  10. Time trends in heavy drinking among middle-aged and older adults in Denmark

    DEFF Research Database (Denmark)

    Bjørk, Christina; Thygesen, Lau Caspar; Vinther-Larsen, Mathilde;

    2008-01-01

    BACKGROUND: Studies have indicated an increasing proportion of heavy drinking among middle-aged and older Danes. Trends in consumption are often extremely sensitive to influence from various components of the time trends but only few have explored the age, period and cohort-related influences...... that the proportion of heavy drinking women increases in younger birth cohorts. This trend is not observed for men as their drinking pattern mainly increase slightly by calendar year. CONCLUSIONS: Our Danish observations for older aged individuals correspond to the social and cultural changes in the 1960s and 1970s...

  11. Referral Trends in Mental Health Services for Adults with Intellectual Disability and Autism Spectrum Disorders

    Science.gov (United States)

    Tsakanikos, Elias; Sturmey, Peter; Costello, Helen; Holt, Geraldine; Bouras, Nick

    2007-01-01

    Researchers have paid increasing attention to mental health issues in adults with autism spectrum disorders (ASDs) over the last decades. However, little is known about how rates of clinical referrals, types of mental health diagnoses and treatment in adults with ASDs and intellectual disability have changed. We examined patterns of change in…

  12. Characteristics of Social Smoking Among College Students

    OpenAIRE

    Waters, Kimberly; Harris, Kari; Hall, Sandra; Nazir, Niaman; Waigandt, Alex

    2006-01-01

    Social smoking is a newly identified phenomenon in the young adult population that is poorly understood. We investigated differences in social smoking (smoking most commonly while partying or socializing) and other smoking within a convenience sample of college smokers (n = 351) from a large midwestern university. Results revealed that 70% of 351 current (past 30-day) smokers reported social smoking. No significant difference was found in motivation to quit between smoking groups. However, a ...

  13. Allowing cigarette or marijuana smoking in the home and car: prevalence and correlates in a young adult sample

    OpenAIRE

    Padilla, Mabel; Berg, Carla J.; Schauer, Gillian L.; Lang, Delia L.; Kegler, Michelle C.

    2014-01-01

    Given the increased marijuana use, negative health consequences of marijuana secondhand smoke exposure (SHSe) and dearth of research regarding marijuana SHSe in personal settings, we examined the prevalence and correlates of allowing marijuana versus cigarette smoking in personal settings among 2002 online survey respondents at two southeastern US universities in 2013. Findings indicated that 14.5% allowed cigarettes in the home, 17.0% marijuana in the home, 35.9% cigarettes in cars and 27.3%...

  14. Smoking, Antioxidant Supplementation and Dietary Intakes among Older Adults with Age-Related Macular Degeneration over 10 Years

    OpenAIRE

    Gopinath, Bamini; Flood, Victoria M; Kifley, Annette; Liew, Gerald; Mitchell, Paul

    2015-01-01

    We aimed to compare the micronutrient usage and other lifestyle behaviors over 10 years among those with and without age-related macular degeneration (AMD). 1612 participants aged 49+ years at baseline were re-examined over 10 years, west of Sydney, Australia. AMD was assessed from retinal photographs. Dietary data were collected using a semi-quantitative food frequency questionnaire. Smoking status was self-reported. 56 participants had any AMD at baseline, of these 25% quit smoking at 5 yea...

  15. Trends in socioeconomic inequalities in smoking prevalence, consumption, initiation, and cessation between 2001 and 2008 in the Netherlands. Findings from a national population survey

    Directory of Open Access Journals (Sweden)

    Nagelhout Gera E

    2012-05-01

    Full Text Available Abstract Background Widening of socioeconomic status (SES inequalities in smoking prevalence has occurred in several Western countries from the mid 1970’s onwards. However, little is known about a widening of SES inequalities in smoking consumption, initiation and cessation. Methods Repeated cross-sectional population surveys from 2001 to 2008 (n ≈ 18,000 per year were used to examine changes in smoking prevalence, smoking consumption (number of cigarettes per day, initiation ratios (ratio of ever smokers to all respondents, and quit ratios (ratio of former smokers to ever smokers in the Netherlands. Education level and income level were used as indicators of SES and results were reported separately for men and women. Results Lower educated respondents were significantly more likely to be smokers, smoked more cigarettes per day, had higher initiation ratios, and had lower quit ratios than higher educated respondents. Income inequalities were smaller than educational inequalities and were not all significant, but were in the same direction as educational inequalities. Among women, educational inequalities widened significantly between 2001 and 2008 for smoking prevalence, smoking initiation, and smoking cessation. Among low educated women, smoking prevalence remained stable between 2001 and 2008 because both the initiation and quit ratio increased significantly. Among moderate and high educated women, smoking prevalence decreased significantly because initiation ratios remained constant, while quit ratios increased significantly. Among men, educational inequalities widened significantly between 2001 and 2008 for smoking consumption only. Conclusions While inequalities in smoking prevalence were stable among Dutch men, they increased among women, due to widening inequalities in both smoking cessation and initiation. Both components should be addressed in equity-oriented tobacco control policies.

  16. Adolescent smoking and parenting : Associations between smoking related parental behaviors and adoslescent smoking

    NARCIS (Netherlands)

    Exter Blokland, E.A.W. den

    2006-01-01

    The main aim of this dissertation is to address the link between parenting and adolescent smoking. We address this question since the role of parents has been traditionally neglected in smoking research as well as prevention programs. Recent research has shown that the prevention of adult smoking in

  17. SHORT COMMUNICATION: Reduction of Spirometric Lung Function Tests in Habitually Smoking Healthy Young Adults: It’s Correlation with Pack Years

    Directory of Open Access Journals (Sweden)

    Sumangala M Patil

    2012-01-01

    Full Text Available Background: Adolescent smoking and the subsequent health problems are a major concern today. However there are very few studies done on spirometric lung functions and its relation with pack years in young adult habitual smokers who are apparently healthy. Aims and Objectives: The present study is undertaken to assess the change in lung functions in apparently healthy young adult habitual smokers compared to their age matched controls. Materials and Methods: A random sample of apparently healthy young adult habitual smokers (n=40 and nonsmokers (n=40 between age group17-35 years with history suggesting of pack years of 2-10 years were selected from students & employee’s of B.L.D.E.U’s Sri B.M. Patil Medical College,Hospital & Research Centre Bijapur (Karnataka, India. Spirometric lung functions recorded were forced expiratory volume in one second (FEV1, FEV1%, Peak expiratory flow rate (PEFR and Maximal expiratory pressure (MEP. Results: The results suggested that inapparently healthy habitual smokers there was significant decrease in FEV1 (L (-13.34%, p<0.001, FEV1 % (-10.76%, p<0.001, PEFR (-45.26%, p<0.0001 and MEP (-35.51%, p<0.0001 compared to nonsmokers and decrease in FEV1 was negatively correlated withpack years in smokers (r2=0.063, p=0.001. Reduced lung functions and negative correlation to pack years may be attributed todecreased airway diameter & reflex broncho- constriction in response to inhaled smoke particles. Conclusions: In conclusion young adulthabitual smokers who were apparently healthy are more prone for respiratory dysfunction than their nonsmoker counterparts. FEV1 reduction in relation to pack years acts as an important determinant for detecting lung dysfunction in the early stage of the disease. As the risk of having smoking related diseases depends mainly on number of pack years, it is suggested that quitting smoking earliest helps to get greatest health benefits in apparently healthy young adult habitual smokers.

  18. Forty-Year Trends in Tooth Loss Among American Adults With and Without Diabetes Mellitus: An Age-Period-Cohort Analysis

    OpenAIRE

    Luo, Huabin; Pan, Wei; Sloan, Frank; Feinglos, Mark; Wu, Bei

    2015-01-01

    Introduction This study aimed to assess the trends in tooth loss among adults with and without diabetes mellitus in the United States and racial/ethnic disparities in tooth loss patterns, and to evaluate trends in tooth loss by age, birth cohorts, and survey periods. Methods Data came from 9 waves of the National Health and Nutrition Examination Survey (NHANES) from 1971 through 2012. The trends in the estimated tooth loss in people with and without diabetes were assessed by age groups, surve...

  19. Sources of Caffeine in Diets of US Children and Adults: Trends by Beverage Type and Purchase Location

    Directory of Open Access Journals (Sweden)

    Adam Drewnowski

    2016-03-01

    Full Text Available New sources of caffeine, besides coffee and tea, have been introduced into the US food supply. Data on caffeine consumption age and purchase location can help guide public health policy. National Health and Nutrition Examination Surveys (NHANES were used to estimate population-level caffeine intakes, using data from 24-h dietary recall. First, caffeine intakes by age-group and beverage type were estimated using the most recent 2011–2012 data (n = 7456. Second, fourteen years trends in caffeine consumption, overall and by beverage type, were evaluated for adults and children. Trend analyses were conducted by age groups. Last, trends in caffeine intakes by purchase location and beverage type were estimated. In 2011–2012, children aged four to eight years consumed the least caffeine (15 mg/day, and adults aged 51–70 years consumed the most (213 mg/day. The population mean (age ≥ four years was 135 mg/day, driven largely by coffee (90 mg/day, tea (25 mg/day, and soda (21 mg/day. For the 14–19 years and 20–34 years age-groups, energy drinks contributed 6 mg/day (9.9% and 5 mg/day (4.5%, respectively. The bulk of caffeine came from store-bought coffee and tea. Among both children and adults combined, caffeine intakes declined from 175 mg/day (1999–2000 to 142 mg/day (2011–2012, largely driven by a drop in caffeine from soda (41 mg/day to 21 mg/day. Store-bought coffee and tea remain principal drivers of caffeine intake in the US. Sodas and energy drinks make minor contributions to overall caffeine intakes.

  20. Sources of Caffeine in Diets of US Children and Adults: Trends by Beverage Type and Purchase Location.

    Science.gov (United States)

    Drewnowski, Adam; Rehm, Colin D

    2016-03-01

    New sources of caffeine, besides coffee and tea, have been introduced into the US food supply. Data on caffeine consumption age and purchase location can help guide public health policy. National Health and Nutrition Examination Surveys (NHANES) were used to estimate population-level caffeine intakes, using data from 24-h dietary recall. First, caffeine intakes by age-group and beverage type were estimated using the most recent 2011-2012 data (n = 7456). Second, fourteen years trends in caffeine consumption, overall and by beverage type, were evaluated for adults and children. Trend analyses were conducted by age groups. Last, trends in caffeine intakes by purchase location and beverage type were estimated. In 2011-2012, children aged four to eight years consumed the least caffeine (15 mg/day), and adults aged 51-70 years consumed the most (213 mg/day). The population mean (age ≥ four years) was 135 mg/day, driven largely by coffee (90 mg/day), tea (25 mg/day), and soda (21 mg/day). For the 14-19 years and 20-34 years age-groups, energy drinks contributed 6 mg/day (9.9%) and 5 mg/day (4.5%), respectively. The bulk of caffeine came from store-bought coffee and tea. Among both children and adults combined, caffeine intakes declined from 175 mg/day (1999-2000) to 142 mg/day (2011-2012), largely driven by a drop in caffeine from soda (41 mg/day to 21 mg/day). Store-bought coffee and tea remain principal drivers of caffeine intake in the US. Sodas and energy drinks make minor contributions to overall caffeine intakes.

  1. Multiple Chronic Conditions among Adults Aged 45 and Over: Trends Over the Past 10 Years

    Science.gov (United States)

    ... needs and use for Medicare and other payers. Keywords: hypertension, diabetes, cancer, prevalence The percentage of adults ... with two or more chronic conditions had increasing difficulty obtaining needed medical care and prescription drugs because ...

  2. Trends in Antihyperglycemic Medication Prescriptions and Hypoglycemia in Older Adults: 2002-2013

    OpenAIRE

    Clemens, Kristin K.; Salimah Shariff; Kuan Liu; Irene Hramiak; Jeffrey L Mahon; Eric McArthur; Garg, Amit X

    2015-01-01

    Background Over the last decade, several new antihyperglycemic medications have been introduced including those associated with a lower hypoglycemia risk. We aimed to investigate how these medications are being prescribed to older adults in our region. Methods We conducted population-based cross-sectional analyses of older adults (mean age 75 years) with treated diabetes in Ontario, Canada from 2002 until 2013, to examine the percentage prescribed insulin, sulphonylureas, alpha-glucosidase in...

  3. Effect of Shisha (Waterpipe Smoking on Lung Functions and Fractional Exhaled Nitric Oxide (FeNO among Saudi Young Adult Shisha Smokers

    Directory of Open Access Journals (Sweden)

    Sultan Ayoub Meo

    2014-09-01

    Full Text Available Shisha (waterpipe smoking is becoming a more prevalent form of tobacco consumption, and is growing worldwide, particularly among the young generation in the Middle East. This cross-sectional study aimed to determine the effects of shisha smoking on lung functions and Fractional Exhaled Nitric Oxide (FeNO among Saudi young adults. We recruited 146 apparently healthy male subjects (73 control and 73 shisha smokers. The exposed group consisted of male shisha smokers, with mean age 21.54 ± 0.41 (mean ± SEM range 17–33 years. The control group consisted of similar number (73 of non-smokers with mean age 21.36 ± 0.19 (mean ± SEM range 18–28 years. Between the groups we considered the factors like age, height, weight, gender, ethnicity and socioeconomic status to estimate the impact of shisha smoking on lung function and fractional exhaled nitric oxide. Lung function test was performed by using an Spirovit-SP-1 Electronic Spirometer. Fractional Exhaled Nitric Oxide (FeNO was measured by using Niox Mino. A significant decrease in lung function parameters FEV1, FEV1/FVC Ratio, FEF-25%, FEF-50%, FEF-75% and FEF-75–85% was found among shisha smokers relative to their control group. There was also a significant reduction in the Fractional Exhaled Nitric Oxide among Shisha smokers compared to control group.

  4. Effect of Shisha (Waterpipe) Smoking on Lung Functions and Fractional Exhaled Nitric Oxide (FeNO) among Saudi Young Adult Shisha Smokers

    Science.gov (United States)

    Meo, Sultan Ayoub; AlShehri, Khaled Ahmed; AlHarbi, Bader Bandar; Barayyan, Omar Rayyan; Bawazir, Abdulrahman Salem; Alanazi, Omar Abdulmohsin; Al-Zuhair, Ahmed Raad

    2014-01-01

    Shisha (waterpipe) smoking is becoming a more prevalent form of tobacco consumption, and is growing worldwide, particularly among the young generation in the Middle East. This cross-sectional study aimed to determine the effects of shisha smoking on lung functions and Fractional Exhaled Nitric Oxide (FeNO) among Saudi young adults. We recruited 146 apparently healthy male subjects (73 control and 73 shisha smokers). The exposed group consisted of male shisha smokers, with mean age 21.54 ± 0.41 (mean ± SEM) range 17–33 years. The control group consisted of similar number (73) of non-smokers with mean age 21.36 ± 0.19 (mean ± SEM) range 18–28 years. Between the groups we considered the factors like age, height, weight, gender, ethnicity and socioeconomic status to estimate the impact of shisha smoking on lung function and fractional exhaled nitric oxide. Lung function test was performed by using an Spirovit-SP-1 Electronic Spirometer. Fractional Exhaled Nitric Oxide (FeNO) was measured by using Niox Mino. A significant decrease in lung function parameters FEV1, FEV1/FVC Ratio, FEF-25%, FEF-50%, FEF-75% and FEF-75-85% was found among shisha smokers relative to their control group. There was also a significant reduction in the Fractional Exhaled Nitric Oxide among Shisha smokers compared to control group. PMID:25233010

  5. Characteristics of Social Smoking among College Students

    Science.gov (United States)

    Waters, Kimberly; Harris, Kari; Hall, Sandra; Nazir, Niaman; Waigandt, Alex

    2006-01-01

    Social smoking is a newly identified phenomenon in the young adult population that is poorly understood. We investigated differences in social smoking (smoking most commonly while partying or socializing) and other smoking within a convenience sample of college smokers (n = 351) from a large midwestern university. Results revealed that 70% of 351…

  6. The expansion of adult education and training in Europe: Trends and issues

    Science.gov (United States)

    Tuijnman, Albert C.

    1992-11-01

    The main purpose of this article is to describe the factors that are contributing to the recent expansion of adult education and training in the European region, A second purpose is to spell out the ramifications of the problems and policy issues that arise. The focus is on the dilemmas faced by decision-makers which, formulated as challenges confronting European adult education, will be summarized towards the end of the article. The central theme running through these concluding paragraphs is that there may well be a conflict between the economic and labour market objectives of adult education, on the one hand, and its cultural, social and redistributive goals on the other. The overriding challenge is how to find innovative ways of reducing this apparent conflict.

  7. AIDS in adults 50 years of age and over: characteristics, trends and spatial distribution of the risk

    Directory of Open Access Journals (Sweden)

    Jordana de Almeida Nogueira

    2014-06-01

    Full Text Available OBJECTIVE: to analyze the sociodemographic characteristics, epidemic trend and spatial distribution of the risk of AIDS in adults 50 years of age and over.METHOD: population-based, ecological study, that used secondary data from the Notifiable Disease Information System (Sinan/AIDS of Paraíba state from the period January 2000 to December 2010.RESULTS: during the study period, 307 cases of AIDS were reported among people 50 years of age or over. There was a predominance of males (205/66, 8%, mixed race, and low education levels. The municipalities with populations above 100 thousand inhabitants reported 58.5% of the cases. There was a progressive increase in cases among women; an increasing trend in the incidence (positive linear correlation; and an advance in the geographical spread of the disease, with expansion to the coastal region and to the interior of the state, reaching municipalities with populations below 30 thousand inhabitants. In some locations the risk of disease was 100 times greater than the relative risk for the state.CONCLUSION: aging, with the feminization and interiorization of the epidemic in adults 50 years of age and over, confirms the need for the induction of affirmative policies targeted toward this age group.

  8. From pharmaco-therapy to pharmaco-prevention: trends in prescribing to older adults in Ontario, Canada, 1997-2006

    Directory of Open Access Journals (Sweden)

    Wang Li

    2010-10-01

    Full Text Available Abstract Background The developed world is undergoing a demographic transition with greater numbers of older adults and higher rates of chronic disease. Most elder care is now provided by primary care physicians, who prescribe the majority of medications taken by these patients. Despite these significant trends, little is known about population-level prescribing patterns to primary care patients aged 65+. Methods We conducted a population-based retrospective cohort study to examine 10-year prescribing trends among family physicians providing care to patients aged 65+ in Ontario, Canada. Results Both crude number of prescription claims and prescription rates (i.e., claims per person increased dramatically over the 10-year study period. The greatest change was in prescribing patterns for females aged 85+. Dramatic increases were observed in the prescribing of preventive medications, such as those to prevent osteoporosis (+2,347% and lipid-lowering agents (+697%. And lastly, the number of unique classes of medications prescribed to older persons has increased, with the proportion of older patients prescribed more than 10 classes of medications almost tripling during the study period. Conclusions Prescribing to older adults by family physicians increased substantially during the study period. This raises important concerns regarding quality of care, patient safety, and cost sustainability. It is evident that further research is urgently needed on the health outcomes (both beneficial and harmful associated with these dramatic increases in prescribing rates.

  9. Incidence and Trends in Psychopathology Symptoms over Time in Adults with Severe to Profound Intellectual Disability

    Science.gov (United States)

    Horovitz, Max; Matson, Johnny L.; Sipes, Megan; Shoemaker, Mary; Belva, Brian; Bamburg, Jay W.

    2011-01-01

    Individuals with intellectual disability (ID) have a high risk for developing comorbid psychopathology. While researchers have shown that symptoms of psychopathology remain relatively stable in children with ID over time, little research has been conducted to demonstrate symptom stability for adults with ID. Incidence of psychopathology symptoms…

  10. Recent trends in chlamydial and gonococcal conjunctivitis among neonates and adults in an Irish hospital.

    LENUS (Irish Health Repository)

    Quirke, Michael

    2012-02-03

    BACKGROUND: Chlamydia trachomatis and Neisseria gonorrhoeae are two important and frequently overlooked causes of neonatal and adult conjunctivitis. OBJECTIVES AND METHODS: In order to improve primary treatment, prevention, and control of infection caused by these organisms, an analysis of all cases presenting from July 2002 to December 2006 at a major Irish regional teaching hospital was performed. RESULTS: There were 51 cases of conjunctivitis in total. Among neonates and adults, C. trachomatis was the most common cause of conjunctivitis. Of the adult patients, 75% were men. The annual incidence of adult chlamydial conjunctivitis increased yearly from 2002 and correlated with an overall increase in genital chlamydia infection in the region. Neonatal chlamydial conjunctivitis has an overall incidence of 0.65\\/1000 live births and is continuing to rise annually. In 2006, gonococcal conjunctivitis accounted for 20% of all cases of conjunctivitis caused by sexually transmitted bacteria presenting to our hospital. CONCLUSIONS: The recent increase in the incidence of gonococcal keratitis serves to remind us that this important infection should be borne in mind when treating cases of purulent conjunctivitis. The diagnosis of chlamydial and gonococcal conjunctivitis requires a high index of suspicion and prompt treatment with systemic antibiotics.

  11. The Influence of the Knowledge Society: Trends in Adult Higher Education

    Science.gov (United States)

    Kasworm, Carol

    2011-01-01

    Current understandings of a knowledge economy have been emerging from two defining forces: the rise in quality and intensity of knowledge as a key commodity for economic development and the increasing globalization through information technology of both knowledge exchange and economic activities. The future of adult higher education is focused on…

  12. Respiratory disease in young adults: influence of early childhood lower respiratory tract illness, social class, air pollution, and smoking

    Energy Technology Data Exchange (ETDEWEB)

    Colley, J.R.T.; Douglas, J.W.B.; Reid, D.D.

    1973-01-01

    Of the factors examined, smoking and, to a lesser extent, lower respiratory illness prior to age 2, were found to have the greatest effect on prevalence of cough in a group of 3,899 20-yr-olds. Social class of father and air pollution had little effect in this cohort.

  13. Quitting Smoking

    Science.gov (United States)

    ... quality of life can also be affected by second-hand smoke, the smoke that non-smokers are exposed ... can tell me what's the worst thing about second-hand smoke? Boy: Well, it makes me cough and ...

  14. Secondhand Smoke

    Science.gov (United States)

    ... smoke-free. Some businesses might be afraid to ban smoking, but there’s no strong evidence that going ... Some states and cities even have laws that ban smoking in the car if carrying passengers under ...

  15. Quitting Smoking

    Medline Plus

    Full Text Available Announcer: Cigarette smoking is the number one cause of lung cancer. Since the 1960s, scientists have reported on the link between cancer and smoking. If you smoke, you are at much higher ...

  16. Quitting Smoking

    Medline Plus

    Full Text Available ... Cigarette smoking is the number one cause of lung cancer. Since the 1960s, scientists have reported on the ... smoke, you are at much higher risk for lung cancer than a person who has never smoked. If ...

  17. Quitting Smoking

    Medline Plus

    Full Text Available ... Cigarette smoking is the number one cause of lung cancer. Since the 1960s, scientists have reported on ... smoke, you are at much higher risk for lung cancer than a person who has never smoked. ...

  18. Older Adults and Substance-Related Disorders: Trends and Associated Costs

    OpenAIRE

    Rosen, Daniel; Heberlein, Emily; Engel, Rafael J.

    2013-01-01

    Purpose. The aim of this study is to examine the changing service profile of older adults receiving substance abuse services over the past decade and the increased costs of treating this population. Design and Methods. Medicaid claims for mental health and substance abuse services data from a medium sized county in an eastern state were analyzed for individuals aged 50 years and older in calendar year 2000 or 2009. Univariate statistics are presented to describe the substance abuse and mental...

  19. Trends in Waist Circumference and Central Obesity in Adults, Northern Iran

    OpenAIRE

    Ebrahim Tazik; Abdolhamid Angizeh; Pooneh Moharloei; Samieh Banihashem; Mehdi Sedaghat; Gholamreza Veghari; Abbas Moghaddami

    2012-01-01

     Objectives: The main aim of this study is to determine the centralobesity trends during the period from 2006 to 2010 among 15-65years old people in Northern Iran.Methods: This was a population-based cross-sectional studyconducted on 6466 subjects who had been chosen by a multistage cluster random sampling within five steps. The subjects wererandomly chosen from 325 clusters and each cluster included 20cases. Central obesity was defined as waist circumference ≥102 cmand ≥88 cm in men and wome...

  20.  Trends in Waist Circumference and Central Obesity in Adults, Northern Iran

    Directory of Open Access Journals (Sweden)

    Ebrahim Tazik

    2012-01-01

    Full Text Available  Objectives: The main aim of this study is to determine the centralobesity trends during the period from 2006 to 2010 among 15-65years old people in Northern Iran.Methods: This was a population-based cross-sectional studyconducted on 6466 subjects who had been chosen by a multistage cluster random sampling within five steps. The subjects wererandomly chosen from 325 clusters and each cluster included 20cases. Central obesity was defined as waist circumference ≥102 cmand ≥88 cm in men and women, respectively.Results: Compared to 2010, the mean waist circumference in2006 changed from 87.2 cm to 88.1 cm in men (p=0.237, andfrom 90.3 cm to 88.6 cm in women (p=0.045. The comparisonbetween 2006 and 2010 revealed that the prevalence of centralobesity slightly decreased, 6.8�0and 2.4�0in urban women andmen, respectively. Generally, the mean of waist circumferencesignificantly decreased in urban women (by 0.069 cm in each year;p=0.020; however, the decrease of waist circumference in urbanmen was not significant (0.006 cm decrease each year; p=0.915.Conclusion: The prevalence of central obesity declined amongboth males and females in the urban area; however, there wasan attenuated increasing trend in the rural area. The disparity oftrends between the two regions should be considered for furtherstudy.

  1. Secondhand Smoke PSA (:60)

    Centers for Disease Control (CDC) Podcasts

    2015-02-03

    This 60 second public service announcement is based on the February 2015 CDC Vital Signs report. Secondhand smoke kills more than 400 infants and 41,000 adult nonsmokers every year. Learn what can be done to prevent secondhand smoke exposure.  Created: 2/3/2015 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 2/3/2015.

  2. Trends in Antihyperglycemic Medication Prescriptions and Hypoglycemia in Older Adults: 2002-2013.

    Directory of Open Access Journals (Sweden)

    Kristin K Clemens

    Full Text Available Over the last decade, several new antihyperglycemic medications have been introduced including those associated with a lower hypoglycemia risk. We aimed to investigate how these medications are being prescribed to older adults in our region.We conducted population-based cross-sectional analyses of older adults (mean age 75 years with treated diabetes in Ontario, Canada from 2002 until 2013, to examine the percentage prescribed insulin, sulphonylureas, alpha-glucosidase inhibitors, metformin, thiazolidinediones, meglitinides, and dipeptidyl peptidase-4 inhibitors. Over the study period, we also examined their hospital encounters for hypoglycemia (emergency room or inpatient encounter.The mean age of treated patients increased slightly over the study quarters and the proportion that were women declined. With the exception of chronic kidney disease, cancer, dementia, and neuropathy, the percentage with a comorbidity appeared to decline. The percentage of treated patients prescribed metformin, gliclazide and dipeptidyl peptidase-4 inhibitors increased as did combination therapy. Glyburide and thiazolidinedione prescriptions declined, and insulin use remained stable. In those with newly treated diabetes, the majority were prescribed metformin, with smaller percentages prescribed insulin and other oral agents. Although the absolute number of treated patients with a hypoglycemia encounter increased until mid-2006 and then decreased, the overall percentage with an encounter declined over the study period (0.8% with an event in the first quarter, 0.4% with an event in the last quarter.Antihyperglycemic medications with safer profiles are being increasingly prescribed to older adults. In this setting there has been a decrease in the percentage of treated patients with a hospital encounter for hypoglycemia.

  3. Exposure to movie smoking, antismoking ads and smoking intensity: an experimental study with a factorial design

    NARCIS (Netherlands)

    Z. Harakeh; R.C.M.E. Engels; K. Vohs; R.B. van Baaren; J. Sargent

    2010-01-01

    Background This study examines whether smoking portrayal in movies or antismoking advertisements affect smoking intensity among young adults. Methods We conducted an experimental study in which 84 smokers were randomly assigned using a two (no-smoking versus smoking portrayal in the movie) by three

  4. How pluralistic is the research field on adult education? : Dominating bibliometrical trends, 2005-2012

    Directory of Open Access Journals (Sweden)

    Andreas Fejes

    2015-04-01

    Full Text Available What the field of adult education research is and how it can be described has been a debated issue over the decades. Several scholars argue that the field today is heterogeneous, borrowing theories and methods from a range of disciplines. In this article, we take such statements as a starting point for empirical analysis. In what ways could it be argued that the field is pluralistic rather than monolithic; heterogeneous rather than homogenous? Drawing on bibliographic data of the top cited articles in three main adult education journals between 2005 and 2012, we illustrate how the citation patterns have tendencies of homogeneity when it comes to the geographical country of authorship, since the USA, UK, Australia and Canada dominate, as well as the research methods adopted, since qualitative approaches have near total dominance. Furthermore, there is a tendency to adopt similar theoretical approaches, since sociocultural perspectives, critical pedagogy and post-structuralism represent more than half of the articles in our sample. At the same time, the results of our analysis indicate signs of scholarly pluralism, for instance, in terms of authorship, since both early career researchers and established researchers are represented among the top cited publications. We conclude the article by arguing that empirical analysis of publication and citation patterns is important to further the development of reflexivity within the field, not least for early career researchers, who might benefit from knowledge about what has been recognized among peers as worth citing in recent times.

  5. Personality Trait Differences Between Young and Middle-Aged Adults: Measurement Artifacts or Actual Trends?

    Science.gov (United States)

    Nye, Christopher D; Allemand, Mathias; Gosling, Samuel D; Potter, Jeff; Roberts, Brent W

    2016-08-01

    A growing body of research demonstrates that older individuals tend to score differently on personality measures than younger adults. However, recent research using item response theory (IRT) has questioned these findings, suggesting that apparent age differences in personality traits merely reflect artifacts of the response process rather than true differences in the latent constructs. Conversely, other studies have found the opposite-age differences appear to be true differences rather than response artifacts. Given these contradictory findings, the goal of the present study was to examine the measurement equivalence of personality ratings drawn from large groups of young and middle-aged adults (a) to examine whether age differences in personality traits could be completely explained by measurement nonequivalence and (b) to illustrate the comparability of IRT and confirmatory factor analysis approaches to testing equivalence in this context. Self-ratings of personality traits were analyzed in two groups of Internet respondents aged 20 and 50 (n = 15,726 in each age group). Measurement nonequivalence across these groups was negligible. The effect sizes of the mean differences due to nonequivalence ranged from -.16 to .15. Results indicate that personality trait differences across age groups reflect actual differences rather than merely response artifacts. PMID:25773456

  6. Adult smokers' perception of the role of religion and religious leadership on smoking and association with quitting: a comparison between Thai Buddhists and Malaysian Muslims.

    Science.gov (United States)

    Yong, Hua-Hie; Hamann, Stephen L; Borland, Ron; Fong, Geoffrey T; Omar, Maizurah

    2009-10-01

    In recent years, attempts have been made to incorporate religion into tobacco control efforts, especially in countries like Malaysia and Thailand where religion is central to the lives of people. This paper is a prospective examination of the perceived relevance and role of religion and religious authorities in influencing smoking behaviour among Muslims in Malaysia and Buddhists in Thailand. Data were collected from 1482 Muslim Malaysian and 1971 Buddhist Thai adult smokers who completed wave 1 (early 2005) of the International Tobacco Control Southeast Asia Survey (ITC-SEA). Respondents were asked about the role of religion and religious leadership on smoking at Wave 1 and among those recontacted, quitting activity at Wave 2. Results revealed that over 90% of both religious groups reported that their religion guides their day-to-day behaviour at least sometimes, but Malaysian Muslims were more likely to report that this was always the case. The majority (79% Muslims and 88% Buddhists) of both groups believed that their religion discourages smoking. About 61% of the Muslims and 58% of the Buddhists reported that their religious leaders had encouraged them to quit before and a minority (30% and 26%, respectively) said they would be an influential source to motivate them to quit. Logistic regression models suggest that these religious factors had a clear independent association with making quitting attempts in both countries and this translated to success for Malaysian Muslims but not for the Thai Buddhists. Taken together, results from this study indicate that religion and religious authorities are both relevant and important drivers of quitting, but whether this is always enough to guarantee success is less clear. Religion can be a culturally relevant vehicle to complement other tobacco control efforts.

  7. Pumping Iron in Australia: Prevalence, Trends and Sociodemographic Correlates of Muscle Strengthening Activity Participation from a National Sample of 195,926 Adults

    OpenAIRE

    Bennie, Jason A; Zeljko Pedisic; Jannique G Z van Uffelen; Charity, Melanie J.; Harvey, Jack T; Banting, Lauren K; Ineke Vergeer; Biddle, Stuart J.H.; Eime, Rochelle M

    2016-01-01

    Objective The current Australian Physical Activity Guidelines recommend that adults engage in regular muscle-strengthening activity (e.g. strength or resistance training). However, public health surveillance studies describing the patterns and trends of population-level muscle-strengthening activity participation are sparse. The aim of this study is to examine the prevalence, trends and sociodemographic correlates of muscle-strengthening activity participation in a national-representative sam...

  8. Trends in adult leukemia incidence and survival in Denmark, 1943-2003

    DEFF Research Database (Denmark)

    Thygesen, Lau Caspar; Nielsen, Ove Juul; Johansen, Christoffer

    2009-01-01

    The etiology of leukemia is largely unknown. Ecological data indicating trends in incidence and survival can provide information about changes in risk factors, can reflect underlying changes in diagnostic classification, and can measure therapeutic advances. From the records of the Danish Cancer...... Registry with registration starting from 1943, we calculated age-specific, period-specific, and age-standardized (world standard) incidence rates of chronic lymphoid leukemia (CLL), acute lymphoid leukemia (ALL), chronic myeloid leukemia (CML), and acute myeloid leukemia (AML) for persons above the age...... of 18. Kaplan-Meier survival curves and median survival times were calculated. Between 1943 and 2003, there were 26,036 cases of leukemia reported. The age-specific incidence rates of CLL, CML, and AML were higher for older men and women, while the incidence rates of ALL by age were more homogeneous...

  9. Chronic exposure to cigarette smoke during gestation results in altered cholinesterase enzyme activity and behavioral deficits in adult rat offspring: potential relevance to schizophrenia.

    Science.gov (United States)

    Zugno, Alexandra I; Fraga, Daiane B; De Luca, Renata D; Ghedim, Fernando V; Deroza, Pedro F; Cipriano, Andreza L; Oliveira, Mariana B; Heylmann, Alexandra S A; Budni, Josiane; Souza, Renan P; Quevedo, João

    2013-06-01

    Prenatal cigarette smoke exposure (PCSE) has been associated with physiological and developmental changes that may be related to an increased risk for childhood and adult neuropsychiatric diseases. The present study investigated locomotor activity and cholinesterase enzyme activity in rats, following PCSE and/or ketamine treatment in adulthood. Pregnant female Wistar rats were exposed to 12 commercially filtered cigarettes per day for a period of 28 days. We evaluated motor activity and cholinesterase activity in the brain and serum of adult male offspring that were administered acute subanesthetic doses of ketamine (5, 15 and 25 mg/kg), which serves as an animal model of schizophrenia. To determine locomotor activity, we used the open field test. Cholinesterase activity was assessed by hydrolysis monitored spectrophotometrically. Our results show that both PCSE and ketamine treatment in the adult offspring induced increase of locomotor activity. Additionally, it was observed increase of acetylcholinesterase and butyrylcholinesterase activity in the brain and serum, respectively. We demonstrated that animals exposed to cigarettes in the prenatal period had increased the risk for psychotic symptoms in adulthood. This also occurs in a dose-dependent manner. These changes provoke molecular events that are not completely understood and may result in abnormal behavioral responses found in neuropsychiatric disorders, such as schizophrenia.

  10. Quitting Smoking

    Science.gov (United States)

    ... half of the people who don't quit smoking will die of smoking-related problems. Quitting smoking is important for your health. Soon after you ... they succeed. There are many ways to quit smoking. Some people stop "cold turkey." Others benefit from ...

  11. Quitting Smoking

    Medline Plus

    Full Text Available ... smokes. Dr. Leischow: We encourage senior citizens, as well as others, to in particular not smoke in rooms where children are. I mean, certainly we want everybody to quit smoking. But if people do smoke, they shouldn't be in rooms where -- they shouldn't have children ...

  12. Characterization and novel analyses of acute stress response patterns in a population-based cohort of young adults: influence of gender, smoking, and BMI.

    Science.gov (United States)

    Herbison, Carly E; Henley, David; Marsh, Julie; Atkinson, Helen; Newnham, John P; Matthews, Stephen G; Lye, Stephen J; Pennell, Craig E

    2016-01-01

    Dysregulation of the biological stress response system has been implicated in the development of psychological, metabolic, and cardiovascular disease. Whilst changes in stress response are often quantified as an increase or decrease in cortisol levels, three different patterns of stress response have been reported in the literature for the Trier Social Stress Test (TSST) (reactive-responders (RR), anticipatory-responders (AR) and non-responders (NR)). However, these have never been systematically analyzed in a large population-based cohort. The aims of this study were to examine factors that contribute to TSST variation (gender, oral contraceptive use, menstrual cycle phase, smoking, and BMI) using traditional methods and novel analyses of stress response patterns. We analyzed the acute stress response of 798, 18-year-old participants from a community-based cohort using the TSST. Plasma adrenocorticotrophic hormone, plasma cortisol, and salivary cortisol levels were quantified. RR, AR, and NR patterns comprised 56.6%, 26.2%, and 17.2% of the cohort, respectively. Smokers were more likely to be NR than (RR or AR; adjusted, p stress-response patterns, in addition to other parameters vary with gender, smoking, and BMI. The distribution of these patterns has the potential to vary with adult health and disease and may represent a biomarker for future investigation.

  13. Cigarette smoking and risk of adult glioma: a meta-analysis of 24 observational studies involving more than 2.3 million individuals

    Directory of Open Access Journals (Sweden)

    Li HX

    2016-06-01

    Full Text Available Hong-xing Li,1,* Xiao-xiao Peng,1,2,* Qiang Zong,1 Kai Zhang,1 Ming-xin Wang,1 Yi-zhe Liu,1 Guang-liang Han1 1Department of Neurosurgery, Shengli Oilfield Central Hospital, 2Department of Intensive Care Unit, Dongying, Shandong, People’s Republic of China *These authors contributed equally to this work Background: Cigarette smoking has been shown to be a risk factor for adult glioma by some but not all studies. We conducted a meta-analysis to systematically assess the potential association. Methods: PubMed and EMBASE were searched from the date of their inception to October 1, 2015, to identify relevant articles. Reference lists from these articles were reviewed to identify additional studies. Both cohort and case–control studies were included. Fixed-effects models were used to calculate the overall relative risk (RR with corresponding 95% confidence intervals (CIs. Results: The final analysis included 24 studies (seven cohort and 17 case–control studies, involving more than 2.3 million individuals. The combined RR was 1.04 (95% CI: 1.00, 1.09; P=0.073 for ever-smokers, 0.97 (95% CI: 0.88, 1.07; P=0.574 for current-smokers, and 1.07 (95% CI: 0.98, 1.16; P=0.130 for past smokers, with little evidence of heterogeneity. Omission of any single study from the analysis had little effect on the result. No evidence of publication bias was found. A small but statistically significant increase was found in past smokers in females (RR: 1.13, 95% CI: 1.00, 1.28; P=0.046 but not in males. Conclusion: In general, there was no association between cigarette smoking and adult glioma. The small but statistically significant association in females requires further investigation. Keywords: cigarette smoking, glioma, meta-analysis, risk

  14. Current Trends in the Monitoring and Treatment of Diabetic Retinopathy in Young Adults

    Directory of Open Access Journals (Sweden)

    Dorota Raczyńska

    2014-01-01

    Full Text Available The diagnosis and treatment of diabetic retinopathy (DR in young adults have significantly improved in recent years. Research methods have widened significantly, for example, by introducing spectral optical tomography of the eye. Invasive diagnostics, for example, fluorescein angiography, are done less frequently. The early introduction of an insulin pump to improve the administration of insulin is likely to delay the development of diabetic retinopathy, which is particularly important for young patients with type 1 diabetes mellitus (T1DM. The first years of diabetes occurring during childhood and youth are the most appropriate to introduce proper therapeutic intervention before any irreversible changes in the eyes appear. The treatment of DR includes increased metabolic control, laserotherapy, pharmacological treatment (antiangiogenic and anti-inflammatory treatment, enzymatic vitreolysis, and intravitreal injections, and surgery. This paper summarizes the up-to-date developments in the diagnostics and treatment of DR. In the literature search, authors used online databases, PubMed, and clinitrials.gov and browsed through individual ophthalmology journals, books, and leading pharmaceutical company websites.

  15. Determinants of Smoking Behavior among Nurses.

    Science.gov (United States)

    Rausch, Judith Cartledge; And Others

    1987-01-01

    Reviews literature on determinants of smoking behavior among nurses, examining history and current trends of cigarette use among nurses. Cites national and international studies showing nurses to smoke more than any other health professionals. Discusses stress as primary theory of smoking causation among nurses. Considers role of nursing education…

  16. No Smoking

    Institute of Scientific and Technical Information of China (English)

    吕川

    2005-01-01

    No Smoking Day comes once a year. It calls on people to quit smoking, but there're still so many smokers in the world. Worse still, the number of smokers is increasing day by day. As we know, smoking is a bad habit. Smoking is harmful not only to a smoker himself but also to the people around. It is said that if you smoke one cigarette, your life will be a second shorter. In other words, smoking means buying death with money. I've learned from a newspaper that tens of thousands of people in the world die fr...

  17. In Adult Smokers Unwilling or Unable to Quit, Does Changing From Tobacco Cigarettes to Electronic Cigarettes Decrease the Incidence of Negative Health Effects Associated With Smoking Tobacco? A Clin-IQ

    Directory of Open Access Journals (Sweden)

    Jennifer Brown

    2014-05-01

    Full Text Available Data from a randomized controlled trial and systematic review support the claim that switching from tobacco cigarettes to electronic cigarettes (e-cigarettes can reduce the short-term negative health effects of smoking. In adult smokers unwilling or unable to quit, exhaled carbon monoxide levels, total number of cigarettes smoked, and exposure to nitrosamine chemicals were reduced within a 12-month period. While the e-cigarette industry remains largely unregulated thus far, these studies provide encouraging hope in the uphill battle toward helping patients make informed and healthy choices.

  18. In adult smokers unwilling or unable to quit, does changing from tobacco cigarettes to electronic cigarettes decrease the incidence of negative health effects associated with smoking tobacco? A Clin-IQ

    Science.gov (United States)

    Brown, Jennifer; Brown, Brandon; Schwiebert, Peter; Ramakrisnan, Kalyanakrishnan; McCarthy, Laine H.

    2016-01-01

    Data from a randomized controlled trial and systematic review support the claim that switching from tobacco cigarettes to electronic cigarettes (e-cigarettes) can reduce the short-term negative health effects of smoking. In adult smokers unwilling or unable to quit, exhaled carbon monoxide levels, total number of cigarettes smoked, and exposure to nitrosamine chemicals were reduced within a 12-month period. While the electronic cigarette industry remains largely unregulated thus far, these studies provide encouraging hope in the uphill battle toward helping patients make informed and healthy choices. PMID:26855963

  19. Quitting Smoking

    Medline Plus

    Full Text Available ... quitting smoking, and in fact, on that website, we have a manual just for people that are ... I mean, one of the key areas that we try to address with senior citizens quitting smoking ...

  20. The SmokefreeTXT (SFTXT) Study: Web and Mobile Data Collection to Evaluate Smoking Cessation for Young Adults

    Science.gov (United States)

    Brown, Derick; Parvanta, Sarah; Dolina, Suzanne; Kelly, Bridget; Dever, Jill; Southwell, Brian G; Sanders, Amy; Augustson, Erik

    2016-01-01

    Background Text messaging (short message service, SMS) has been shown to be effective in delivering interventions for various diseases and health conditions, including smoking cessation. While there are many published studies regarding smoking cessation text messaging interventions, most do not provide details about the study’s operational methods. As a result, there is a gap in our understanding of how best to design studies of smoking cessation text messaging programs. Objective The purpose of this paper is to detail the operational methods used to conduct a randomized trial comparing three different versions of the National Cancer Institute’s SmokefreeText (SFTXT) program, designed for smokers 18 to 29 years of age. We detail our methods for recruiting participants from the Internet, reducing fraud, conducting online data collection, and retaining panel study participants. Methods Participants were recruited through website advertisements and market research online panels. Screening questions established eligibility for the study (eg, 18 to 29 years of age, current smoker). Antifraud measures screened out participants who could not meet the study requirements. After completing a baseline survey, participants were randomized to one of three study arms, which varied by type and timing of text message delivery. The study offered US $20 gift cards as incentives to complete each of four follow-up surveys. Automated email reminders were sent at designated intervals to increase response rates. Researchers also provided telephone reminders to those who had not completed the survey after multiple email reminders. We calculated participation rates across study arms and compared the final sample characteristics to the Current Population Survey to examine generalizability. Results Recruitment methods drove 153,936 unique visitors to the SFTXT Study landing page and 27,360 began the screener. Based on the screening questions, 15,462 out of 27,360 responders (56.51%) were

  1. Quitting Smoking

    Medline Plus

    Full Text Available ... quality of life can also be affected by second-hand smoke, the smoke that non-smokers are exposed ... can tell me what's the worst thing about second-hand smoke? Boy: Well, it makes me cough and ...

  2. Quitting Smoking

    Medline Plus

    Full Text Available ... Quitting smoking is hard for most smokers and it's hard whether they've been smoking five years, it's hard if they've been smoking for 40 ... provider. So I don't want to make it sound like an easy process. But having said ...

  3. Tobacco smoking surveillance: is quota sampling an efficient tool for monitoring national trends? A comparison with a random cross-sectional survey.

    Directory of Open Access Journals (Sweden)

    Romain Guignard

    Full Text Available OBJECTIVES: It is crucial for policy makers to monitor the evolution of tobacco smoking prevalence. In France, this monitoring is based on a series of cross-sectional general population surveys, the Health Barometers, conducted every five years and based on random samples. A methodological study has been carried out to assess the reliability of a monitoring system based on regular quota sampling surveys for smoking prevalence. DESIGN / OUTCOME MEASURES: In 2010, current and daily tobacco smoking prevalences obtained in a quota survey on 8,018 people were compared with those of the 2010 Health Barometer carried out on 27,653 people. Prevalences were assessed separately according to the telephone equipment of the interviewee (landline phone owner vs "mobile-only", and logistic regressions were conducted in the pooled database to assess the impact of the telephone equipment and of the survey mode on the prevalences found. Finally, logistic regressions adjusted for sociodemographic characteristics were conducted in the random sample in order to determine the impact of the needed number of calls to interwiew "hard-to-reach" people on the prevalence found. RESULTS: Current and daily prevalences were higher in the random sample (respectively 33.9% and 27.5% in 15-75 years-old than in the quota sample (respectively 30.2% and 25.3%. In both surveys, current and daily prevalences were lower among landline phone owners (respectively 31.8% and 25.5% in the random sample and 28.9% and 24.0% in the quota survey. The required number of calls was slightly related to the smoking status after adjustment for sociodemographic characteristics. CONCLUSION: Random sampling appears to be more effective than quota sampling, mainly by making it possible to interview hard-to-reach populations.

  4. Gender and determinants of smoking cessation

    DEFF Research Database (Denmark)

    Osler, M; Prescott, E; Godtfredsen, N;

    1999-01-01

    BACKGROUND: The less favorable trend in smoking prevalence in women compared to men may be due to lower cessation rates. We analyzed determinants of spontaneous smoking cessation with particular reference to gender differences. METHODS: Data on smoking were collected by questionnaire in three...... the relation of determinants to having quit after 5 and 10-16 years. RESULTS: The prevalence of quitting was 12 and 22% at first and second follow-up, respectively. At both reexaminations, quitting smoking was positively associated with male sex and cigar smoking and negatively associated with the amount...... of tobacco smoked, inhalation, and alcohol consumption. Furthermore, in women, smoking cessation was positively associated with level of education and body mass index (BMI). Smoking cessation was not affected by cohabitation status, leisure activity, or bronchitis symptoms. CONCLUSIONS: Smoking cessation...

  5. Hair analysis following chronic smoked-drugs-of-abuse exposure in adults and their toddler: a case report

    Directory of Open Access Journals (Sweden)

    Papaseit Esther

    2011-12-01

    Full Text Available Abstract Introduction Over the past two decades, the study of chronic cocaine and crack cocaine exposure in the pediatric population has been focused on the potential adverse effects, especially in the prenatal period and early childhood. Non-invasive biological matrices have become an essential tool for the assessment of a long-term history of drug of abuse exposure. Case report We analyze the significance of different biomarker values in hair after chronic crack exposure in a two-year-old Caucasian girl and her parents, who are self-reported crack smokers. The level of benzoylecgonine, the principal metabolite of cocaine, was determined in segmented hair samples (0 cm to 3 cm from the scalp, and > 3 cm from the scalp following washing to exclude external contamination. Benzoylecgonine was detectable in high concentrations in the child's hair, at 1.9 ng/mg and 7.04 ng/mg, respectively. Benzoylecgonine was also present in the maternal and paternal hair samples at 7.88 ng/mg and 6.39 ng/mg, and 13.06 ng/mg and 12.97 ng/mg, respectively. Conclusion Based on the data from this case and from previously published poisoning cases, as well as on the experience of our research group, we conclude that, using similar matrices for the study of chronic drug exposure, children present with a higher cocaine concentration in hair and they experience more serious deleterious acute effects, probably due to a different and slower cocaine metabolism. Consequently, children must be not exposed to secondhand crack smoke under any circumstance.

  6. Stop smoking support programs

    Science.gov (United States)

    Smokeless tobacco - stop smoking programs; Stop smoking techniques; Smoking cessation programs; Smoking cessation techniques ... It is hard to quit smoking if you are acting alone. Smokers may have a ... of quitting with a support program. Stop smoking programs ...

  7. Trends in Adults Receiving a Recommendation for Exercise or Other Physical Activity from a Physician or Other Health ...

    Science.gov (United States)

    ... Adults Receiving a Recommendation for Exercise or Other Physical Activity From a Physician or Other Health Professional Recommend ... to begin or continue to do exercise or physical activity. Between 2000 and 2010, the percentage of adults ...

  8. Trends in prevalence of overweight and obesity in adults in 26 Brazilian state capitals and the Federal District from 2006 to 2012

    Directory of Open Access Journals (Sweden)

    Deborah Carvalho Malta

    2014-01-01

    Full Text Available OBJECTIVE: To describe the annual evolution of the prevalence of overweight and obesity in the adult population of the 26 Brazilian state capitals and the Federal District from 2006 to 2012. METHODS: Annual interviews (around 54,000 per year from VIGITEL (Surveillance System of Risk and Protective Factors for Chronic Non-Communicable Diseases through Telephone Interviews were used. Self-reported weight and height were used to estimate body mass index and nutritional status. Prevalence estimates of overweight and obesity are presented according to gender, age and schooling and to each city. Linear regression model was used to evaluate the time trend of prevalence. RESULTS: Prevalence of overweight in adults in the 27 cities monitored by VIGITEL increased from 43.2% (2006 to 51.0% (2012, with an annual increase rate of 1.37%. Prevalence of obesity increased from 11.6% to 17.4%, with an annual increase rate of 0.89%. The study showed a statistically significant increase in the prevalence of overweight in all cities, and for both genders, all age groups and all levels of schooling. Similar trends were also verified for obesity. CONCLUSIONS: If the trends verified from 2006 to 2012 are maintained, in ten years, around two-thirds of the adults in Brazilian state capitals will be overweight, and a quarter will be obese. This perspective requests urgent response from government and intersectoral actions to combat the obesogenic environment.

  9. Subjective attractiveness and perceived trendiness in smoking and snus use: a study among young Norwegians.

    Science.gov (United States)

    Wiium, N; Aarø, L E; Hetland, J

    2009-02-01

    In Norway, there has been a decline in smoking among adults and young people, but there has also been an increase in the use of snus, particularly among young males. Among females, snus use is less common. This study examines to what extent subjective attractiveness (SA) (the individual's personal opinion regarding how attractive a person who smokes/uses snus is) and perceived trendiness (PT) (the individual's impressions of how popular smoking/use of snus is) may contribute to explaining current trends in smoking and snus use among young people in Norway. Data were collected from a national representative sample of 2400 young people (age 16-20) by telephone interviews. Among males, regular smokers were also likely to be regular snus users and vice versa. SA and PT were significant predictors of their respective behaviours (smoking and snus use) and in some cases of the other behaviour. Smoking and snus use were perceived as unattractive, while snus use was perceived to be trendier than smoking. Males, more than females, perceived snus use to be attractive and trendy. This pattern is partly consistent with current changes in tobacco use in the Norwegian population. PMID:18842677

  10. Trends and socioeconomic differences in policy triggers for thinking about quitting smoking: findings from the International Tobacco Control (ITC) Europe surveys

    NARCIS (Netherlands)

    K. Hummel; G.E. Nagelhout; M.C. Willemsen; P. Driezen; L. Springvloet; U. Mons; A.E. Kunst; R. Guignard; S. Allwright; B. van den Putte; C. Hoving; G.T. Fong; A. McNeill; M. Siahpush; H. de Vries

    2015-01-01

    Introduction The aim of the current study is to investigate trends and socioeconomic differences in policy triggers for thinking about quitting in six European countries. Methods Data were derived from all available survey waves of the International Tobacco Control (ITC) Europe Surveys (2003-2013).

  11. Sociodemographic characteristics and diabetes predict invalid self-reported non-smoking in a population-based study of U.S. adults

    Directory of Open Access Journals (Sweden)

    Shelton Brent J

    2007-03-01

    Full Text Available Abstract Background Nearly all studies reporting smoking status collect self-reported data. The objective of this study was to assess sociodemographic characteristics and selected, common smoking-related diseases as predictors of invalid reporting of non-smoking. Valid self-reported smoking may be related to the degree to which smoking is a behavior that is not tolerated by the smoker's social group. Methods True smoking was defined as having serum cotinine of 15+ng/ml. 1483 "true" smokers 45+ years of age with self-reported smoking and serum cotinine data from the Mobile Examination Center were identified in the third National Health and Nutrition Examination Survey. Invalid non-smoking was defined as "true" smokers self-reporting non-smoking. To assess predictors of invalid self-reported non-smoking, odds ratios (OR and 95% confidence intervals (CI were calculated for age, race/ethnicity-gender categories, education, income, diabetes, hypertension, and myocardial infarction. Multiple logistic regression modeling took into account the complex survey design and sample weights. Results Among smokers with diabetes, invalid non-smoking status was 15%, ranging from 0% for Mexican-American (MA males to 22%–25% for Non-Hispanic White (NHW males and Non-Hispanic Black (NHB females. Among smokers without diabetes, invalid non-smoking status was 5%, ranging from 3% for MA females to 10% for NHB females. After simultaneously taking into account diabetes, education, race/ethnicity and gender, smokers with diabetes (ORAdj = 3.15; 95% CI: 1.35–7.34, who did not graduate from high school (ORAdj = 2.05; 95% CI: 1.30–3.22 and who were NHB females (ORAdj = 5.12; 95% CI: 1.41–18.58 were more likely to self-report as non-smokers than smokers without diabetes, who were high school graduates, and MA females, respectively. Having a history of myocardial infarction or hypertension did not predict invalid reporting of non-smoking. Conclusion Validity of self

  12. Keep away from smoking, please!

    Institute of Scientific and Technical Information of China (English)

    廖建文

    2004-01-01

    It is known to all that smoking is a bad habit, which is harmful not only to yourself, but also to others. However, there are still a larg enumber of smokers throughout our country, and the number is increasing year by year. The existing trend is that more and more young people begin to smoke. Statistics indicate that there are more than 60 million smokers who are are under

  13. Cigarette Smoking, Passive Smoking, Alcohol Consumption, and Hearing Loss

    OpenAIRE

    DAWES, P

    2014-01-01

    The objective of this large population-based crosssectional study was to evaluate the association between smoking, passive smoking, alcohol consumption, and hearing loss. The study sample was a subset of the UK Biobank Resource, 164,770 adults aged between 40 and 69 years who completed a speech-in-noise hearing test (the Digit Triplet Test). Hearing loss was defined as speech recognition in noise in the better ear poorer than 2 standard deviations below the mean wit...

  14. 浙江省2013年成人烟草流行现状调查分析%Surveys on prevalence of adult cigarette smoking in Zhejiang province in 2013

    Institute of Scientific and Technical Information of China (English)

    王磊; 徐越; 吴青青; 郭妤洁; 徐水洋

    2016-01-01

    目的 了解浙江省2013年成人烟草使用的流行现状.方法 采用多阶段、按地理位置进行整群随机抽样,在浙江省15个县区对2 779名15~69岁的居民进行面对面问卷调查.结果 浙江省15 ~ 69岁的人群现在吸烟率为25.62%,常吸烟率为21.85%,男性现在吸烟率为50.88%,女性为0.78%.40.56%的每日吸烟者每天醒后30 min以内吸第1支烟.95.19%的吸烟者尚无戒烟的意愿.64.04%的调查对象报告有人在自己家中吸烟.67.48%的吸烟者认为烟草价格上涨对他没有影响.21.09%的人通过商店和电视看到过烟草广告.知晓吸烟会导致卒中、心脏病和肺癌3种疾病的为42.00%.89.69%的人不知道低焦油卷烟的危害与一般卷烟相同.同意在公共场所完全禁烟的人达73.92%.结论 浙江省男性吸烟人群水平依然处于高平台期,总吸烟人群中戒烟率低,家庭二手烟暴露严重,人们对吸烟的认识模糊不清,烟草控制措施有待加强.%Objective To understand the status of tobacco epidemic among adults in Zhejiang province in 2013.Methods A total of 2 779 residents aged 15-69 years from 15 counties were selected using stratified multi-stage cluster sampling method and surveyed by face to face interview to complete questionnaire.Results The current smoking prevalence was 25.62% among the adults 15-69 years old in Zhejiang province,50.88% among males and 0.78% among females.The daily smoking prevalence was 21.85%;40.56% of the current daily smokers smoked within 30 minutes after waking;95.19% of current smokers were not willing to quit;64.04% of all respondents reported someone smoked in their own homes;67.48% smokers thought they would continue to smoke even if the price of tobacco rises;21.09% of all respondents saw tobacco AD at shops and on TV;42.00% of people were aware that smoking could cause stroke,heart attack and lung cancer;89.69% smokers still believed that low

  15. Racial resentment and smoking.

    Science.gov (United States)

    Samson, Frank L

    2015-02-01

    Racial resentment (also known as symbolic racism) is among the most widely tested measures of contemporary prejudice in political science and social psychological research over the past thirty years. Proponents argue that racial resentment reflects anti-black emotion obtained through pre-adult socialization. In light of affect-based models of substance use, this paper examined the association between racial resentment and smoking in a national sample of non-Hispanic white, black, and Hispanic respondents. Data come from the 2012 American National Election Study, which contained two measures of smoking. The results of ordinal logistic regression models indicate a positive association between racial resentment and smoking among non-Hispanic whites (N = 2133) that is not present among blacks (N = 693) or Hispanics (N = 660). Models controlled for age, education, income, gender, political ideology, region, and mode of interview. Furthermore, analyses indicated that a measure of race-related affect, admiration and sympathy towards blacks, partially mediated the association between racial resentment and smoking. For non-Hispanic whites, racial resentment appears to constitute a risk factor for smoking. Future studies should further specify the conditions linking substance use to the race-related affective component of racial resentment. PMID:25562312

  16. Exposure to second-hand smoke and the risk of tuberculosis in children and adults: a systematic review and meta-analysis of 18 observational studies.

    Directory of Open Access Journals (Sweden)

    Jayadeep Patra

    2015-06-01

    Full Text Available According to WHO Global Health Estimates, tuberculosis (TB is among the top ten causes of global mortality and ranks second after cardiovascular disease in most high-burden regions. In this systematic review and meta-analysis, we investigated the role of second-hand smoke (SHS exposure as a risk factor for TB among children and adults.We performed a systematic literature search of PubMed, Embase, Scopus, Web of Science, and Google Scholar up to August 31, 2014. Our a priori inclusion criteria encompassed only original studies where latent TB infection (LTBI and active TB disease were diagnosed microbiologically, clinically, histologically, or radiologically. Effect estimates were pooled using fixed- and random-effects models. We identified 18 eligible studies, with 30,757 children and 44,432 adult non-smokers, containing SHS exposure and TB outcome data for inclusion in the meta-analysis. Twelve studies assessed children and eight studies assessed adult non-smokers; two studies assessed both populations. Summary relative risk (RR of LTBI associated with SHS exposure in children was similar to the overall effect size, with high heterogeneity (pooled RR 1.64, 95% CI 1.00-2.83. Children showed a more than 3-fold increased risk of SHS-associated active TB (pooled RR 3.41, 95% CI 1.81-6.45, which was higher than the risk in adults exposed to SHS (summary RR 1.32, 95% CI 1.04-1.68. Positive and significant exposure-response relationships were observed among children under 5 y (RR 5.88, 95% CI 2.09-16.54, children exposed to SHS through any parent (RR 4.20, 95% CI 1.92-9.20, and children living under the most crowded household conditions (RR 5.53, 95% CI 2.36-12.98. Associations for LTBI and active TB disease remained significant after adjustment for age, biomass fuel (BMF use, and presence of a TB patient in the household, although the meta-analysis was limited to a subset of studies that adjusted for these variables. There was a loss of association

  17. Vital Signs-Secondhand Smoke

    Centers for Disease Control (CDC) Podcasts

    2015-02-03

    This podcast is based on the February 2015 CDC Vital Signs report. Secondhand smoke kills more than 400 infants and 41,000 adult nonsmokers every year. Learn what can be done to prevent secondhand smoke exposure.  Created: 2/3/2015 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 2/3/2015.

  18. Smoke-Free Child Care = Proyecto de Cuidado Diurno Para Ninos Donde "No se Fuma."

    Science.gov (United States)

    Massachusetts State Dept. of Public Health, Boston.

    This packet of materials on smoke-free child care contains: (1) "Smoke Free Child Care," a booklet warning child care providers about the dangers of second-hand smoke and the fact that children often imitate adult behaviors, such as smoking; (2) "Smoke-Free Child Care: A Booklet for Family Day Care Providers," warning about the dangers of…

  19. How Do Friends Influence Smoking Uptake? Findings from Qualitative Interviews with Identical Twins

    Science.gov (United States)

    McLeod, Kim; White, Victoria; Mullins, Robyn; Davey, Claire; Wakefield, Melanie; Hill, David

    2008-01-01

    The smoking behavior of friends is a major risk factor for adolescent smoking uptake. To explore the social context of smoking experimentation and consolidation with a particular focus on friends, the authors interviewed both members of 14 young adult identical twin pairs who were discordant for smoking. The different smoking status of twins was…

  20. Smoked marijuana effects on tobacco cigarette smoking behavior.

    Science.gov (United States)

    Kelly, T H; Foltin, R W; Rose, A J; Fischman, M W; Brady, J V

    1990-03-01

    The effects of marijuana smoke exposure on several measures of tobacco cigarette smoking behavior were examined. Eight healthy adult male volunteers, who smoked both tobacco and marijuana cigarettes, participated in residential studies, lasting 10 to 15 days, designed to measure the effects of marijuana smoke exposure on a range of behavioral variables. Tobacco cigarettes were available throughout the day (9:00 A.M. until midnight). Each day was divided into a private period (9:00 A.M. to 5:00 P.M.), during which subjects were socially isolated, and a social period (5:00 P.M. to midnight), during which subjects could interact. Under blind conditions, subjects smoked placebo and active marijuana cigarettes (0%, 1.3%, 2.3%, or 2.7% delta 9-tetrahydrocannabinol) four times daily (9:45 A.M., 1:30 P.M., 5:00 P.M. and 8:30 P.M.). Each subject was exposed to both placebo and one active dose over 2- to 5-consecutive-day intervals, and dose conditions (i.e., placebo or active) alternated throughout the study. Active marijuana smoking significantly decreased the number of daily tobacco smoking bouts, increased inter-bout intervals and decreased inter-puff intervals. Marijuana decreased the number of tobacco smoking bouts by delaying the initiation of tobacco cigarette smoking immediately after marijuana smoking, whereas decreases in inter-puff intervals were unrelated to the time of marijuana smoking. No consistent interactions between marijuana effects and social or private periods (i.e., time of day) were observed.

  1. Stimulating dialogue: measuring success of the "Smoke Free Horry" campaign.

    Science.gov (United States)

    Anderson, Christina; Holody, Kyle J

    2013-01-01

    Smoke Free Horry was an anti-secondhand smoke media campaign that ran in Horry County, South Carolina in 2011 and 2012. The present study assessed the campaign's ability to stimulate interpersonal dialogue about the campaign-specifically its four television public service announcements (PSAs)-as well as about other smoking-related topics, among a sample of 285 Horry County young adults. Survey data suggested talking about anti-smoking PSAs was related to subsequent discussion about smoking-related topics and positive perceptions of the campaign's effectiveness. PSAs using emotional appeals and that discussed the negative health effects of smoking/secondhand smoke were related to the most interpersonal discussions about smoking, secondhand smoking, and smoking bans. Implications for future anti-smoking campaign design are discussed.

  2. Spatial and temporal diet patterns of subadult and small adult striped bass in Massachusetts estuaries: Data, a synthesis, and trends across scales

    Science.gov (United States)

    Ferry, K.H.; Mather, Martha E.

    2012-01-01

    Subadult and small adult (375–475 mm total length) striped bass Morone saxatilis are abundant and represent an important component of the recovered U.S. Atlantic coast stocks. However, little is known about these large aggregations of striped bass during their annual foraging migrations to New England. A quantitative understanding of trends in the diets of subadult and small adult migrants is critical to research and management. Because of the complexity of the Massachusetts coast, we were able to compare diets at multiple spatial, temporal, and taxonomic scales and evaluate which of these provided the greatest insights into the foraging patterns of this size of fish. Specifically, during spring through autumn, we quantified the diets of 797 migratory striped bass collected from 13 Massachusetts estuaries distributed among three geographic regions in two biogeographic provinces. Our data provided three useful results. First, subadult and young adult striped bass ate a season-specific mixture of fish and invertebrates. For example, more juvenile Atlantic herring Clupea harengus were eaten in spring than in summer or autumn, more juvenile Atlantic menhaden Brevoortia tyrannus were eaten in autumn than in spring or summer, amphipods were eaten primarily in the southern biogeographic province, and shrimp Crangon sp. were eaten in all locations and seasons. Second, examining diets by season was essential because of the temporal variability in striped bass prey. Grouping prey by fish and invertebrates revealed the potential for predictable differences in growth across geographic locations and seasons, based on the output from simple bioenergetics simulations. Third, of the three spatial scales examined, region provided the most quantitative and interpretable ecological trends. Our results demonstrate the utility of comparing multiple scales to evaluate the best way to depict diet trends in a migrating predator that seasonally uses different geographic locations.

  3. Quitting Smoking

    Medline Plus

    Full Text Available ... about heart disease, it's about overall health and what we can do to make our life as ... seats -- let's get started. Who can tell me what's the worst thing about second-hand smoke? Boy: ...

  4. Quitting Smoking

    Medline Plus

    Full Text Available ... to in particular not smoke in rooms where children are. I mean, certainly we want everybody to ... be in rooms where -- they shouldn't have children in those same rooms because it really particularly ...

  5. Quitting Smoking

    Medline Plus

    Full Text Available ... senior citizen is that when they reduce the carbon monoxide that comes with smoking, they reduce the demand on their heart. When you breathe carbon monoxide into your bloodstream it makes your heart ...

  6. Quitting Smoking

    Medline Plus

    Full Text Available ... cases requires a person get help from a health care provider. So I don't want to make ... a medication for smoking cessation should see their health care provider, just to find out if there are ...

  7. Quitting Smoking

    Medline Plus

    Full Text Available ... requires a person get help from a health care provider. So I don't want to make ... medication for smoking cessation should see their health care provider, just to find out if there are ...

  8. Quitting Smoking

    Medline Plus

    Full Text Available ... cases requires a person get help from a health care provider. So I don't want to ... a medication for smoking cessation should see their health care provider, just to find out if there ...

  9. Quitting Smoking

    Medline Plus

    Full Text Available ... there are plenty of places senior citizens can go for help to quit smoking. Announcer: To help ... for people over 50. Dr. Leischow: They can go to our website, which is smokefree.gov and ...

  10. Quitting Smoking

    Medline Plus

    Full Text Available ... fingers no longer register on the screen as skin temperature continues to drop. Dr. Leischow: Quitting smoking is not just about cancer, not just about heart disease, it's about overall ...

  11. Status Survey on Smoking Behavior Among adult Residents in Beijing Huairou District%北京市怀柔区成年居民吸烟状况调查

    Institute of Scientific and Technical Information of China (English)

    孙娅娟; 高建梅; 胡海燕

    2015-01-01

    目的:探讨北京市怀柔区成年居民的吸烟状况调查。方法采用多阶段分层整群随机抽样的方法,对怀柔区16个乡镇(街道)、48个行政村(居委会)的16726人常住成年居民进行吸烟情况问卷调查,内容包括人口学特征、吸烟率、烟龄、平均每天吸烟支数、有无戒烟打算等。结果北京市怀柔区18岁及以上常住居民吸烟率为24.4%;其中男性吸烟率明显高于女性,差异有统计学意义(P<0.05);吸烟率最高的年龄段为50~59岁,其次为40~49岁;初中文化居民吸烟率最高,其次是高中/中专文化居民;在吸烟的4073人中,烟龄10年以上、平均每日吸烟支数11~20支居民的比例最高;女性吸烟者吸烟支数在5支以下比例明显高于男性,10支以上比例明显低于男性,差异均有统计学意义(均P<0.05)。结论怀柔区成年居民吸烟率仍然较高,烟草控制仍然面临着巨大挑战,应加强健康教育工作和采取有针对性的干预措施控制烟草消费。%Objective To investigate the smoking status of adult residents in Huairou District of Beijing city. Methods The people were sampled randomly in several different stages,16 726 local adults were selected from 48 administrative vilages (neighborhood committees) in 16 towns (street) in Huairou district.Questionnaire survey of smoking was conducted among the participants,including demographic characteristics, smoking rates,smoking history, the average numbers of cigarettes smoked per day, the thoughts of quitting smoking.Results In Huairou District of Beijing City,18 years of age and older residents smoking rate was 24.4%;the smoking rate of male was significantly higher than that in female,the difference is statisticaly significant(P<0.05);smoking rate in the age group with the highest 50 to 59 years old,folowed by 40~49 years old;junior high school culture residents smoking rate was the highest,folowed by

  12. 北京市怀柔区成年居民吸烟状况调查%Status Survey on Smoking Behavior Among adult Residents in Beijing Huairou District

    Institute of Scientific and Technical Information of China (English)

    孙娅娟; 高建梅; 胡海燕

    2015-01-01

    目的:探讨北京市怀柔区成年居民的吸烟状况调查。方法采用多阶段分层整群随机抽样的方法,对怀柔区16个乡镇(街道)、48个行政村(居委会)的16726人常住成年居民进行吸烟情况问卷调查,内容包括人口学特征、吸烟率、烟龄、平均每天吸烟支数、有无戒烟打算等。结果北京市怀柔区18岁及以上常住居民吸烟率为24.4%;其中男性吸烟率明显高于女性,差异有统计学意义(P<0.05);吸烟率最高的年龄段为50~59岁,其次为40~49岁;初中文化居民吸烟率最高,其次是高中/中专文化居民;在吸烟的4073人中,烟龄10年以上、平均每日吸烟支数11~20支居民的比例最高;女性吸烟者吸烟支数在5支以下比例明显高于男性,10支以上比例明显低于男性,差异均有统计学意义(均P<0.05)。结论怀柔区成年居民吸烟率仍然较高,烟草控制仍然面临着巨大挑战,应加强健康教育工作和采取有针对性的干预措施控制烟草消费。%Objective To investigate the smoking status of adult residents in Huairou District of Beijing city. Methods The people were sampled randomly in several different stages,16 726 local adults were selected from 48 administrative vilages (neighborhood committees) in 16 towns (street) in Huairou district.Questionnaire survey of smoking was conducted among the participants,including demographic characteristics, smoking rates,smoking history, the average numbers of cigarettes smoked per day, the thoughts of quitting smoking.Results In Huairou District of Beijing City,18 years of age and older residents smoking rate was 24.4%;the smoking rate of male was significantly higher than that in female,the difference is statisticaly significant(P<0.05);smoking rate in the age group with the highest 50 to 59 years old,folowed by 40~49 years old;junior high school culture residents smoking rate was the highest,folowed by

  13. Changes in smoking prevalence among U.S. adults by state and region: Estimates from the Tobacco Use Supplement to the Current Population Survey, 1992-2007

    Directory of Open Access Journals (Sweden)

    Center Melissa M

    2011-06-01

    Full Text Available Abstract Background Tobacco control policies at the state level have been a critical impetus for reduction in smoking prevalence. We examine the association between recent changes in smoking prevalence and state-specific tobacco control policies and activities in the entire U.S. Methods We analyzed the 1992-93, 1998-99, and 2006-07 Tobacco Use Supplement to the Current Population Survey (TUS-CPS by state and two indices of state tobacco control policies or activities [initial outcome index (IOI and the strength of tobacco control (SOTC index] measured in 1998-1999. The IOI reflects cigarette excise taxes and indoor air legislation, whereas the SOTC reflects tobacco control program resources and capacity. Pearson Correlation coefficient between the proportionate change in smoking prevalence from 1992-93 to 2006-07 and indices of tobacco control activities or programs was the main outcome measure. Results Smoking prevalence decreased from 1992-93 to 2006-07 in both men and women in all states except Wyoming, where no reduction was observed among men, and only a 6.9% relative reduction among women. The percentage reductions in smoking in men and women respectively were the largest in the West (average decrease of 28.5% and 33.3% and the smallest in the Midwest (18.6% and 20.3%, although there were notable exceptions to this pattern. The decline in smoking prevalence by state was correlated with the state's IOI in both women and men (r = -0.49, p Conclusion State level policies on cigarette excise taxes and indoor air legislation correlate strongly with reductions in smoking prevalence since 1992. Strengthening and systematically implementing these policies could greatly accelerate further reductions in smoking.

  14. Anxiety Sensitivity as a Moderator of Association between Smoking Status and Panic-related Processes in a Representative Sample of Adults

    OpenAIRE

    Zvolensky, Michael J.; Kotov, Roman; Bonn-Miller, Marcel O.; Schmidt, Norman B.; Antipova, Anna V.

    2006-01-01

    The present investigation evaluated a moderational role of anxiety sensitivity (fear of anxiety and anxiety-related states; McNally, 2002) in the relation between smoking status and anxiety/depressive symptoms in a Russian epidemiological sample (n = 390; 197 females, Mean age = 43.55). Consistent with prediction, anxiety sensitivity moderated the association of smoking status with indices of anxiety and depressive symptoms; the effects were evident after controlling for the variance accounte...

  15. Quitting smoking.

    Science.gov (United States)

    Tunstall, C D; Ginsberg, D; Hall, S M

    1985-01-01

    Four factors which influence smoking treatment outcome are identified: environmental variables, client characteristics, process variables, and specific treatment approaches. Important environmental factors are stress and social support. Of client characteristics, sex is the best predictor of treatment success. Men are more likely to quit and maintain abstinence than women. However, the majority of women alter their smoking habits during pregnancy. Low-income persons and ethnic minorities are underrepresented among subjects in treatment studies and have larger percentages of smokers in the population at large. Extraverted smokers are more likely to begin to smoke and have difficulty quitting. Also, the more anxious, poorly adjusted smoker has more trouble quitting than the less troubled smoker. The higher the client's sense of self-efficacy, the better the chance of that person entering treatment and doing well. Furthermore, smokers who take in lower levels of nicotine are more successful at quitting. Many process questions are suggested. Few have been approached empirically. The effectiveness of ex-smokers as therapists in smoking cessation programs has not been systematically investigated, even though the smoking history of therapists is a question frequently asked by clients. We suggest that the skill and empathy of group leaders is more important than smoking history. Smoking therapists should be aware of nonspecific treatment factors such as positive expectations, social reinforcement, and self-disclosure which may have a powerful influence on the efficacy of smoking treatment. Specific treatment approaches were classified into three categories: low-contact approaches, including educational, self-help, and minimal treatment approaches; psychological treatments; and pharmacological treatment. Education, self-help, and minimal treatment approaches are thought to be accretively effective when the large size of the audience is considered. Also, innovative

  16. Survey on the Status of Smoking in Adult Population in Shandong Province of China during 2011%山东省2011年18岁及以上人群吸烟状况调查

    Institute of Scientific and Technical Information of China (English)

    王卉呈; 张吉玉; 颜流霞; 鹿子龙; 蔡小宁; 楚洁; 郭晓雷

    2014-01-01

    目的 了解山东省18岁及以上成年人群吸烟状况.方法 在山东省内,采用四阶段不等概率分层整群随机抽样方法,抽取18~ 69岁的15 350人为调查对象,通过问卷调查获得调查对象基本信息和烟草相关信息.率的统计分析根据抽样设计采用加权的Surveyfreq方法进行分析和处理.结果 本次共收集有效问卷15 334人并纳入分析,山东省18岁及以上人群吸烟率为31.7% (95%CI,29.9%~33.5%),其中男性59.8%,女性3.2%;现在吸烟率为28.5%(95%CI,26.8% ~ 30.1%),其中男性56.2%,女性2.4%;18岁及以上男性人群戒烟率为13.6% (95%CI,11.9%~15.4%),城市地区为16.0%,农村地区12.6%;二手烟暴露率为52.3% (95% CI,46.4%~58.2%),其中男性为47.3%,低于女性的55.1%,城市地区二手烟暴露率为58.2%,高于农村地区的49.4%.结论 山东省成年人群吸烟率较高,戒烟率较低,二手烟暴露率高,需进一步加强烟草控制工作.%Objective The aim of this study was to study the status of smoking,second-hand smoking (SHS) and quitting smoking in the adult population in Shandong province.Methods Stratified cluster random sampling method was used to select a total of 15350 subjects aged from 18 to 69 in Shandong province for a questionnaire survey,which collected the basic personal information of the subjects and their smoking status.The information was analyzed by Weighted Surveyfreq model.Results Totally,15334 questionnaires were qualified for the analysis.In Shandong province,the average smoking rate was 31.7% (95% CI,29.9~33.5%) for the group of 18 years old and above (with 59.8% in male and 3.2% in female); the rate of SHS in urban areas was 58.2%,which was higher than that in rural areas (49.2%); the rate of quitting smoking was 13.6% (95% CI,11.9~15.4%) in male,with 16.0% in urban areas and 13.6% in rural areas.Conclusion Attentions should be paid to the status of

  17. Fetal-juvenile origins of point mutations in the adult human tracheal-bronchial epithelium: Absence of detectable effects of age, gender or smoking status

    Energy Technology Data Exchange (ETDEWEB)

    Sudo, Hiroko [Massachusetts Institute of Technology, Department of Biological Engineering, 21 Ames St., 16-743 Cambridge, MA 02139 (United States); Toray Industries, Inc., New Frontiers Research Laboratories 10-1, Tebiro 6-chome, Kamakura, Kanagawa 248-8555 (Japan); Li-Sucholeiki, Xiao-Cheng [Massachusetts Institute of Technology, Department of Biological Engineering, 21 Ames St., 16-743 Cambridge, MA 02139 (United States); Agencourt Bioscience Corp., 500 Cummings Center, Suite 2450, Beverly, MA 01915 (United States); Marcelino, Luisa A. [Massachusetts Institute of Technology, Department of Biological Engineering, 21 Ames St., 16-743 Cambridge, MA 02139 (United States); Biomedical Engineering Department, Northwestern University, 633 Clark Street, Evanston, IL 60208 (United States); Gruhl, Amanda N. [Massachusetts Institute of Technology, Department of Biological Engineering, 21 Ames St., 16-743 Cambridge, MA 02139 (United States); Herrero-Jimenez, Pablo [Massachusetts Institute of Technology, Department of Biological Engineering, 21 Ames St., 16-743 Cambridge, MA 02139 (United States); SLC Ontario, 690 Dorval Drive, Suite 200, Oakville, Ontario L6K 3W7 Canada (Canada); Zarbl, Helmut [UMDNJ-Robert Wood Johnson Medical School, Environmental and Occupational Health Sciences Institute, 170 Freylinghuysen Road, Room 426, Piscataway, NJ 08854 (United States); Willey, James C. [Medical College of Ohio, 3120 Glendale Avenue, Room 12, Toledo, OH 43614 (United States); Furth, Emma E. [University of Pennsylvania Medical Center, Department of Pathology, 3400 Spruce Street, 6 Founders Building, Philadelphia, PA 19104 (United States); Morgenthaler, Stephan [Institute of Applied Mathematics, Swiss Federal Institute of Technology (EPFL), SB/IMA, 1015 Lausanne (Switzerland)] (and others)

    2008-11-10

    Allele-specific mismatch amplification mutation assays (MAMA) of anatomically distinct sectors of the upper bronchial tracts of nine nonsmokers revealed many numerically dispersed clusters of the point mutations C742T, G746T, G747T of the TP53 gene, G35T of the KRAS gene and G508A of the HPRT1 gene. Assays of these five mutations in six smokers have yielded quantitatively similar results. One hundred and eighty four micro-anatomical sectors of 0.5-6 x 10{sup 6} tracheal-bronchial epithelial cells represented en toto the equivalent of approximately 1.7 human smokers' bronchial trees to the fifth bifurcation. Statistically significant mutant copy numbers above the 95% upper confidence limits of historical background controls were found in 198 of 425 sector assays. No significant differences (P = 0.1) for negative sector fractions, mutant fractions, distributions of mutant cluster size or anatomical positions were observed for smoking status, gender or age (38-76 year). Based on the modal cluster size of mitochondrial point mutants, the size of the adult bronchial epithelial maintenance turnover unit was estimated to be about 32 cells. When data from all 15 lungs were combined the log 2 of nuclear mutant cluster size plotted against log 2 of the number of clusters of a given cluster size displayed a slope of {approx}1.1 over a range of cluster sizes from {approx}2{sup 6} to 2{sup 15} mutant copies. A parsimonious interpretation of these nuclear and previously reported data for lung epithelial mitochondrial point mutant clusters is that they arose from mutations in stem cells at a high but constant rate per stem cell doubling during at least ten stem cell doublings of the later fetal-juvenile period. The upper and lower decile range of summed point mutant fractions among lungs was about 7.5-fold, suggesting an important source of stratification in the population with regard to risk of tumor initiation.

  18. Does Reactance against Cigarette Warning Labels Matter? Warning Label Responses and Downstream Smoking Cessation amongst Adult Smokers in Australia, Canada, Mexico and the United States

    Science.gov (United States)

    Cho, Yoo Jin; Thrasher, James F.; Swayampakala, Kamala; Yong, Hua-Hie; McKeever, Robert; Hammond, David; Anshari, Dien; Cummings, K. Michael; Borland, Ron

    2016-01-01

    Objective Some researchers have raised concerns that pictorial health warning labels (HWLs) on cigarette packages may lead to message rejection and reduced effectiveness of HWL messages. This study aimed to determine how state reactance (i.e., negative affect due to perceived manipulation) in response to both pictorial and text-only HWLs is associated with other types of HWL responses and with subsequent cessation attempts. Methods Survey data were collected every 4 months between September 2013 and 2014 from online panels of adult smokers in Australia, Canada, Mexico, and the US were analyzed. Participants with at least one wave of follow-up were included in the analysis (n = 4,072 smokers; 7,459 observations). Surveys assessed psychological and behavioral responses to HWLs (i.e., attention to HWLs, cognitive elaboration of risks due to HWLs, avoiding HWLs, and forgoing cigarettes because of HWLs) and cessation attempts. Participants then viewed specific HWLs from their countries and were queried about affective state reactance. Logistic and linear Generalized Estimating Equation (GEE) models regressed each of the psychological and behavioral HWL responses on reactance, while controlling for socio-demographic and smoking-related variables. Logistic GEE models also regressed having attempted to quit by the subsequent survey on reactance, each of the psychological and behavioral HWL responses (analyzed separately), adjustment variables. Data from all countries were initially pooled, with interactions between country and reactance assessed; when interactions were statistically significant, country-stratified models were estimated. Results Interactions between country and reactance were found in all models that regressed psychological and behavioral HWL responses on study variables. In the US, stronger reactance was associated with more frequent reading of HWLs and thinking about health risks. Smokers from all four countries with stronger reactance reported greater

  19. ADHD as a Serious Risk Factor for Early Smoking and Nicotine Dependence in Adulthood

    Science.gov (United States)

    Matthies, Swantje; Holzner, Sebastian; Feige, Bernd; Scheel, Corinna; Perlov, Evgeniy; Ebert, Dieter; van Elst, Ludger Tebartz; Philipsen, Alexandra

    2013-01-01

    Objective: Tobacco smoking and ADHD frequently co-occur. So far, the bulk of research on the ADHD-smoking comorbidity has been done in children with ADHD and nonclinical adult samples. To assess smoking habits in adults with ADHD, the authors used the Fagerstrom Test for Nicotine Dependence (FTND). Method: In 60 adult outpatients, with an ADHD…

  20. Health hazards of passive smoking.

    Science.gov (United States)

    Eriksen, M P; LeMaistre, C A; Newell, G R

    1988-01-01

    "Environmental tobacco smoke" (ETS) is the term used to characterize tobacco combustion products inhaled by nonsmokers in the proximity of burning tobacco. Over 3800 compounds are in tobacco smoke, many of which are known carcinogens. Most ETS exposure is from sidestream smoke emitted from the burning tip of the cigarette. Sidestream smoke is hazardous because it contains high concentrations of ammonia, benzene, nicotine, carbon monoxide, and many carcinogens. Nonsmokers chronically exposed to ETS are believed to assume health risks similar to those of a light smoker. Children of parents who smoke have more respiratory infections, more hospitalizations for bronchitis and pneumonia, and a smaller rate of increase in lung function compared to children of parents who do not smoke, particularly during the first year of life. Among adults with preexisting health conditions such as allergies, chronic lung conditions, and angina, the symptoms of these conditions are exacerbated by exposure to ETS. The acute health effects among healthy adults include headaches, nausea, and irritation of the eyes and nasal mucous membranes. The evidence for a relationship between ETS and cancer at sites other than lung is insufficient to draw any positive conclusions. For lung cancer, studies have consistently shown an excess risk between 10% and 300%, with a summary relative risk of 1.3 (95% confidence interval = 1.1-1.5). A dose-response relation is suggested but difficult to assess completely. Histologic types of lung cancer are generally similar to those most closely associated with active smoking, although other histologic types have also been found. Both excess relative risks and the dose responses are underestimates of the true excess risk and of the range of dose-response effect. Although the temporal relationship between exposure and disease occurrence is established, many questions are unanswered. The findings are consistent with many known biologic effects of active smoking and

  1. Fire and smoke retardants

    Science.gov (United States)

    Drews, M. J.

    Despite a reduction in Federal regulatory activity, research concerned with flame retardancy and smoke suppression in the private sector appears to be increasing. This trend seem related to the increased utilization of plastics for end uses which traditionally have employed metal or wood products. As a result, new markets have appeared for thermally stable and fire resistance thermoplastic materials, and this in turn has spurred research and development activity. In addition, public awareness of the dangers associated with fire has increased as a result of several highly publicized hotel and restaurant fires within the past two years. The consumers recognition of flammability characteristics as important materials property considerations has increased. The current status of fire and smoke retardant chemistry and research are summarized.

  2. Functional Health Literacy and Smoking Cessation Outcomes

    Science.gov (United States)

    Varekojis, Sarah M.; Miller, Larry; Schiller, M. Rosita; Stein, David

    2011-01-01

    Purpose: This paper aims to describe the relationship between functional health literacy level and smoking cessation outcomes. Design/methodology/approach: Participants in an inpatient smoking cessation program in a mid-western city in the USA were enrolled and the Short Test of Functional Health Literacy in Adults was administered while the…

  3. Modeling the effects of indoor passive smoking at home, work, or other households on adult cardiovascular and mental health: the Scottish Health Survey, 2008-2011.

    Science.gov (United States)

    Shiue, Ivy

    2014-03-01

    Passive smoking has contributed increased risks of cardiovascular disease, mental health, and mortality, but the cumulative effects from work or other households were less studied. Therefore, it was aimed to model the effects of indoor passive smoking from own home, work, and other households in a country-wide, population-based setting. Data in the Scottish Health Survey between 2008 and 2011 after the law banning smoking in public places were analyzed. Information including demographics, lifestyle factors, and self-reported cardiovascular disease and mental health was obtained by household interview. Analyses included chi-square test and survey-weighted logistic regression modeling. After full adjustment, it was observed that being exposed to indoor passive smoking, in particular in more than two places of exposure, was significantly associated with risks of stroke, angina, heart attack, abnormal heart rhythms, and GHQ ≥ 12. The significance remained for angina, GHQ ≥ 12 and probably heart attack in never smokers. The cumulative risks also impacted on sleep problems, self-recognition, making decisions, self-confidence, under strain constantly, depressed, happiness and self-worth. The significance remained for sleep problems, self-confidence, under strain constantly, depressed, and happiness in never smokers. Elimination of indoor passive smoking from different sources should still be a focus in future public health programs. PMID:24633145

  4. Modeling the Effects of Indoor Passive Smoking at Home, Work, or Other Households on Adult Cardiovascular and Mental Health: The Scottish Health Survey, 2008–2011

    Directory of Open Access Journals (Sweden)

    Ivy Shiue

    2014-03-01

    Full Text Available Passive smoking has contributed increased risks of cardiovascular disease, mental health, and mortality, but the cumulative effects from work or other households were less studied. Therefore, it was aimed to model the effects of indoor passive smoking from own home, work, and other households in a country-wide, population-based setting. Data in the Scottish Health Survey between 2008 and 2011 after the law banning smoking in public places were analyzed. Information including demographics, lifestyle factors, and self-reported cardiovascular disease and mental health was obtained by household interview. Analyses included chi-square test and survey-weighted logistic regression modeling. After full adjustment, it was observed that being exposed to indoor passive smoking, in particular in more than two places of exposure, was significantly associated with risks of stroke, angina, heart attack, abnormal heart rhythms, and GHQ ≥ 12. The significance remained for angina, GHQ ≥ 12 and probably heart attack in never smokers. The cumulative risks also impacted on sleep problems, self-recognition, making decisions, self-confidence, under strain constantly, depressed, happiness and self-worth. The significance remained for sleep problems, self-confidence, under strain constantly, depressed, and happiness in never smokers. Elimination of indoor passive smoking from different sources should still be a focus in future public health programs.

  5. Modeling the Effects of Indoor Passive Smoking at Home, Work, or Other Households on Adult Cardiovascular and Mental Health: The Scottish Health Survey, 2008–2011

    Science.gov (United States)

    Shiue, Ivy

    2014-01-01

    Passive smoking has contributed increased risks of cardiovascular disease, mental health, and mortality, but the cumulative effects from work or other households were less studied. Therefore, it was aimed to model the effects of indoor passive smoking from own home, work, and other households in a country-wide, population-based setting. Data in the Scottish Health Survey between 2008 and 2011 after the law banning smoking in public places were analyzed. Information including demographics, lifestyle factors, and self-reported cardiovascular disease and mental health was obtained by household interview. Analyses included chi-square test and survey-weighted logistic regression modeling. After full adjustment, it was observed that being exposed to indoor passive smoking, in particular in more than two places of exposure, was significantly associated with risks of stroke, angina, heart attack, abnormal heart rhythms, and GHQ ≥ 12. The significance remained for angina, GHQ ≥ 12 and probably heart attack in never smokers. The cumulative risks also impacted on sleep problems, self-recognition, making decisions, self-confidence, under strain constantly, depressed, happiness and self-worth. The significance remained for sleep problems, self-confidence, under strain constantly, depressed, and happiness in never smokers. Elimination of indoor passive smoking from different sources should still be a focus in future public health programs. PMID:24633145

  6. An Analysis of the Social-Contextual Responsiveness of Adult Education in Urban Family Literacy Programs: Trends, Obstacles, and Solutions.

    Science.gov (United States)

    Elish-Piper, Laurie

    2000-01-01

    Examines the responsiveness of the adult education component in urban family literacy programs in the Midwest. Finds that most of the programs were aware of the concept of responsive, family-centered programs; however, their practices did not support such an approach. (NH)

  7. "Smoking wet": respiratory failure related to smoking tainted marijuana cigarettes.

    Science.gov (United States)

    Gilbert, Christopher R; Baram, Michael; Cavarocchi, Nicholas C

    2013-01-01

    Reports have suggested that the use of a dangerously tainted form of marijuana, referred to in the vernacular as "wet" or "fry," has increased. Marijuana cigarettes are dipped into or laced with other substances, typically formaldehyde, phencyclidine, or both. Inhaling smoke from these cigarettes can cause lung injuries. We report the cases of 2 young adults who presented at our hospital with respiratory failure soon after they had smoked "wet" marijuana cigarettes. In both patients, progressive hypoxemic respiratory failure necessitated rescue therapy with extracorporeal membrane oxygenation. After lengthy hospitalizations, both patients recovered with only mild pulmonary function abnormalities. To our knowledge, this is the first 2-patient report of severe respiratory failure and rescue therapy with extracorporeal oxygenation after the smoking of marijuana cigarettes thus tainted. We believe that, in young adults with an unexplained presentation of severe respiratory failure, the possibility of exposure to tainted marijuana cigarettes should be considered. PMID:23466531

  8. Factors associated to smoking habit among older adults (The Bambuí Health and Aging Study Fatores associados ao hábito de fumar entre idosos (Projeto Bambuí

    Directory of Open Access Journals (Sweden)

    Sérgio Viana Peixoto

    2005-10-01

    Full Text Available OBJECTIVE: To describe the characteristics and associated factors of the smoking habit among older adults. METHODS: A population-based study was carried out comprising 1,606 (92.2% older adults (>60 years old living in the Bambuí town, Southeastern Brazil in 1997. Data was obtained by means of interview and socio-demographic factors, health status, physical functioning, use of healthcare services and medication were considered. The multiple multinomial logistic regression was used to assess independent associations between smoking habits (current and former smokers and the exploratory variables. RESULTS: The prevalence of current and past smoking was 31.4% and 40.2% among men, and 10.3% and 11.2% among women, respectively (p80 years and schooling (>8 years and positive association with poor health perception and not being married. Among women, independent and negative associations with current smoking were observed for age (75-79 and >80 years and schooling (4-7 and >8 years. CONCLUSIONS: Smoking was a public health concern among older adults in the studied community, particularly for men. Yet, in a low schooling population, a slightly higher level was a protective factor against smoking for both men and women. Programs for reducing smoking in the elderly population should take these findings into consideration.OBJETIVO: Descrever as características e fatores associados ao hábito de fumar em uma população idosa. MÉTODOS: Estudo de base populacional realizado com 1.606 (92,2% idosos (>60 anos residentes na cidade de Bambuí, Estado de Minas Gerais, em 1997. As variáveis estudadas foram: fatores sociodemográficos, condições de saúde, função física, uso de serviço de saúde e de medicamentos. Os dados foram coletados por meio de entrevista. A regressão logística multinomial foi utilizada para avaliar associações independentes entre o hábito de fumar (atual e passado e as variáveis exploratórias. RESULTADOS: A prevalência de

  9. Smoke detection

    Energy Technology Data Exchange (ETDEWEB)

    Warmack, Robert J. Bruce; Wolf, Dennis A.; Frank, Steven Shane

    2015-10-27

    Various apparatus and methods for smoke detection are disclosed. In one embodiment, a method of training a classifier for a smoke detector comprises inputting sensor data from a plurality of tests into a processor. The sensor data is processed to generate derived signal data corresponding to the test data for respective tests. The derived signal data is assigned into categories comprising at least one fire group and at least one non-fire group. Linear discriminant analysis (LDA) training is performed by the processor. The derived signal data and the assigned categories for the derived signal data are inputs to the LDA training. The output of the LDA training is stored in a computer readable medium, such as in a smoke detector that uses LDA to determine, based on the training, whether present conditions indicate the existence of a fire.

  10. Smoke detection

    Energy Technology Data Exchange (ETDEWEB)

    Warmack, Robert J. Bruce; Wolf, Dennis A.; Frank, Steven Shane

    2016-09-06

    Various apparatus and methods for smoke detection are disclosed. In one embodiment, a method of training a classifier for a smoke detector comprises inputting sensor data from a plurality of tests into a processor. The sensor data is processed to generate derived signal data corresponding to the test data for respective tests. The derived signal data is assigned into categories comprising at least one fire group and at least one non-fire group. Linear discriminant analysis (LDA) training is performed by the processor. The derived signal data and the assigned categories for the derived signal data are inputs to the LDA training. The output of the LDA training is stored in a computer readable medium, such as in a smoke detector that uses LDA to determine, based on the training, whether present conditions indicate the existence of a fire.

  11. Estimated and forecasted trends in domain specific time-use and energy expenditure among adults in Russia

    OpenAIRE

    Dearth-Wesley, Tracy; Popkin, Barry M; Ng, Shu Wen

    2014-01-01

    Background Examination of historical trends and projections in estimated energy expenditure in Russia is important given the country’s economic downturns and growth. Methods Nationally representative data from the Russia Longitudinal Monitoring Survey (RLMS) from 1995–2011 was used to determine the metabolic equivalents of task (MET)-hours per week from occupational, domestic, travel, and active leisure physical activity (PA) domains, as well as sedentary leisure time (hours per week) among a...

  12. Does Marriage Lead to Specialization? An Evaluation of Swedish Trends in Adult Earnings Before and After Marriage

    OpenAIRE

    Sundström, Marianne; Ginther, Donna K.

    2010-01-01

    We examine whether marriage leads to specialization in Sweden by implementing a model that differentiates specialization in the household by cohabitation and marriage. Our paper evaluates this model using panel data to analyze trends in earnings before and after marriage between 1985 and 1995 for married and long-term cohabiting Swedish couples with children. To identify the effect of marriage on earnings we use the reform of the widow’s pension system that resulted in a marriage boom in Swed...

  13. Smoking and Eye Health

    Science.gov (United States)

    ... Eye Health Apr. 14, 2014 Avoiding smoking and second hand smoke — or quitting if you are a smoker — ... influence your eyes’ health. And tobacco smoke, including second-hand smoke, is an irritant that worsens dry eye , ...

  14. Smoking and HIV

    Science.gov (United States)

    ... 28, 2014 Select a Language: Fact Sheet 803 Smoking and HIV WHY IS SMOKING MORE DANGEROUS FOR ... It can also worsen liver problems like hepatitis. Smoking and Side Effects People with HIV who smoke ...

  15. Socioeconomic Inequalities in Smoking and Smoking Cessation Due to a Smoking Ban: General Population-Based Cross-Sectional Study in Luxembourg.

    Science.gov (United States)

    Tchicaya, Anastase; Lorentz, Nathalie; Demarest, Stefaan

    2016-01-01

    This study aimed to measure changes in socioeconomic inequalities in smoking and smoking cessation due to the 2006 smoking ban in Luxembourg. Data were derived from the PSELL3/EU-SILC (Panel Socio-Economique Liewen Zu Letzebuerg/European Union--Statistic on Income and Living Conditions) survey, which was a representative survey of the general population aged ≥16 years conducted in Luxembourg in 2005, 2007, and 2008. Smoking prevalence and smoking cessation due to the 2006 smoking ban were used as the main smoking outcomes. Two inequality measures were calculated to assess the magnitude and temporal trends of socioeconomic inequalities in smoking: the prevalence ratio and the disparity index. Smoking cessation due to the smoking ban was considered as a positive outcome. Three multiple logistic regression models were used to assess social inequalities in smoking cessation due to the 2006 smoking ban. Education level, income, and employment status served as proxies for socioeconomic status. The prevalence of smoking decreased by 22.5% between 2005 and 2008 (from 23.1% in 2005 to 17.9% in 2008), but socioeconomic inequalities in smoking persisted. Smoking prevalence decreased by 24.2% and 20.2% in men and women, respectively; this difference was not statistically significant. Smoking cessation in daily smokers due to the 2006 smoking ban was associated with education level, employment status, and income, with higher percentages of quitters among those with a lower socioeconomic status. The decrease in smoking prevalence after the 2006 law was also associated with a reduction in socioeconomic inequalities, including differences in education level, income, and employment status. Although the smoking ban contributed to a reduction of such inequalities, they still persist, indicating the need for a more targeted approach of smoke-free policies directed toward lower socioeconomic groups. PMID:27100293

  16. Preliminary Examination of First Year Female University Students: Smoking Practices and Beliefs in a City with No-Smoking Legislation

    Science.gov (United States)

    Fletcher, Paula C.; Camblin, Amy

    2009-01-01

    Young adults between the ages of 20 to 24 are reported to have the highest smoking rates of any other age group. A questionnaire was used to assess the smoking practices and beliefs of 323 female university students. All participants were first year students entering university in a city where smoke-free legislation had been enacted. Results…

  17. Cigarette Smoking, Passive Smoking, and Non-Hodgkin Lymphoma Risk: Evidence From the California Teachers Study

    Science.gov (United States)

    Lu, Yani; Wang, Sophia S.; Reynolds, Peggy; Chang, Ellen T.; Ma, Huiyan; Sullivan-Halley, Jane; Clarke, Christina A.; Bernstein, Leslie

    2011-01-01

    Epidemiologic studies conducted to date have shown evidence of a causal relation between smoking and non-Hodgkin lymphoma (NHL) risk. However, previous studies did not account for passive smoking exposure in the never-smoking reference group. The California Teachers Study collected information about lifetime smoking and household passive smoking exposure in 1995 and about lifetime exposure to passive smoking in 3 settings (household, workplace, and social settings) in 1997–1998. Multivariable-adjusted relative risks and 95% confidence intervals were estimated by fitting Cox proportional hazards models with follow-up through 2007. Compared with never smokers, ever smokers had a 1.11-fold (95% confidence interval (CI): 0.94, 1.30) higher NHL risk that increased to a 1.22-fold (95% CI: 0.95, 1.57) higher risk when women with household passive smoking were excluded from the reference category. Statistically significant dose responses were observed for lifetime cumulative smoking exposure (intensity and pack-years; both P ’s for trend = 0.02) when women with household passive smoking were excluded from the reference category. Among never smokers, NHL risk increased with increasing lifetime exposure to passive smoking (relative risk = 1.51 (95% CI: 1.03, 2.22) for >40 years vs. ≤5 years of passive smoking; P for trend = 0.03), particularly for follicular lymphoma (relative risk = 2.89 (95% CI: 1.23, 6.80); P for trend = 0.01). The present study provides evidence that smoking and passive smoking may influence NHL etiology, particularly for follicular lymphoma. PMID:21768403

  18. Clinical Feature And Pathogeny Analysis Of Brain Hemorrhage In Young Adult Group

    Institute of Scientific and Technical Information of China (English)

    Wang Jianming; Zeng Xiaoyun

    2000-01-01

    Objection: The trend of brain hemorrhage cases of young adults have increased recently. In this article, We studied brain hemorrhage clinical feature and pathogenic causes of 72 young adults, Whose ages are all beneath 45Y. We found That the major pathogen reasons of young adult brain hemorrhage are blood system diseases、 arteriovenous malformation of cerebral blood vessel、 hypertension arteriosclerosis、 arteritis and rheumatic heart disease et. We also found that the trend can be related to hard work、 tense life、 drinking too much alcohol and eating high lipid food, and cercbral vascular disease family history. So in order to reduce the incidence of young adult brain hemorrhage, Young adults should not drink and smoke heavily, should not eat too much high lipid food. Young adults who have hypertension and brain vessel disease family history should be regularly measured blood pressure and blood lipid. If they had hypertension, should be treated regularly.

  19. Trend in obesity prevalence in European adult cohort populations during follow-up since 1996 and their predictions to 2015.

    Directory of Open Access Journals (Sweden)

    Anne von Ruesten

    Full Text Available OBJECTIVE: To investigate trends in obesity prevalence in recent years and to predict the obesity prevalence in 2015 in European populations. METHODS: Data of 97,942 participants from seven cohorts involved in the European Prospective Investigation into Cancer and Nutrition (EPIC study participating in the Diogenes project (named as "Diogenes cohort" in the following with weight measurements at baseline and follow-up were used to predict future obesity prevalence with logistic linear and non-linear (leveling off regression models. In addition, linear and leveling off models were fitted to the EPIC-Potsdam dataset with five weight measures during the observation period to find out which of these two models might provide the more realistic prediction. RESULTS: During a mean follow-up period of 6 years, the obesity prevalence in the Diogenes cohort increased from 13% to 17%. The linear prediction model predicted an overall obesity prevalence of about 30% in 2015, whereas the leveling off model predicted a prevalence of about 20%. In the EPIC-Potsdam cohort, the shape of obesity trend favors a leveling off model among men (R²  = 0.98, and a linear model among women (R² = 0.99. CONCLUSION: Our data show an increase in obesity prevalence since the 1990ies, and predictions by 2015 suggests a sizeable further increase in European populations. However, the estimates from the leveling off model were considerably lower.

  20. Trends in U.S. Adult Chronic Disease Mortality, 1960–1999: Age, Period, and Cohort Variations

    OpenAIRE

    Yang, Yang

    2008-01-01

    In this paper, I examine temporal changes in U.S. adult mortality by chronic disease cause of death and by sex over a 40-year period in the second half of the twentieth century. I apply age-period-cohort (APC) analyses that combine conventional approaches and a new method of model estimation to simultaneously account for age, period, and cohort variations in mortality rates for four leading causes of deaths, including heart disease, stroke, lung cancer, and breast cancer. The results show tha...

  1. Does smoking among friends explain apparent genetic effects on current smoking in adolescence and young adulthood?

    OpenAIRE

    White, V M; Byrnes, G.B.; Webster, B.; Hopper, J.L.

    2008-01-01

    We used data from a prospective cohort study of twins to investigate the influence of unmeasured genetic and measured and unmeasured environmental factors on the smoking behaviour of adolescents and young adults. Twins were surveyed in 1988 (aged 11–18 years), 1991, 1996 and 2004 with data from 1409, 1121, 732 and 758 pairs analysed from each survey wave, respectively. Questionnaires assessed the smoking behaviour of twins and the perceived smoking behaviour of friends and parents. Using a no...

  2. Consequences of passive smoking in home environment.

    Science.gov (United States)

    Kałucka, Sylwia

    2007-01-01

    Passive smoking means cigarette smoke inhaling by people other than smokers. Passive smoker inhales tobacco smoke coming not only from side-stream, but also smoke exhaled by the smoker. Long-term tobacco smoke inhaling increases the risk of appearance of smoke related diseases (for example COPD, heart diseases), including the most dangerous types of cancer, which only few smokers realize. The aim of this study was to check whether tobacco smoke inhaling in home environment from childhood to adulthood has an influence on respiratory system of adults. The study included adults. In the study two types of participants division were used. Among 1481 persons two groups were separated. Group 1 contains people, who have never lived in home environment with active smokers, altogether 465 persons. Group 2 contains people who from birth have been exposed to cigarette smoke inhaling (altogether 1016 persons). With help of the author's questionnaire the information concerning demographic features and smoking habit were gathered. The patients underwent doctor's examination. They had a spirometric test and a chest radiogram. Statistically significant differences appear among persons with higher education who belong to two different groups. The number of children who have lived in smoke free rooms during childhood and adolescence and finished studies is bigger than the number of active smokers' children (pcigarette smoke since childhood in home environment. Chronic obstructive pulmonary disease has been diagnosed at 47.5% of active smokers, 48.3% of ex-smokers and up to 44.7% of passive smokers. Cigarette smoking and smoke inhaling for more than twenty years has a significant influence on the appearance of COPD. No statistically significant differences were noted among the three groups of participants. (p>0.05). Cigarette smoke inhaling at childhood and adolescence should be taken seriously because it causes development of chronic diseases like COPD. GOLD 2006 standards convince

  3. [Hypertension, smoking and life insurance].

    Science.gov (United States)

    Lund-Johansen, P

    1975-11-01

    The insurance companies' data on blood-pressure and longevity have certainly contributed to the trend among both laymen and doctors to take hypertension more seriously. Smoking is also of special interest, having proved to be a clear risk-factor in coronary disease. It holds a unique position, in that - at least theoretically - it would be possible to eliminate. The insurance companies could undoubtedly contribute to an altered attitude towards the problem of smoking. Non-smokers might be granted a bonus and heavy smokers be charged an additional premium.

  4. Admission to a psychiatric unit and changes in tobacco smoking

    Directory of Open Access Journals (Sweden)

    Owens David

    2008-05-01

    Full Text Available Abstract Smoking and withdrawal from smoking complicates the assessment and treatment of mental illness. We aimed to establish whether psychiatric inpatients smoke different amounts after admission than beforehand and, if so, to find out why. Forty-three inpatients on a working age adult psychiatry ward completed self-report questionnaires about smoking habits. Those who smoked a different amount after admission had a follow-up interview to find out why they thought this had occurred. The interview incorporated qualitative and quantitative aspects which were analysed accordingly. Fifty-six percent of participants were smokers before admission, rising to 70% afterwards. Of the smokers, 17% smoked less after admission, and 63% smoked more. The average number of cigarettes smoked per person per day increased from five to thirteen. The main reasons for smoking more were boredom, stress and the wish to socialise.

  5. Testing Social Cognitive Theory as a Theoretical Framework to Predict Smoking Relapse among Daily Smoking Adolescents

    NARCIS (Netherlands)

    Zundert, R.M.P. van; Nijhof, L.M.; Engels, R.C.M.E.

    2009-01-01

    Predictors of adolescent smoking relapse are largely unknown, since studies either focus on relapse among adults, or address (long-term) smoking cessation but not relapse. In the present study, Social Cognitive Theory (SCT) was used as a theoretical framework to examine the first and second lapses,

  6. Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants

    OpenAIRE

    Di Cesare, M; Bentham, J.; Stevens, G.A.; Zhou, B.; Y. Lu; Bixby, H.; Cowan, M J; Riley, L. M.; Hajifathalian, K; Fortunato, L.; Taddei, C.; Bennett, J E; Miranda, J.J.; Paciorek, C.J.; Ezzati, M

    2016-01-01

    Background: Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults in all countries. / Methods: We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierarch...

  7. Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants

    OpenAIRE

    Di Cesare, M; Bentham, J; Stevens, GA; Zhou, B.; Lu, Y; Bixby, H.; Cowan, MJ; Riley, LM; Hajifathalian, K.; Fortunato, L; Taddei, C; Bennett, JE; Paciorek, CJ; Ezzati, M; Abdeen, ZA

    2016-01-01

    Background: Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults in all countries. Methods: We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierar...

  8. Trends in the Levels of Serum Lipids and Lipoproteins and the Prevalence of Dyslipidemia in Adults with Newly Diagnosed Type 2 Diabetes in the Southwest Chinese Han Population during 2003–2012

    OpenAIRE

    Jing Tian; Hewen Chen; Fang Jia; Gangyi Yang; Shengbing Li; Ke Li; Lili Zhang; Jinlin Wu; Dongfang Liu

    2015-01-01

    Objective. To determine the trends of serum lipid levels and dyslipidemia in adults newly diagnosed with type 2 diabetes mellitus during 2003–2012 in Southwest China. Methods. Serum lipid measurements of 994 adults were obtained from 5 independent, cross-sectional studies (2003-2004, 2005-2006, 2007-2008, 2009-2010, and 2011-2012). The main outcome measures were mean serum total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and triglyceride levels; bo...

  9. Age plays an important role in the relationship between smoking status and obesity risk: a large scale cross-sectional study of Chinese adults

    OpenAIRE

    Su, Pu; Hong, Liu; Sun, Hang; Zhao, Yi Fan; Li, Liang

    2015-01-01

    Objective: To study the role of age plays in the relationship between smoking status and obesity in both Chinese men and women. Methods: From Chinese Physical and Psychological Database, participants were divided into non-smokers, current smokers, and former smokers. Body mass index (BMI), waist circumference (WC), fat percentage, fat mass, and fat free mass were measured. The mean, standard deviation and frequency of these indicators were calculated for each age bracket. One-way ANOVA and po...

  10. Mobility Device Use Among Older Adults and Incidence of Falls and Worry About Falling: Findings From the 2011–2012 National Health and Aging Trends Study

    Science.gov (United States)

    Gell, Nancy M.; Wallace, Robert B.; LaCroix, Andrea Z.; Mroz, Tracy M.; Patel, Kushang V.

    2015-01-01

    OBJECTIVES To examine mobility device use prevalence among community-dwelling older adults in the U.S. and to investigate the incidence of falls and worry about falling by the type and number of mobility devices used. DESIGN Analysis of cross-sectional and longitudinal data from the 2011–2012 National Health and Aging Trends Study SETTING In-person interviews in the homes of study participants PARTICIPANTS Nationally representative sample of Medicare beneficiaries(N=7609). MEASUREMENTS Participants were asked about mobility device use (e.g., canes, walkers, wheelchairs and scooters) in the last month, one-year fall history and worry about falling. RESULTS Twenty-four percent of adults age ≥65 reported mobility device use in 2011 and 9.3% reported using multiple devices within the last month. Mobility device use increased with advancing age and was associated with non-White race/ethnicity, female sex, lower education level, greater multi-morbidity, and obesity (all P-values < 0.001). Adjusting for demographic, health characteristics, and physical function, the incidence of falls and recurrent falls were not associated with the use of multiple devices or any one particular type of mobility device. Activity-limiting worry about falling was significantly higher in cane-only users, compared with non-users. CONCLUSION The percentage of older adults reporting mobility device use is higher compared to results from previous national surveys and multiple device use is common among those who use any device. Mobility device use is not associated with increased incidence of falls compared to non-device users. Cane-only users may compensate for worry about falling by limiting activity. PMID:25953070

  11. TREND AND VALIDITY OF ANKYLOSING SPONDYLITIS PREVALENCE AND PATIENT MORTALITY RATES IN THE ADULT POPULATION OF THE TULA REGION VERSUS THE RUSSIAN FEDERATION

    Directory of Open Access Journals (Sweden)

    V. N. Sorotskaya

    2015-01-01

    Full Text Available Ankylosing spondylitis (AS is a chronic systemic disease of the axial skeleton. Recently, there has been increased interest among practitioners and researchers in AS. Because of difficulties in conducting epidemiological surveys studying statistical data on its prevalence and patient mortality is of great importance. It permit introduction of necessary corrections into organization of medical care to patients on the basis of analysis of the situation in the region.Objective: to study the trend and validity of data on AS prevalence and patient mortality in the adult population of the Tula Region versus the Russian Federation.Subjects and methods. The investigators used the 2002–2010 statistical guidelines “Prevalence of diseases in adult populationof Russia” by the Ministry of Health of Russia; the 2006–2010 federal statistical inquiry forms No. 14 in the Tula Region and the Russian Federation; the European hospital database; the 2000–2011 mortality databases in the Tula Region, which had been obtained by the automated mortality registration systems, which contained 373,997 records and included all margins of “Medical Death Certificates”.Results and discussion. In the Russian Federation, overall prevalence of AS per 100,000 adult population increased from 27.6 in 2002 to 34.4 in 2010 (the increment was 24.6% while in the Tula Region its trend was unstable in this period. Incidence of AS here decreased by 31.8% from 2002 to 2010; in Russia its increment was 51.6%. From 2000 to 2011 in the Tula Region AS was registered as one of the causes of death in 29 cases.Conclusion. To plan measures aimed at improving the quality of medical care to AS patients, it is necessary to expand a comprehensive study of AS prevalence as well as outpatient and inpatient mortality from AS

  12. Investigation on the bone mineral density in adult men in Nanchang and its relationship with smoking%南昌地区成年男性骨密度现状及与吸烟关系的研究

    Institute of Scientific and Technical Information of China (English)

    徐定波; 涂萍; 吴和平; 王艳

    2012-01-01

    目的 调查南昌地区健康成年男性骨密度,探讨吸烟与骨密度的关系.方法 采用法国MEDILINK公司生产的型号为OSTEOCORE2双能X线骨密度仪测量548例南昌地区健康成年男性正位腰椎(L2~L4)、左侧股骨颈及左前臂BMD,分析不同年龄组BMD及骨质疏松患病率变化.并根据吸烟指数进行分组,分析BMD与吸烟指数关系.结果 正位腰椎、股骨颈、前臂BMD峰值均出现在30~39岁年龄段,而后随年龄增加而下降,50岁以后降低更明显,骨质疏松患病率均随年龄增加而增加.吸烟指数与正位腰椎BMD呈负相关(r=-0.472,P<0.01),与股骨颈、前臂BMD呈弱负相关(r值分别为-0.163和-0.135,P均<0.05).结论 南昌地区男性BMD峰值出现在30~39岁年龄段,而后随年龄增加BMD下降,骨质疏松患病率增加.吸烟是骨质疏松的危险因素,为预防骨质疏松应尽早戒烟.%OBJECTIVE To investigate BMD in healthy adult males in Nanchang, and explore the its relationship with smoking and BMD. METHODS The model OSTEOCORE2 dual energy X ray absorptiometry from French company OSTEOCORE2 was used to measure 548 cases of healthy adult males in Nanchang for their L2-L4, left neck of femur and left forearm. The change of prevalence rate of BMD and osteoporosis is analyzed in different age groups. In addition, all subjects are grouped according to smoking index to analyze the relationship between BMD and smoking index. RESULTS The peak of lumbar vertebrae, neck of femur and forearm BMD was found in 30-39 years old group, declined with age, and significantly decreased after 50 years old. Osteoporosis prevalence rate increased with age. Smoking index and lumbar vertebrae were negatively correlated (r = -0.472, P < 0.01), and weakly negatively correlated with femoral neck and forearm BMD (r = -0.163 and -0.135, P< 0.05). CONCLUSION The peak of BMD exists in 30-39 years old group, BMD increases with the decrease of age, and prevalence of

  13. Tradition over trend: Neighboring chimpanzee communities maintain differences in cultural behavior despite frequent immigration of adult females.

    Science.gov (United States)

    Luncz, Lydia V; Boesch, Christophe

    2014-07-01

    The notion of animal culture has been well established mainly through research aiming at uncovering differences between populations. In chimpanzees (Pan troglodytes verus), cultural diversity has even been found in neighboring communities, where differences were observed despite frequent immigration of individuals. Female chimpanzees transfer at the onset of sexual maturity at an age, when the behavioral repertoire is fully formed. With immigrating females, behavioral variety enters the group. Little is known about the diversity and the longevity of cultural traits within a community. This study is building on previous findings of differences in hammer selection when nut cracking between neighboring communities despite similar ecological conditions. We now further investigated the diversity and maintenance of cultural traits within one chimpanzee community and were able to show high levels of uniformity in group-specific behavior. Fidelity to the behavior pattern did not vary between dispersing females and philopatric males. Furthermore, group-specific tool selection remained similar over a period of 25 years. Additionally, we present a study case on how one newly immigrant female progressively behaved more similar to her new group, suggesting that the high level of similarity in behavior is actively adopted by group members possibly even when originally expressing the behavior in another form. Taken together, our data support a cultural transmission process in adult chimpanzees, which leads to persisting cultural behavior of one community over time. PMID:24482055

  14. Non-smoking youths' "perceived" addiction to tobacco is associated with their susceptibility to future smoking.

    Science.gov (United States)

    Okoli, Chizimuzo T C; Richardson, Chris G; Ratner, Pamela A; Johnson, Joy L

    2009-12-01

    Smoking initiation places adolescents at risk for adult onset diseases, including heart disease, respiratory illness, and cancer. Adolescents that smoke have levels of 'perceived' tobacco addiction that are associated with several measures of nicotine dependence. Nonsmoking adolescents also report feeling addicted to tobacco even with minimal or no prior tobacco use, suggesting some vulnerability to tobacco use. The purpose of this study was to examine the association between perceived tobacco addiction and smoking susceptibility among adolescents with very minimal tobacco use. A cross-sectional analysis was conducted of data obtained from 5155 nonsmokers who completed the British Columbia Youth Survey of Smoking and Health II, a school-based survey conducted during 2004. Measures included demographics, tobacco use (ever puffed a cigarette), substance use (marijuana and alcohol), exposure to family members' smoking in the home, peers' tobacco use, depressive symptoms, perceived physical and mental addiction to tobacco, and smoking susceptibility. The adolescents who were most susceptible to smoking were female, younger and in a lower school grade; had ever puffed a cigarette, had used alcohol or marijuana; had family members or peers who smoked; had higher depression scores, and higher perceived physical and mental addiction to tobacco. In multivariate logistic regression analysis, perceived mental addiction but not perceived physical addiction to tobacco was significantly associated with smoking susceptibility. Understanding factors associated with smoking initiation, and ways to identify "at- risk" adolescents can enhance early intervention and prevention programs. Perceived mental addiction to tobacco appears to be an important indicator of smoking susceptibility. PMID:19643546

  15. Smoking at workplace – Legislation and health aspect of exposure to second-hand tobacco smoke

    Directory of Open Access Journals (Sweden)

    Agnieszka Lipińska-Ojrzanowska

    2015-12-01

    Full Text Available Tobacco smoke contains thousands of xenobiotics harmful to human health. Their irritant, toxic and carcinogenic potential has been well documented. Passive smoking or exposure to second-hand smoke (SHS in public places, including workplace, poses major medical problems. Owing to this fact there is a strong need to raise workers’ awareness of smoking-related hazards through educational programs and to develop and implement legislation aimed at eliminating SHS exposure. This paper presents a review of reports on passive exposure to tobacco smoke and its impact on human health and also a review of binding legal regulations regarding smoking at workplace in Poland. It has been proved that exposure to tobacco smoke during pregnancy may lead to, e.g., preterm delivery and low birth weight, sudden infant death syndrome, lung function impairment, asthma and acute respiratory illnesses in the future. Exposure to tobacco smoke, only in the adult age, is also considered as an independent risk factor of cardiovascular diseases, acute and chronic respiratory diseases and cancer. Raising public awareness of tobacco smoke harmfulness should be a top priority in the field of workers’ health prevention. Occupational medicine physicians have regular contacts with occupationally active people who smoke. Thus, occupational health services have a unique opportunity to increase employees and employers’ awareness of adverse health effects of smoking and their prevention. Med Pr 2015;66(6:827–836

  16. Who in U. S. A. Smoke

    Institute of Scientific and Technical Information of China (English)

    徐鸿钧

    2001-01-01

    Cigarette smoking is awidespread habit in the UnitedStates today. About forty-three per-cent of the adult men and thirty-onepercent of the adult women smokeregularly. It is quite encouraging tonote, however, that millions of peo-ple have given up the smoking。

  17. Smoking and COPD

    Science.gov (United States)

    ... COPD. Smoking is also a trigger for COPD flare-ups. Smoking damages the air sacs, airways, and the ... have COPD. Smoking can cause an exacerbation, or flare-up, of your symptoms. You do not have to ...

  18. Smoking and Youth

    Science.gov (United States)

    Smoking cigarettes has many health risks for everyone. However, the younger you are when you start smoking, the more problems it can cause. People who start smoking before the age of 21 have the hardest ...

  19. Smoking and surgery

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000437.htm Smoking and surgery To use the sharing features on ... you succeed. There Are Many Reasons to Quit Smoking Tar, nicotine, and other chemicals from smoking can ...

  20. Secondhand Smoke Quiz

    Science.gov (United States)

    ... Healthy Weight Loss Being Comfortable in Your Own Skin Your Weight Loss Expectations & Goals ... is: a) Smoke that is breathed out by the smoker b) Pollution from smoke stacks and car exhaust c) Smoke ...

  1. Cigarette smoking, passive smoking, alcohol consumption, and hearing loss.

    Science.gov (United States)

    Dawes, Piers; Cruickshanks, Karen J; Moore, David R; Edmondson-Jones, Mark; McCormack, Abby; Fortnum, Heather; Munro, Kevin J

    2014-08-01

    The objective of this large population-based cross-sectional study was to evaluate the association between smoking, passive smoking, alcohol consumption, and hearing loss. The study sample was a subset of the UK Biobank Resource, 164,770 adults aged between 40 and 69 years who completed a speech-in-noise hearing test (the Digit Triplet Test). Hearing loss was defined as speech recognition in noise in the better ear poorer than 2 standard deviations below the mean with reference to young normally hearing listeners. In multiple logistic regression controlling for potential confounders, current smokers were more likely to have a hearing loss than non-smokers (odds ratio (OR) 1.15, 95 % confidence interval (CI) 1.09-1.21). Among non-smokers, those who reported passive exposure to tobacco smoke were more likely to have a hearing loss (OR 1.28, 95 %CI 1.21-1.35). For both smoking and passive smoking, there was evidence of a dose-response effect. Those who consume alcohol were less likely to have a hearing loss than lifetime teetotalers. The association was similar across three levels of consumption by volume of alcohol (lightest 25 %, OR 0.61, 95 %CI 0.57-0.65; middle 50 % OR 0.62, 95 %CI 0.58-0.66; heaviest 25 % OR 0.65, 95 %CI 0.61-0.70). The results suggest that lifestyle factors may moderate the risk of hearing loss. Alcohol consumption was associated with a protective effect. Quitting or reducing smoking and avoiding passive exposure to tobacco smoke may also help prevent or moderate age-related hearing loss. PMID:24899378

  2. Manufacture of the Futuristic Castable Type of Screening Smoke Composition

    Directory of Open Access Journals (Sweden)

    Amarjit Singh

    1986-07-01

    Full Text Available The present trend abroad is to replace conventional smoke compositions with castable type of smoke compositions because of superior performance of the latter over the former. The technology of castable screening smokes has been recently developed for the first time in India by the Explosives Research & Development Laboratory, Pune. This paper discusses the various advantages in large scale manufacture of castable type of screening smoke composition. A comparison is also made with the conventional method of manufacture of screening smoke composition currently followed.

  3. Effects of smoking on pulmonary function of healthy adults in Meishan%眉山市吸烟者与非吸烟者肺功能情况调查

    Institute of Scientific and Technical Information of China (English)

    邹志; 戚刚; 牟艳; 李俊; 张孟琼

    2013-01-01

    目的:研究吸烟对人体肺功能的影响,提高人们早期戒烟意识。方法应用耶格(JAEGER)肺功能仪(德国)对我院进行体检的161例健康成年人进行肺功能检测,探讨吸烟对肺功能的影响。结果 FEV1/FVC、PEF%明显低于对照组(P<0.05);小气道功能指数FEF50%、FEF75%、MMEF显著降低(P<0.01)。结论健康吸烟者肺通气功能较非吸烟者有不同程度的下降,且以阻塞性通气功能及小气道功能损害为主;肺功能检查对气道疾病早期诊断具有重要意义。%0bjective:To observe effects of smoking on pulmonary function of health adult,and to urge smokers give up smoking as early as possible.Methods:161 cases of healthy adults who took physical examination in the medical examination center of our hospital took the pulmonary function testing by JAEGER spirometer ,and the effects of cigarette smoking on pulmonary function were analyzed.Results:There was as significant difference between nonsmokers and smokers in indexes such as FEV1,FVC,FEVl/FVC(P<0.05),the indexes of the smal airway function (FEF50%,FEF75%,MMEF%) significantly dropped(p<0.01).Conclusion:The pulmonary function of health smokers,especial y smal air-way function have already been impaired compared with nonsmokers.For earlier diagnosing of lung diseases,pulmonary function test is significant.

  4. Test ventilation with smoke, bubbles, and balloons

    Energy Technology Data Exchange (ETDEWEB)

    Pickering, P.L.; Cucchiara, A.L.; McAtee, J.L.; Gonzales, M.

    1987-01-01

    The behavior of smoke, bubbles, and helium-filled balloons was videotaped to demonstrate the mixing of air in the plutonium chemistry laboratories, a plutonium facility. The air-distribution patterns, as indicated by each method, were compared. Helium-filled balloons proved more useful than bubbles or smoke in the visualization of airflow patterns. The replay of various segments of the videotape proved useful in evaluating the different techniques and in identifying airflow trends responsible for air mixing. 6 refs.

  5. The global epidemiology of waterpipe smoking

    OpenAIRE

    Maziak, Wasim; Taleb, Ziyad Ben; Bahelah, Raed; Islam, Farahnaz; Jaber, Rana; Auf, Rehab; Salloum, Ramzi G.

    2014-01-01

    Objectives In the past decade, waterpipe smoking (a.k.a. hookah, shisha, narghile) has become a global phenomenon. In this review, we provide an updated picture of the main epidemiological trends in waterpipe smoking globally. Data sources Peer-reviewed publications indexed in major biomedical databases between 2004 and 2014. Search keywords included a combination of: waterpipe, hookah, shisha along with epidemiology, patterns, prevalence and predictors. We also used different spellings of wa...

  6. Smoke and mirrors: magnified beliefs that cigarette smoking suppresses weight.

    Science.gov (United States)

    White, Marney A; McKee, Sherry A; O'malley, Stephanie S

    2007-10-01

    Research suggests that for some smokers, weight concerns interfere with smoking cessation. Studies with individuals with eating disorders and weight concerns have indicated that weight-concerned individuals place undue faith in the effectiveness of certain weight control strategies; i.e., adopt a brand of magical thinking pertaining to food rules and dieting behaviors. The current study investigated whether weight-concerned smokers endorsed exaggerated beliefs in the ability of smoking to suppress body weight. Participants were 385 individuals undergoing treatment for smoking cessation. Prior to treatment, participants completed the Smoking Consequences Questionnaire-Adult (SCQ-A), the Dieting and Bingeing Severity Scale, and the Perceived Risks and Benefits Questionnaire (PBRQ). Results indicated that heightened beliefs in the effectiveness of smoking to control weight were related to eating and weight concerns; specifically, strong associations were observed between SCQ-A Weight Control scores and fear of weight gain, loss of control over eating, and body dissatisfaction. Although SCQ-A Weight Control scores were related to (self-reported) weight gain during a previous quit attempt, scores did not predict actual weight gain over the course of the cessation trial. Reported weight gain at previous attempts was also unrelated to actual weight gain over the current trial. These findings indicate that eating and weight-concerned smokers may benefit from psychoeducation concerning the relatively modest and temporary ability of nicotine to suppress weight.

  7. Legislative smoking bans for reducing secondhand smoke exposure, smoking prevalence and tobacco consumption.

    LENUS (Irish Health Repository)

    Callinan, Joanne E

    2010-01-01

    consistent evidence that smoking bans reduced exposure to SHS in workplaces, restaurants, pubs and in public places. There was a greater reduction in exposure to SHS in hospitality workers compared to the general population. We failed to detect any difference in self-reported exposure to SHS in cars. There was no change in either the prevalence or duration of reported exposure to SHS in the home as a result of implementing legislative bans. Twenty-three studies reported measures of active smoking, often as a co-variable rather than an end-point in itself, with no consistent evidence of a reduction in smoking prevalence attributable to the ban. Total tobacco consumption was reduced in studies where prevalence declined. Twenty-five studies reported health indicators as an outcome. Self-reported respiratory and sensory symptoms were measured in 12 studies, with lung function measured in five of them. There was consistent evidence of a reduction in hospital admissions for cardiac events as well as an improvement in some health indicators after the ban. AUTHORS\\' CONCLUSIONS: Introduction of a legislative smoking ban does lead to a reduction in exposure to passive smoking. Hospitality workers experienced a greater reduction in exposure to SHS after implementing the ban compared to the general population. There is limited evidence about the impact on active smoking but the trend is downwards. There is some evidence of an improvement in health outcomes. The strongest evidence is the reduction seen in admissions for acute coronary syndrome. There is an increase in support for and compliance with smoking bans after the legislation.

  8. Effect of tobacco smoking and alcohol consumption on the prevalence of nickel sensitization and contact sensitization

    DEFF Research Database (Denmark)

    Thyssen, Jacob P; Johansen, Jeanne D; Menné, Torkil;

    2010-01-01

    There is evidence that stimulants such as alcohol and tobacco have an effect on the immune system, but little is known about how these lifestyle factors affect the prevalence of contact sensitization. This study investigated whether smoking and alcohol consumption were associated with contact...... sensitization and nickel sensitization. A random sample of adults (n=3460) from the general population of Copenhagen was invited to participate in a general health examination including patch-testing. Alcohol consumption was not associated with nickel sensitization, whereas a significant trend (p...

  9. Smoking cessation medications

    Science.gov (United States)

    Smoking cessation - medications; Smokeless tobacco - medications; Medications for stopping tobacco ... Creating a plan to help you deal with smoking urges. Getting support from a doctor, counselor, or ...

  10. Temporal trends in serum concentrations of polychlorinated dioxins, furans, and PCBs among adult women living in Chapaevsk, Russia: a longitudinal study from 2000 to 2009

    Directory of Open Access Journals (Sweden)

    Burns Jane S

    2011-06-01

    Full Text Available Abstract Background The present study assessed the temporal trend in serum concentrations of polychlorinated dibenzo-p-dioxins, dibenzofurans, and biphenyls (PCBs among residents of a Russian town where levels of these chemicals are elevated due to prior industrial activity. Methods Two serum samples were collected from eight adult women (in 2000 and 2009, and analyzed with gas chromatography-high-resolution mass spectrometry. Results The average total toxic equivalency (TEQ decreased by 30% (from 36 to 25 pg/g lipid, and the average sum of PCB congeners decreased by 19% (from 291 to 211 ng/g lipid. Total TEQs decreased for seven of the eight women, and the sum of PCBs decreased for six of eight women. During this nine year period, larger decreases in serum TEQs and PCBs were found in women with greater increases in body mass index. Conclusions This study provides suggestive evidence that average serum concentrations of dioxins, furans, and PCBs are decreasing over time among residents of this town.

  11. Smoke-Free Universities Help Students Avoid Establishing Smoking by Means of Facilitating Quitting

    Directory of Open Access Journals (Sweden)

    Tatiana I Andreeva

    2015-12-01

    Full Text Available Background: This study aimed to clarify whether smoke-free policies affect the initiation or the quit­ting of smoking among young adults. Methods: In this natural quasi-experiment study, three universities with different enforcement of smoke-free policies were considered in Kazan City, Russian Federation. Exposure data were collected in 2008-2009 through measurement of particulate matter concentrations in typical sets of premises in each university to distinguish smoke-free universities (SFU and those not smoke-free (NSFU. All present third year students were surveyed in class in April-June 2011. Number of valid questionnaires equaled 635. The questionnaire was adapted from the Health Professions Students Survey and con­tained questions on smoking initiation, current tobacco use, willingness to quit, quit attempts, percep­tion of smoke-free policies enforcement, and the demographic data. Results: Among students of SFU, the percentage of current smokers was smaller than in NSFU: 42% vs. 64% in men and 32% vs. 43% in women. Prevalence of daily smoking was 11-12% in SFU, 26% in NSFU overall and 42% among male students. No advantage of SFU in limiting smoking initiation was found. Percentage of former smokers in SFU was 33% vs. 10% in NSFU. Among current smokers, 57% expressed willingness to quit in SFU and only 28% in NSFU. About 60% of current smokers in SFU attempted to quit within a year and only 36% did so in NSFU with 23% vs. 3% having done three or more attempts. Conclusion: Smoke-free universities help young adults to avoid establishing regular smoking by means of facilitating quitting smoking.

  12. The Role of Family on Hookah Smoking Initiation in Women: A Qualitative Study

    OpenAIRE

    Baheiraei, Azam; Sighaldeh, Shirin Shahbazi; Ebadi, Abbas; Kelishadi, Roya; Majdzadeh, Reza

    2015-01-01

    Hookah smoking has recently emerged as a popular alternative to cigarette smoking particularly among young adults and women. This study focused on the role of family members’ smoking behaviours as a possible risk factor for initiation of hookah smoking in women. 36 in-depth interviews were conducted with Iranian women of diverse ages for understanding the factors contributing to the initiation of hookah smoking. Four main themes were identified from the data. This study focused on the role of...

  13. Opportunities for Policy Interventions to Reduce Youth Hookah Smoking in the United States

    OpenAIRE

    Daniel S Morris; Fiala, Steven C.; Pawlak, Rebecca

    2012-01-01

    Preventing youth smoking initiation is a priority for tobacco control programs, because most adult tobacco smokers become addicted during adolescence. Interventions that restrict the affordability, accessibility, and marketing of cigarettes have been effective in reducing youth cigarette smoking. However, increasing numbers of youth are smoking tobacco using hookahs. Predictors of smoking tobacco with hookahs are the same as those for smoking cigarettes. Established interventions that curb yo...

  14. Disparities in Prevalence of Smoking and Smoking Cessation during Pregnancy: A Population-Based Study

    Directory of Open Access Journals (Sweden)

    Josiane L. Dias-Damé

    2015-01-01

    Full Text Available Objective. To examine time trends in prevalence of smoking and smoking cessation during pregnancy by family income, maternal level of education, skin color, and age. Methods. We conducted three population-based surveys in 2007, 2010, and 2013 with newly delivered mothers living in the municipality of Rio Grande, Southern Brazil. Data were collected using questionnaires administered after delivery in all (two maternity units in the city, at Dr. Miguel Riet Corrêa Júnior Hospital and at Santa Casa de Misericórdia. Time trends were analyzed using chi-square test for linear trend. Results. Data of 7,572 women showed that the prevalence of smoking before pregnancy decreased from 28% (26.2–29.7 in 2007 to 22% (20.8–24.0 in 2013 (P<0.001. Prevalence of smoking during pregnancy decreased from 22% (20.4–23.7 in 2007 to 18% (16.6–19.5 in 2013 (P<0.001. This reduction varied across income ranging from 17% (poorest to 35% (richest (P<0.001. The lower the income, the higher the smoking prevalence during pregnancy. Smoking cessation was more prevalent among women of higher level of education and income. Conclusions. Smoking before and during pregnancy is still highly prevalent and the prevalence of cessation is low pointing to a need to strengthen actions targeting low-income, less educated, black pregnant women.

  15. School smoking policies and smoking prevalence among adolescents: multilevel analysis of cross-sectional data from Wales

    OpenAIRE

    Moore, L.; Roberts, C; Tudor-Smith, C.

    2001-01-01

    OBJECTIVE—To examine the association between school smoking policies and smoking prevalence among pupils.
DESIGN—Multilevel analysis of cross-sectional data from surveys of schools and pupils.
SETTING—55 secondary schools in Wales.
SUBJECTS—55 teachers and 1375 pupils in year 11 (aged 15-16).
MAIN OUTCOME MEASURES—Self-reported smoking behaviour.
RESULTS—The prevalence of daily smoking in schools with a written policy on smoking for pupils, teachers, and other adults, with no pupils or teache...

  16. Promoting smoking cessation among parents: Effects on smoking-related cognitions and smoking initiation in children

    NARCIS (Netherlands)

    Schuck, K.; Otten, R.; Kleinjan, M.; Bricker, J.B.; Engels, R.C.M.E.

    2015-01-01

    Background Parental smoking is associated with an increased risk of smoking among youth. Epidemiological research has shown that parental smoking cessation can attenuate this risk. This study examined whether telephone counselling for parents and subsequent parental smoking cessation affect smoking-

  17. Smoking and Pregnancy

    Science.gov (United States)

    Smoking and Pregnancy Smoking can cause problems for a woman trying to become pregnant or who is already pregnant, and for her baby ... too early • Pregnancy occurs outside of the womb Smoking causes these health effects. Smoking could cause these ...

  18. Depression and Smoking

    Science.gov (United States)

    ... Someone Quit Stress & Mood Stress & Mood Smoking & Mood Stress Depression Anger Weight Management Weight Management Smoking and Weight ... Lifestyle Healthier Lifestyle Physical Fitness Food & Nutrition Sleep, Stress & Relaxation ... » Tools » Depression Basics » Depression and Smoking Depression and Smoking Why ...

  19. Within family transmission of secondhand smoke sensitivity and smoking attitude

    Directory of Open Access Journals (Sweden)

    David Laszlo Tarnoki

    2014-11-01

    Full Text Available [b]introduction and objective[/b]. The role of genetic factors in nicotine dependence is well understood, but no information is available on the inheritability of second-hand smoke (SHS exposure sensitivity and their co-variance. [b]materials and methods[/b]. 186 adult same-gender pairs of twin (146 monozygotic, 40 dizygotic; 44±17 years±SD completed a questionnaire. [b]results[/b]. The model showed a significant role of unshared environmental factors influencing the co-variance between smoking habit and SHS sensitivity (r[sub]e[/sub]=-0.191, 95% CI, -0.316 to -0.056, or the total phenotypic correlation of r[sub]ph[/sub]=-0.406, p<0.001 without evidence for genetic covariation. Age, gender and country-adjusted analysis indicated 51.5% heritability for smoking habit (95% confidence interval/CI/, 6.2 to 89.8%, 49.7% for SHS sensitivity (95%CI, 19.1–72.0%, 35.5% for general opinions on SHS exposure in restaurants/cafés (95%CI, 10.7–58.6%, and 16.9% in pubs/bars (95%CI, 0.0–49.0%. [b]conclusions[/b]. The co-variance between SHS sensitivity and smoking habits is driven mainly by the unshared environment. SHS sensitivity is moderately inheritable. The considerable influence of environmental factors on general opinions on SHS exposure in designated indoor public venues emphasizes the importance of smoking bans and health behaviour interventions at the individual level in developing an anti-smoking attitude.

  20. Trends in Coronary Heart Disease Epidemiology in India.

    Science.gov (United States)

    Gupta, Rajeev; Mohan, Indu; Narula, Jagat

    2016-01-01

    Cardiovascular diseases, especially coronary heart disease (CHD), are epidemic in India. The Registrar General of India reported that CHD led to 17% of total deaths and 26% of adult deaths in 2001-2003, which increased to 23% of total and 32% of adult deaths in 2010-2013. The World Health Organization (WHO) and Global Burden of Disease Study also have highlighted increasing trends in years of life lost (YLLs) and disability-adjusted life years (DALYs) from CHD in India. In India, studies have reported increasing CHD prevalence over the last 60 years, from 1% to 9%-10% in urban populations and dyslipidemias, smoking, diabetes, hypertension, abdominal obesity, psychosocial stress, unhealthy diet, and physical inactivity. Suitable preventive strategies are required to combat this epidemic. PMID:27372534

  1. "Immortal but frightened"-smoking adolescents' perceptions on smoking uptake and prevention

    Directory of Open Access Journals (Sweden)

    Emmelin Maria

    2010-12-01

    Full Text Available Abstract Background To curb the tobacco epidemic a combination of comprehensive interventions are needed at different levels. Smoking uptake is a multi-factorial process that includes societal factors as well as social and individual characteristics. An understanding of the process is essential in order to model interventions. The aim of this study was to explore the role of smoking for young smokers by focusing on the mechanisms that facilitate young people starting to smoke as well as what could have prevented them from starting. Methods A qualitative research design using focus group discussions was chosen as the basis for a content analysis approach. Eight focus groups were conducted with five to six participants in each (four groups with boys, four with girls. The informants were purposively selected to represent smokers in the age range of 15-16 years within the county. The total number of group participants was 44; 21 were girls and 23 boys. The study was performed at 7-9th grade schools in Västerbotten County in northern Sweden. Results Three themes related to different aspects of youth smoking behaviour emerged from the analysis. Theme 1 "gaining control" reflects what makes young people become smokers; theme 2 "becoming a part of the self" focuses on what facilitates youths to start smoking; theme 3 "concerned adults make a difference" indicates what may prevent them from starting. Conclusion Young smokers described starting to smoke as a means of gaining control of feelings and situations during early adolescence. Smoking adolescents expect adults to intervene against smoking. Close relations with concerned adults could be a reason for less frequent smoking or trying to quit smoking. Interventions aimed at normative changes, with consistent messages from both schools and parents about the negative aspects of tobacco seem to be a feasible approach for preventing youth from using tobacco.

  2. Olfactory and erectile dysfunction association in smoking and non-smoking men.

    Science.gov (United States)

    Özmen, Süay; Dülger, Seyhan; Çoban, Soner; Özmen, Ömer Afşın; Güzelsoy, Muhammed; Dikiş, Özlem Şengören; Akdeniz, Önder

    2016-06-01

    The studies evaluating the effect of smoking on olfaction reveals opposite results. In vitro and animal studies and epidemiological evidence from volunteers and patients, demonstrated the association between olfaction and erectile functions. In smoking man the reduction of olfactory acuity could adversely affect sexuality. The aim of the present study was to investigate the relationship between erectile dysfunction (ED) and olfactory dysfunction (OD) by comparing a group of healthy adult men with a group of smoking adult men. This prospective study involved 62 volunteers, who were recruited and divided into two groups; one consisted of 35 smoking adult men, and the other included 27 healthy non-smoking men. All participants in both groups were examined in detail for any condition with the potential to cause OD. They all had a normal genitourinary system suffered from no circulatory diseases, diabetes mellitus, hypertension, coronary artery disease nor hyperlipidemia; they had no history of medication affecting genitourinary system. Butanol threshold test and sniffin' stick® (Burghart, Wedel; Germany) screening test was used to asses olfactory functions in both groups. Participants' sexual desire was assessed using an International Index of Erectile Function (IIEF-5) scale. The means of sniffin' sticks scores, butanol threshold scores and IIEF-5 scores were statistically higher in non-smoking group. Butanol threshold scores and sniffin' sticks scores are correlated statistically with IIEF-5 in non-smoking and smoking groups. This study found an association between olfaction and erectile function in smoking and non-smoking men. As far as we know this study is the third published study to show the relationship olfactory and erectile function. In the future studies electrophysiological olfactory methods could be used to confirm in large cohorts the results obtained by the psychophysical approach. PMID:27037193

  3. Targeting Body Image Schema for Smoking Cessation among College Females: Rationale, Program Description, and Pilot Study Results

    Science.gov (United States)

    Napolitano, Melissa A.; Lloyd-Richardson, Elizabeth E.; Fava, Joseph L.; Marcus, Bess H.

    2011-01-01

    Smoking among young adults is a significant public health problem. Despite the negative health effects, many young women smoke for weight and body image reasons. Understanding the factors that prompt young women to initiate and continue smoking is important for designing smoking cessation interventions. The aim of the current article is to outline…

  4. Smoking frequency among current college student smokers: distinguishing characteristics and factors related to readiness to quit smoking.

    Science.gov (United States)

    Berg, Carla J; Ling, Pamela M; Hayes, Rashelle B; Berg, Erin; Nollen, Nikki; Nehl, Eric; Choi, Won S; Ahluwalia, Jasjit S

    2012-02-01

    Given the increased prevalence of non-daily smoking and changes in smoking patterns, particularly among young adults, we examined correlates of smoking level, specifically motives for smoking, and readiness to quit smoking among 2682 college undergraduates who completed an online survey. Overall, 64.7% (n = 1736) were non-smokers, 11.6% (n = 312) smoked 1-5 days, 10.5% (n = 281) smoked 6-29 days and 13.2% (n = 353) were daily smokers. Ordinal regression analyses modeling smoking level indicated that correlates of higher smoking level included having more friends who smoke (β = 0.63, 95% CI 0.57-0.69) and more frequent other tobacco use (β = 0.04, 95% CI 0.02-0.05), drinking (β = 0.04, 95% CI 0.02-0.07) and binge drinking (β = 0.09, 95% CI 0.06-0.13). Bivariate analyses indicated that daily smokers (versus the subgroups of non-daily smokers) were less likely to smoke for social reasons but more likely to smoke for self-confidence, boredom, and affect regulation. Controlling for sociodemographics, correlates of readiness to quit among current smokers included fewer friends who smoke (P = 0.002), less frequent binge drinking (P = 0.03), being a social smoker (P < 0.001), smoking less for self-confidence (P = 0.04), smoking more for boredom (P = 0.03) and less frequent smoking (P = 0.001). Specific motives for smoking and potential barriers to cessation particularly may be relevant to different groups of college student smokers.

  5. An investigation on the trend and related determinants of cigarette smoking on experimental smokers among undergraduate students in Changsha%长沙市大学生尝试吸烟者吸烟行为演变及影响因素分析

    Institute of Scientific and Technical Information of China (English)

    杨柳; 陈凤磊; 史翔宇; 陈浩; 林丹; 谭红专

    2011-01-01

    Objective To investigate the trend and related determinants of cigarette smoking on experimental smokers among undergraduate students in Changsha.Methods Stratified sampling method was adopted and 3600 undergraduate students from grade 1 to 3 in Changsha city were investigated through a self-administered questionnaire.All the experimental smokers during the last month were selected and divided into two groups based on the present smoking status.x2 test and logistic regression analysis were used to compare the differences of cigarette smoking among subpopulations and to explore the determinants.Results Among the 1550 experimental smokers of undergraduate students,the prevalence of cigarette smoking was 30.8%(95%CI:28.5-33.1).Students from the second-class(OR=2.367)or the third-class universities(OR=2.562)were more likely to adopt smoking behavior than those from top universities.Students majored in sports or arts(OR=2.456)were significantly more inclined to smoke than the liberal arts students.Students whose father were cadres(OR=1.602)were more likely to become smokers than those whose fathers were workers.Students being males(OR=7.386),having high monthly expenses(OR=1.139),with positive attitude to smoking benefits(OR=1.140)were risk factors for smoking.Number of smoking members in the family(OR=1.801)was significantly associated with the prevalence of cigarette smoking.Knowledge on diseases caused by smoking(OR=0.806)was protecting factor to smoking among the experimental smokers.Conclusion Those experimental smokers among undergraduate students might become smokers and the determinants of cigarette smoking behavior would include:ranking of universities,students' major,gender,father' s occupation,amount of pocket money,number of smoking members in the family,knowledge about smoking,the attitude to the benefit of smoking.%目的 分析长沙市大学生尝试吸烟者吸烟行为演变及影响因素.方法 采用问卷调查方式在长沙市的高校

  6. Wreaking “Havoc” on Smoking

    Science.gov (United States)

    Fallin, Amanda; Neilands, Torsten B.; Jordan, Jeffrey W.; Hong, Juliette S.; Ling, Pamela M.

    2014-01-01

    Background More than 25% of young adult Oklahomans smoked cigarettes in 2012. Tobacco marketing campaigns target young adults in social environments like bars/nightclubs. Social Branding interventions are designed to compete directly with this marketing. Purpose To evaluate an intervention to reduce smoking among young adult “Partiers” in Oklahoma. The Partier social subculture was described as follows: attendance at large nightclubs, fashion consciousness, valuing physical attractiveness, and achieving social status by exuding an image of confidence and financial success. Design Repeated cross-sectional study with three time points. Setting/Participants Randomized time location survey samples of young adult Partier bar and club patrons in Oklahoma City (Time 1 [2010], n=1,383; Time 2 [2011], 1,292; and Time 3 [2012], 1,198). Data were analyzed in 2013. Intervention The “HAVOC” Social Branding intervention was designed to associate a smoke-free lifestyle with Partiers’ values, and included events at popular clubs, brand ambassador peer leaders who transmit the anti-tobacco message, social media, and tailored anti-tobacco messaging. Main outcome measures Daily and nondaily smoking rates, and binge drinking rates (secondary). Results Overall, smoking rates did not change (44.1% at Time 1, 45.0% at Time 2, and 47.4% at Time 3 (p=0.17), but there was a significant interaction between intervention duration and brand recall. Partiers reporting intervention recall had lower odds of daily smoking (OR=0.30 [0.10, 0.95]) and no difference in nondaily smoking, whereas among Partiers without intervention recall had increased odds of smoking (daily AOR=1.74 [1.04, 2.89], nondaily AOR=1.97 [1.35, 2.87]). Among non-Partiers, those who recalled HAVOC reported no difference in smoking, and those who did not recall HAVOC reported significantly increased odds of smoking (daily AOR=1.53 [1.02, 2.31], nondaily AOR=1.72 [1.26, 2.36]). Binge drinking rates were significantly

  7. Age-related trends of inhibitory control in Stroop-like big–small task in 3- to 12-year-old children and young adults

    Directory of Open Access Journals (Sweden)

    Yoshifumi eIkeda

    2014-03-01

    Full Text Available Inhibitory control is the ability to suppress competing, dominant, automatic or prepotent cognitive processing at perceptual, intermediate, and output stages. Inhibitory control is a key cognitive function of typical and atypical child development. This study examined age-related trends of Stroop-like interference in 3–12-year-old children and young adults by administration of a computerized Stroop-like big–small task with reduced working memory demand. This task used a set of pictures displaying a big and small circle in black and included the same condition and the opposite condition. In the same condition, each participant was instructed to say ‘big’ when viewing the big circle and to say ‘small’ when viewing the small circle. In the opposite condition, each participant was instructed to say ‘small’ when viewing the big circle and to say ‘big’ when viewing the small circle. The opposite condition required participants to inhibit the prepotent response of saying the same, a familiar response to a perceptual stimulus. Results of this study showed that Stroop-like interference decreased markedly in children in terms of error rates and correct RT. There was no deterioration of performance occurring between the early trials and the late trials in the sessions of the day–night task. Moreover, pre-test failure rate was relatively low in this study. The Stroop-like big–small task is a useful tool to assess the development of inhibitory control in young children in that the task is easy to understand and has small working memory demand.

  8. Patterns and causes of gender differences in smoking.

    Science.gov (United States)

    Waldron, I

    1991-01-01

    In the early twentieth century in the United States and other Western countries, women were much less likely than men to smoke cigarettes, due in part to widespread social disapproval of women's smoking. During the mid-twentieth century, growing social acceptance of women's smoking contributed to increased smoking adoption by women. Increased social acceptance of women's smoking was part of a general liberalization of norms concerning women's behavior, reflecting increasing equality between the sexes. These historical trends were due in part to increases in women's employment. However, in the contemporary period employment appears to have little or no effect on women's smoking. Sex role norms and general expectations concerning gender-appropriate behavior have had a variety of effects on gender differences in smoking. First, general characteristics of traditional sex roles, including men's greater social power and generally greater restrictions on women's behavior, contributed to widespread social pressures against women's smoking. Second, traditional sex role norms and expectations have fostered gender differences in personal characteristics and experiences which influence smoking adoption. For example, rebelliousness has been more expected and accepted for males, and greater rebelliousness among adolescent males has contributed to greater smoking adoption by males. Finally, certain aspects of sex roles have contributed to gender differences in appraisal of the costs and benefits of smoking. For example, physical attractiveness is emphasized more for females and the contemporary beauty ideal is very slender, so females are more likely to view weight control as a benefit of smoking. Several other hypotheses concerning the causes of gender differences in smoking are not supported by the available evidence. For example, it appears that women's generally greater concern with health has not contributed significantly to gender differences in the prevalence of smoking

  9. Ear Acupressure for Smoking Cessation: A Randomised Controlled Trial

    OpenAIRE

    Zhang, Anthony L.; Yuan Ming Di; Christopher Worsnop; Brian H. May; Cliff Da Costa; Xue, Charlie C.L.

    2013-01-01

    This study investigated the efficacy and safety of ear acupressure (EAP) as a stand-alone intervention for smoking cessation and the feasibility of this study design. Adult smokers were randomised to receive EAP specific for smoking cessation (SSEAP) or a nonspecific EAP (NSEAP) intervention which is not typically used for smoking cessation. Participants received 8 weekly treatments and were requested to press the five pellets taped to one ear at least three times daily. Participants were fol...

  10. Higher smoking prevalence in urban compared to non-urban areas

    DEFF Research Database (Denmark)

    Idris, Berlian I; Giskes, Katrina; Borrell, Carme;

    2007-01-01

    We investigated differences in smoking prevalence between urban and non-urban area of residence in six Western European countries (Sweden, Finland, Denmark, Germany, Italy and Spain), and smoking prevalence trends over the period 1985-2000. In most countries, smoking prevalence was highest in urb...

  11. The social definition of women's smoking behaviour.

    Science.gov (United States)

    Elkind, A K

    1985-01-01

    The history of women's smoking behaviour is one of changing normative definitions. Recent trends have been explained in terms of the symbolic value of smoking, representing for women freedom and independence. This view is emphasised by advertising. However, other evidence suggests the continued existence of an older, more negative cultural stereotype. A two-part study of young women undergoing professional training for nursing and teaching throws some light on the way in which female smoking behaviour is currently socially interpreted. The first phase indicated that among the minority of parents who had expressed their attitudes towards their daughter's smoking in relation to sex-role norms, smoking was presented as unacceptable for women. More than half the sample perceived a negative cultural stereotype to be operating in contemporary society and two-thirds recognised its existence in the past. This stereotype presents smoking as a male behaviour and hence inappropriate for women. Women who do smoke are liable to be labelled as having unfeminine or degrading attributes. The stereotype operated more strongly in the general social background rather than in reference to personal relationships and hence its influence on contemporary behaviour is likely to be limited. It was rejected as out-dated or a male belief by some but nevertheless it represented the personal opinion of others. In terms of a more favourable definition the female smoker was perceived in terms of an elegant/sophisticated dimension and in relation to an extrovert personality. The view of sample members that the growing acceptability of women's smoking was related to social change indirectly supported the view that sees smoking as symbolic of independence. Those who saw smoking in neutral terms, i.e. as not having sex-role attributes, perceived smoking in this sense as normal social behaviour for men and women alike. The second phase suggested that smokers and non-smokers have divergent views about

  12. The social definition of women's smoking behaviour.

    Science.gov (United States)

    Elkind, A K

    1985-01-01

    The history of women's smoking behaviour is one of changing normative definitions. Recent trends have been explained in terms of the symbolic value of smoking, representing for women freedom and independence. This view is emphasised by advertising. However, other evidence suggests the continued existence of an older, more negative cultural stereotype. A two-part study of young women undergoing professional training for nursing and teaching throws some light on the way in which female smoking behaviour is currently socially interpreted. The first phase indicated that among the minority of parents who had expressed their attitudes towards their daughter's smoking in relation to sex-role norms, smoking was presented as unacceptable for women. More than half the sample perceived a negative cultural stereotype to be operating in contemporary society and two-thirds recognised its existence in the past. This stereotype presents smoking as a male behaviour and hence inappropriate for women. Women who do smoke are liable to be labelled as having unfeminine or degrading attributes. The stereotype operated more strongly in the general social background rather than in reference to personal relationships and hence its influence on contemporary behaviour is likely to be limited. It was rejected as out-dated or a male belief by some but nevertheless it represented the personal opinion of others. In terms of a more favourable definition the female smoker was perceived in terms of an elegant/sophisticated dimension and in relation to an extrovert personality. The view of sample members that the growing acceptability of women's smoking was related to social change indirectly supported the view that sees smoking as symbolic of independence. Those who saw smoking in neutral terms, i.e. as not having sex-role attributes, perceived smoking in this sense as normal social behaviour for men and women alike. The second phase suggested that smokers and non-smokers have divergent views about

  13. Coronary Heart Disease Attributable to Passive Smoking

    Science.gov (United States)

    Lightwood, James M.; Coxson, Pamela G.; Bibbins-Domingo, Kirsten; Williams, Lawrence W.; Goldman, Lee

    2014-01-01

    Background Passive smoking is a major risk factor for coronary heart disease (CHD), and existing estimates are out of date due to recent and substantial changes in the level of exposure. Objective To estimate the annual clinical burden and cost of CHD treatment attributable to passive smoking. Outcome measures Annual attributable CHD deaths, myocardial infarctions (MI), total CHD events, and the direct cost of CHD treatment. Methods A Monte Carlo simulation estimated the CHD events and costs as a function of the prevalence of CHD risk factors, including passive-smoking prevalence and a low (1.26) and high (1.65) relative risk of CHD due to passive smoking. Estimates were calculated using the CHD Policy Model, calibrated to reproduce key CHD outcomes in the baseline Year 2000 in the U.S. Results At 1999–2004 levels, passive smoking caused 21,800 (SE=2400) to 75,100 (SE=8000) CHD deaths and 38,100 (SE=4300) to 128,900 (SE=14,000) MIs annually, with a yearly CHD treatment cost of $1.8 (SE=$0.2) to $6.0 (SE=$0.7) billion. If recent trends in the reduction in the prevalence of passive smoking continue from 2000 to 2008, the burden would be reduced by approximately 25%–30%. Conclusions Passive smoking remains a substantial clinical and economic burden in the U.S. PMID:19095162

  14. Avoiding Secondhand Smoke (A Cup of Health with CDC)

    Centers for Disease Control (CDC) Podcasts

    2015-02-19

    Exposure to secondhand smoke causes serious health problems in both children and adult nonsmokers. In this podcast, Dr. David Homa discusses health hazards posed by exposure to secondhand smoke. .  Created: 2/19/2015 by MMWR.   Date Released: 2/19/2015.

  15. Exposure to teachers smoking and adolescent smoking behaviour

    DEFF Research Database (Denmark)

    Poulsen, L H; Osler, M; Roberts, C;

    2002-01-01

    To determine whether adolescent smoking behaviour is associated with their perceived exposure to teachers or other pupils smoking at school, after adjustment for exposure to smoking at home, in school, and best friends smoking.......To determine whether adolescent smoking behaviour is associated with their perceived exposure to teachers or other pupils smoking at school, after adjustment for exposure to smoking at home, in school, and best friends smoking....

  16. A Systematic Review of Tobacco Smoking Prevalence and Description of Tobacco Control Strategies in Sub-Saharan African Countries; 2007 to 2014.

    Directory of Open Access Journals (Sweden)

    Rachel Brathwaite

    Full Text Available To systematically review current smoking prevalence among adults in sub-Saharan Africa from 2007 to May 2014 and to describe the context of tobacco control strategies in these countries.Five databases, Medline, Embase, Africa-wide Information, Cinahl Plus, and Global Health were searched using a systematic search strategy. There were no language restrictions.26 included studies measured current smoking prevalence in nationally representative adult populations in sub-Saharan African countries.Study details were independently extracted using a standard datasheet. Data on tobacco control policies, taxation and trends in prices were obtained from the Implementation Database of the WHO FCTC website.Studies represented 13 countries. Current smoking prevalence varied widely ranging from 1.8% in Zambia to 25.8% in Sierra Leone. The prevalence of smoking was consistently lower in women compared to men with the widest gender difference observed in Malawi (men 25.9%, women 2.9%. Rwanda had the highest prevalence of women smokers (12.6% and Ghana had the lowest (0.2%. Rural, urban patterns were inconsistent. Most countries have implemented demand-reduction measures including bans on advertising, and taxation rates but to different extents.Smoking prevalence varied widely across sub-Saharan Africa, even between similar country regions, but was always higher in men. High smoking rates were observed among countries in the eastern and southern regions of Africa, mainly among men in Ethiopia, Malawi, Rwanda, and Zambia and women in Rwanda and rural Zambia. Effective action to reduce smoking across sub-Saharan Africa, particularly targeting population groups at increased risk remains a pressing public health priority.

  17. What public health strategies are needed to reduce smoking initiation?

    Science.gov (United States)

    Pierce, John P; White, Victoria M; Emery, Sherry L

    2012-03-01

    Smoking initiation is a key behaviour that determines the future health consequences of smoking in a society. There is a marked difference in smoking patterns around the world, driven by initiation rates. While a number of high-income countries have seen smoking prevalence decline markedly from peak, many low-income and middle-income countries appear to still be on an upward trend. Unlike cessation where changes are limited by nicotine dependence, rates of smoking initiation can change rapidly over a short time span. Interventions that can be effective in achieving this include increases in the price of tobacco products, mass media anti-smoking advertising, smoke-free policies, smoking curricula in schools, restrictions on marketing opportunities for the tobacco industry as well as social norms that lead to restrictions on adolescents' ability to purchase cigarettes. Comprehensive tobacco control programmes that aim to denormalise smoking behaviour in the community contain all of these interventions. Rapid reductions in smoking initiation in adolescents have been documented in two case studies of comprehensive tobacco control programmes in California and Australia. Consistent and inescapable messages from multiple sources appear to be key to success. However, the California experience indicates that the rapid decline in adolescent smoking will not continue if tobacco control expenditures and the relative price of cigarettes are reduced. These case studies provide strong additional evidence of the importance of countries implementing the provisions of the Framework Treaty on Tobacco Control.

  18. 'The smoking toolkit study': a national study of smoking and smoking cessation in England

    Directory of Open Access Journals (Sweden)

    Vangeli Eleni

    2011-06-01

    Full Text Available Abstract Background Up-to-date data tracking of national smoking patterns and cessation-related behaviour is required to evaluate and inform tobacco control strategies. The Smoking Toolkit Study (STS was designed for this role. This paper describes the methodology of the STS and examines as far as possible the representativeness of the samples. Methods The STS consists of monthly, cross sectional household interviews of adults aged 16 and over in England with smokers and recent ex-smokers in each monthly wave followed up by postal questionnaires three and six months later. Between November 2006 and December 2010 the baseline survey was completed by 90,568 participants. STS demographic, prevalence and cigarette consumption estimates are compared with those from the Health Survey for England (HSE and the General Lifestyle Survey (GLF for 2007-2009. Results Smoking prevalence estimates of all the surveys were similar from 2008 onwards (e.g 2008 STS = 22.0%, 95% C.I. = 21.4% to 22.6%, HSE = 21.7%, 95% C.I. = 20.9% to 22.6%, GLF = 20.8%, 95% C.I. = 19.7% to 21.9%, although there was heterogeneity in 2007 (chi-square = 50.30, p Conclusion There is reason to believe that the STS findings (see http://www.smokinginengland.info are generalisable to the adult population of England.

  19. [Preventive measures against minor's smoking].

    Science.gov (United States)

    Bessho, Fumio

    2013-03-01

    Adolescents are unique for tobacco control. They are easy to become tobacco-addicted and more than 70 % of adult smokers start to smoke tobacco during adolescence. Therefore, they are good targets for sales campaign by tobacco industry to secure their profit by making a large reservoir of smokers. Tobacco industry's tactics are very ingenious. It conducts many kinds of hidden advertisement. It supports many activities of youth and nonprofit organizations. Therefore, our effort should also put targets on adolescents. Adolescence is a unique stage of development and it is important to know its characteristics for effective approach to prevent starting and to facilitate quitting smoking. It is important to make tobacco-free environment surrounding adolescents, such as school campuses and other public places. PMID:23631250

  20. [Preventive measures against minor's smoking].

    Science.gov (United States)

    Bessho, Fumio

    2013-03-01

    Adolescents are unique for tobacco control. They are easy to become tobacco-addicted and more than 70 % of adult smokers start to smoke tobacco during adolescence. Therefore, they are good targets for sales campaign by tobacco industry to secure their profit by making a large reservoir of smokers. Tobacco industry's tactics are very ingenious. It conducts many kinds of hidden advertisement. It supports many activities of youth and nonprofit organizations. Therefore, our effort should also put targets on adolescents. Adolescence is a unique stage of development and it is important to know its characteristics for effective approach to prevent starting and to facilitate quitting smoking. It is important to make tobacco-free environment surrounding adolescents, such as school campuses and other public places.

  1. Trends in low-density lipoprotein cholesterol goal achievement in high risk United States adults: longitudinal findings from the 1999-2008 National Health and Nutrition Examination Surveys.

    Directory of Open Access Journals (Sweden)

    Matthew C Tattersall

    Full Text Available BACKGROUND: Previous studies have demonstrated gaps in achievement of low-density lipoprotein-cholesterol (LDL-C goals among U.S. individuals at high cardiovascular disease risk; however, recent studies in selected populations indicate improvements. OBJECTIVE: We sought to define the longitudinal trends in achieving LDL-C goals among high-risk United States adults from 1999-2008. METHODS: We analyzed five sequential population-based cross-sectional National Health and Nutrition Examination Surveys 1999-2008, which included 18,656 participants aged 20-79 years. We calculated rates of LDL-C goal achievement and treatment in the high-risk population. RESULTS: The prevalence of high-risk individuals increased from 13% to 15.5% (p = 0.046. Achievement of LDL-C <100 mg/dL increased from 24% to 50.4% (p<0.0001 in the high-risk population with similar findings in subgroups with (27% to 64.8% p<0.0001 and without (21.8% to 43.7%, p<0.0001 coronary heart disease (CHD. Achievement of LDL-C <70 mg/dL improved from 2.4% to 17% (p<0.0001 in high-risk individuals and subgroups with (3.4% to 21.4%, p<0.0001 and without (1.7% to 14.9%, p<0.0001 CHD. The proportion with LDL-C ≥130 mg/dL and not on lipid medications decreased from 29.4% to 18% (p = 0.0002, with similar findings among CHD (25% to 11.9% p = 0.0013 and non-CHD (35.8% to 20.8% p<0.0001 subgroups. CONCLUSION: The proportions of the U.S. high-risk population achieving LDL-C <100 mg/dL and <70 mg/dL increased over the last decade. With 65% of the CHD subpopulation achieving an LDL-C <100 mg/dL in the most recent survey, U.S. LDL-C goal achievement exceeds previous reports and approximates rates achieved in highly selected patient cohorts.

  2. Smoking (For Teens)

    Science.gov (United States)

    ... to get the smell of smoke out. Reduced athletic performance. People who smoke usually can't compete with ... heartbeat, decreased circulation, and shortness of breath) impair sports performance. Greater risk of injury and slower healing time. ...

  3. Smoking and asthma

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000504.htm Smoking and asthma To use the sharing features on ... your allergies or asthma worse are called triggers. Smoking is a trigger for many people who have ...

  4. Smart smoke alarm

    Energy Technology Data Exchange (ETDEWEB)

    Warmack, Robert J. Bruce; Wolf, Dennis A; Frank, Steven Shane

    2015-04-28

    Methods and apparatus for smoke detection are disclosed. In one embodiment, a smoke detector uses linear discriminant analysis (LDA) to determine whether observed conditions indicate that an alarm is warranted.

  5. Predictors of the Transition from Experimental to Daily Smoking in Late Adolescence and Young Adulthood

    Science.gov (United States)

    Park, Sunhee; Weaver, Terri E.; Romer, Daniel

    2010-01-01

    Although smoking initiation is rare in young adulthood, the progression to a higher level of smoking still occurs at this developmental stage. Thus, this study was aimed at exploring predictors of the transition from experimental to daily smoking in late teens and young adults using the 2nd and 3rd waves from the National Longitudinal Study of…

  6. Hookah Smoking and Harm Perception among Asthmatic Adolescents: Findings from the Florida Youth Tobacco Survey

    Science.gov (United States)

    Martinasek, Mary P.; Gibson-Young, Linda; Forrest, Jamie

    2014-01-01

    Background: Hookah tobacco smoking has increased in prevalence among Florida adolescents and is often viewed as a safer alternative to cigarette smoking by young adults. Asthmatic adolescents are at increased risk of the negative health effects of hookah smoking. The purpose of this study is to examine if hookah use and harm perception vary by…

  7. Association between decreasing trend in the mortality of adult T-cell leukemia/lymphoma and allogeneic hematopoietic stem cell transplants in Japan: analysis of Japanese vital statistics and Japan Society for Hematopoietic Cell Transplantation (JSHCT)

    International Nuclear Information System (INIS)

    Adult T-cell leukemia/lymphoma (ATLL) is a peripheral T-cell neoplasm with a very poor outcome. However, several studies have shown a progress in the treatment. To evaluate the effect of the progress in the treatment of ATLL in a whole patient population, we used vital statistics data and estimated age-adjusted mortality and trends in the mortality from 1995 to 2009. Since allogeneic hematopoietic stem-cell transplantation (allo-HSCT) has been introduced as a modality with curative potential during study period, we also evaluated the association of the annual number of allo-HSCT and the trend of the mortality of ATLL. Endemic (Kyushu) and non-endemic areas (others) were evaluated separately. Significance in the trend of mortality was evaluated by joinpoint regression analysis. During the study period, a total of 14 932 patients died of ATLL in Japan, and mortality decreased significantly in both areas (annual percent change (95% confidence interval (CI)): Kyushu, −3.1% (−4.3, −1.9); others, −3.4% (−5.3, −1.5)). This decreasing trend in mortality seems to be associated with an increase in the number of allo-HSCTs (Kyushu, R-squared=0.70, P=0.003; and others, R-squared=0.55, P=0.058). This study reveals that the mortality of ATLL is now significantly decreasing in Japan and this decreasing trend might be associated with allo-HSCT

  8. Association between Smoking, Passive Smoking, and Erectile Dysfunction: Results from the Boston Area Community Health (BACH) Survey

    Science.gov (United States)

    Kupelian, Varant; Link, Carol L.; McKinlay, John B.

    2007-01-01

    Introduction Although previous studies report an association between erectile dysfunction (ED) and smoking, few have examined the impact of passive smoke exposure on ED. This analysis examines the association of active and passive smoking and ED and investigates a dose-response effect of smoking. Methods The Boston Area Community Heath (BACH) survey is a study of urologic symptoms in a racially and ethnically diverse population. BACH used a multistage stratified random sample to recruit 2301 men, aged 30–79 yr, from the city of Boston. ED was assessed using the five-item International Index of Erectile Function. Smoking and passive smoking were assessed by self-report. Analyses adjusted for sociodemographic and lifestyle factors and important chronic illnesses. Results An association between smoking and ED was observed with a significant trend in increased risk of ED with cumulative pack-years of smoking (adjusted odds ratio [OR] = 1.68; 95% confidence interval [CI], 1.03, 2.30 for ≥ 20 pack-years). Compared to never smokers not exposed to passive smoking, men who never smoked but were exposed to passive smoking had a moderate, statistically nonsignificant, increase in risk of ED (adjusted OR = 1.33; 95%CI: 0.69, 2.55) comparable to the OR observed for a cumulative exposure of 10–19 pack-years of active smoking (adjusted OR = 1.25; 95%CI, 0.68, 2.30). Conclusions Results indicate a dose-response association between smoking and ED with a statistically significant effect observed with ≥ 20 pack-years of exposure. Passive smoking is associated with a small, statistically nonsignificant increase in risk of ED comparable to approximately 10–19 pack-years of active smoking. PMID:17383811

  9. Teenage smoking behaviour following a high-school smoking ban in Chile: interrupted time-series analysis

    Science.gov (United States)

    Salomon, Joshua A; Danaei, Goodarz; Ding, Eric L; Calvo, Esteban

    2015-01-01

    Abstract Objective To evaluate the effect of a smoking ban in high schools on smoking behaviour among Chilean students. Methods We conducted an interrupted time-series analysis, using repeated cross-sectional data from Chile’s school population survey (2000–2011) for high-school students aged 12–18 years and a control group of persons aged 19–24 years. Poisson regression models were used to assess trends in smoking behaviour before and after the policy changes. The outcome measures were self-reported smoking prevalence (any smoking in the past month) and high frequency of smoking (smoking 15 days or more per month). Findings From 2005 to 2011, the prevalence of smoking declined among high-school students by 6.8% per year compared with 3.6% decline per year in the control group. The decline in the target group was 2.9% (95% confidence interval, CI: 0.18 to 5.00) greater. We estimated that 5–6 years after enforcing the law, smoking prevalence among high-school students was 13.7% lower as a result of the ban. The impact of the smoking ban was primarily driven by declines in smoking prevalence among students in grades 8 to 10. The smoking ban did not significantly alter the frequency of smoking. Conclusion The 2005 school smoking ban reduced smoking prevalence among younger high-school students in Chile. Further interventions targeting older individuals and frequent smokers may be needed. PMID:26170504

  10. Implementation of smoke-free homes in Poland

    Directory of Open Access Journals (Sweden)

    Dorota Kaleta

    2015-10-01

    Full Text Available Objectives: Exposure to environmental tobacco smoke (ETS constitutes a threat to the health of many people. In order to diminish ETS exposure, countries (including Poland implemented legal restrictions of smoking in public places and worksites. Currently more attention is also paid to reduce overall and residential ETS exposure by voluntary smoke-free home policy adoption. The aim of current analysis was to evaluate the prevalence and determinants of implementing smoking bans at place of residence among economically active males and females in Poland. Material and Methods: Data from cross-sectional, household study – Global Adult Tobacco Survey (GATS 2009–2010 were analyzed. The logistic regression model was applied for appropriate calculations. Results: Out of 3696 studied subjects only 37.1% adopted total smoking ban within the home. Decreased likelihood of adopting total smoking bans was associated with current smoker status, low education attainment, lack of awareness on adverse health consequences of ETS, low level of support for tobacco control policies, and cohabitation with a smoker in both genders. Having smoke-free homes was also linked with age in women, place of residence and work smoking policy in indoor areas in men. Conclusions: Targeted activities to encourage adopting voluntary smoke-free rules among groups least likely to implement 100% smoking bans in the home and activities to decrease social acceptance of smoking in the presence of nonsmokers, children, pregnant woman are urgently needed.

  11. [Smoking in young military men: attitudes and characteristics].

    Science.gov (United States)

    de Granda Orive, J I; Peña Miguel, T; González Quijada, S; Escobar Sacristán, J; Gutiérrez Jiménez, T; Herrera de la Rosa, A

    1998-12-01

    This study aimed to determine the attitudes toward smoking and the characteristics of smoking patterns in young men of military age. Individuals performing their military service were surveyed using a self-administered, anonymous, personal and voluntary questionnaire. Questions were included on smoking habits, social context, and desire to quit. Responses were received from 386 (93.46%) subjects, all male, whose mean age was 20.52 +/- 2.3 years. The sample included 207 smokers (53.62%), 173 non smokers (44.81%) and 6 ex-smokers (1.55%). Mean age of initiation was 15.07 +/- 2.4 years and mean age of start of habitual smoking was 16.46 +/- 2.2 years. The main reasons for starting to smoke were curiosity (39.73%) and peer pressure (29.45%). Between 11 and 20 cigarettes/day were smoked by 53.74%. Those who began before 18 years of age smoked more than those who began after age 19. Light tobacco was smoked by 90.87%. Non smokers had fewer friends and family members who smoked than did smokers (p reason for increased smoking. We conclude that the prevalence of daily smoking is high among young men, who begin smoking regularly at 16 years of age. Those who begin later smoke less. The influence of friends and family members on initiation and maintenance of smoking is great. Half the smokers contemplated quitting and reported a high number of earlier attempts to stop. We believe that military quarters are an ideal place for health education and promotion, offering the possibility of designing special programs for decreasing the prevalence of smoking among adults.

  12. Smoking and Pancreatic Disease

    OpenAIRE

    2013-01-01

    Smoking is a major risk factor for chronic pancreatitis and pancreatic cancer. However, the mechanisms through which it causes the diseases remain unknown. In the present manuscript we reviewed the latest knowledge gained on the effect of cigarette smoke and smoking compounds on cell signaling pathways mediating both diseases. We also reviewed the effect of smoking on the pancreatic cell microenvironment including inflammatory cells and stellate cells.

  13. Exploring Children's Conceptions of Smoking Addiction

    Science.gov (United States)

    Wang, C.; Henley, N.; Donovan, R. J.

    2004-01-01

    Tobacco addiction is a major health problem for both adults and young people--between 20 and 60% of adolescents are dependent on nicotine and more than two-thirds who attempt to quit experience withdrawal symptoms. Yet, anti-smoking efforts targeted at children emphasize primary prevention and ignore addiction education, which is generally…

  14. Economics of smoking cessation

    OpenAIRE

    Parrott, S; Godfrey, C

    2004-01-01

    Smoking imposes a huge economic burden on society— currently up to 15% of total healthcare costs in developed countries. Smoking cessation can save years of life, at a very low cost compared with alternative interventions. This chapter reviews some of the economic aspects of smoking cessation.

  15. All about Quitting Smoking

    Science.gov (United States)

    ... with your health care provider about whether counseling, acupuncture, or hypnosis would be helpful. J Take a quit-smoking class or join a support group. E-cigarettes should not replace smoking or be used to help quit smoking. American Diabetes Association    1–800–DIABETES (342–2383)    www. diabetes. ...

  16. Disincentives, Identities, and Smoking.

    Science.gov (United States)

    Norman, Nancy M.

    When smoking decisions are understood in terms of the beliefs and attitudes which determine them, prevention programs can focus on changing these beliefs and attitudes. A study was conducted to measure students' attitudes and beliefs on the short-term health effects of smoking, on the social consequences of smoking, and on specific identities…

  17. Smoking and skin disease

    DEFF Research Database (Denmark)

    Thomsen, S F; Sørensen, L T

    2010-01-01

    suggest that tobacco smoking is a contributing factor in systemic lupus erythematosus, psoriasis, palmoplantar pustulosis, cutaneous squamous cell carcinoma, hidradenitis suppurativa, and genital warts. In contrast, smoking may confer some protective effects and mitigate other skin diseases, notably...... wounds. Most likely, alteration of inflammatory cell function and extracellular matrix turnover caused by smoking-induced oxidative stress are involved in the pathophysiologic mechanisms....

  18. Possible causes of quitting smoking among women in Ukraine

    Directory of Open Access Journals (Sweden)

    Bondarenko, Ksenia

    2011-05-01

    Full Text Available BACKGROUND. According to the Global Adult Tobacco Survey completed in 2010 in Ukraine, 28,8% (about 11,5 million of adults aged 15 years and older are current smokers. Among women, prevalence of current smoking is 11,2%, which is considerably less than among men (50%. The goal of the study was to reveal the determinants of quitting smoking among women.METHODS. The sample included 571 women, who were current or former daily smokers. Firstly, the bivariate analysis (cross-tabulation and chi-square test was conducted. Then, the significant determinants from bivariate analysis were included to binary logistic regression. The women’s smoking status (current daily smokers vs. former daily smokers was considered an outcome measure. Independent variables included education, age, occupation, income, religion, marital status, variation in prices for tobacco products, awareness of the negative consequences of smoking, permission to smoke at home, and whether the woman received an advice to quit smoking from a health worker.RESULTS. Bivariate analysis showed that there was statistically significant relationships with age, marital status, occupation, permission to smoke at home, having received information about the dangers of smoking from the radio, newspapers, and other sources. The multivariate analysis demonstrated that the unemployed women and women from households where smoking was banned were more likely to quit smoking. Unmarried women were less likely to quit smoking than married.CONCLUSIONS. Quitting smoking among women was associated with being married, unemployed, and living in a home where smoking is banned. Major limitations of the study are the small sample size and cross-sectional nature of the study; hence, the inerrant conclusions about cause-effect relationships are not possible. So, longitudinal study with larger sample could be a better future option.

  19. Parent, sibling and peer influences on smoking initiation, regular smoking and nicotine dependence. Results from a genetically informative design.

    Science.gov (United States)

    Scherrer, Jeffrey F; Xian, Hong; Pan, Hui; Pergadia, Michele L; Madden, Pamela A F; Grant, Julia D; Sartor, Carolyn E; Haber, Jon Randolph; Jacob, Theodore; Bucholz, Kathleen K

    2012-03-01

    We sought to determine whether parenting, sibling and peer influences are associated with offspring ever smoking, regular smoking and nicotine dependence (ND) after controlling for familial factors. We used a twin-family design and data from structured diagnostic surveys of 1919 biological offspring (ages 12-32 years), 1107 twin fathers, and 1023 mothers. Offspring were classified into one of four familial risk groups based on twin fathers' and their co-twins' history of DSM-III-R nicotine dependence. Multivariate multinomial logistic regression was used to model familial risk, paternal and maternal parenting behavior and substance use, sibling substance use, and friend and school peer smoking, alcohol and drug use. Ever smoking was associated with increasing offspring age, white race, high maternal pressure to succeed in school, sibling drug use, and friend smoking, alcohol and drug use. Offspring regular smoking was associated with these same factors with additional contribution from maternal ND. Offspring ND was associated with increasing offspring age, male gender, biological parents divorce, high genetic risk from father and mother ND, maternal problem drinking, maternal rule inconsistency and sibling drug use, and friend smoking, alcohol and drug use. Friend smoking had the largest magnitude of association with offspring smoking. This effect remains after accounting for familial liability and numerous parent and sibling level effects. Smoking interventions may have greatest impact by targeting smoking prevention among peer groups in adolescent and young adult populations. PMID:22094168

  20. Nicotine content and abstinence state have different effects on subjective ratings of positive versus negative reinforcement from smoking

    OpenAIRE

    Lindsey, Kimberly P.; Bethany K. Bracken; MacLean, Robert R; Ryan, Elizabeth T.; Lukas, Scott E.; Frederick, Blaise deB.

    2012-01-01

    Despite the well-known adverse health consequences of smoking, approximately 20% of US adults smoke tobacco cigarettes. Much of the research on smoking reinforcement and the maintenance of tobacco smoking behavior has focused on nicotine; however, a number of other non-nicotine factors are likely to influence the reinforcing effects of smoked tobacco. A growing number of studies suggest that non-nicotine factors, through many pairings with nicotine, are partially responsible for the reinforci...

  1. Tobacco use, exposure to second-hand smoke, and cessation training among the third-year medical and dental students in selected Member States of South-East Asia region: A trend analysis on data from the Global Health Professions Student Survey, 2005-2011

    Directory of Open Access Journals (Sweden)

    D N Sinha

    2012-01-01

    Full Text Available Background: The Medical and Dental Global Health Professions Student Surveys (GHPSS are surveys based in schools that collect self-administered data from students on the prevalence of tobacco use, exposure to second-hand smoke, and tobacco cessation training, among the third-year medical and dental students. Materials and Methods: Two rounds of medical and dental GHPSS have been conducted in Bangladesh, India, Myanmar, Nepal, Sri Lanka, and Thailand, among the third-year medical and dental students, between 2005 and 2006 and 2009 and 2011. Results: The prevalence of any tobacco use among third-year male and female medical students did not change in Bangladesh, India, and Nepal between 2005 and 2006 and 2009 and 2011; however, it reduced significantly among females in Myanmar (3.3% in 2006 to 1.8% in 2009 and in Sri Lanka (2.5% in 2006 to 0.6% in 2011. The prevalence of any tobacco use among third-year male dental students did not change in Bangladesh, India, Nepal, and Thailand between 2005 and 2006 and 2009 and 2011; however, in Myanmar, the prevalence increased significantly (35.6% in 2006 to 49.5% in 2009. Among the third-year female students, a significant increase in prevalence was noticed in Bangladesh (4.0% in 2005 to 22.2% in 2009 and Thailand (0.7% in 2006 to 2.1% in 2011. It remained unchanged in the other three countries. Prevalence of exposure to second-hand smoke (SHS both at home and in public places, among medical students, decreased significantly in Myanmar and Sri Lanka between 2006 and 2009 and in 2011. Among dental students, the prevalence of SHS exposure at home reduced significantly in Bangladesh, India, and Myanmar, and in public places in India. However, there was an increase of SHS exposure among dental students in Nepal, both at home and in public places, between 2005 and 2011. Medical students in Myanmar, Nepal, and Sri Lanka reported a declining trend in schools, with a smoking ban policy in place, between 2005 and

  2. Pharmacokinetic predisposition to nicotine from environmental tobacco smoke: a risk factor for pediatric asthma.

    Science.gov (United States)

    Knight, J M; Eliopoulos, C; Klein, J; Greenwald, M; Koren, G

    1998-01-01

    During the last decade several studies have shown that children whose parents smoke have higher rates of asthma. Recently, hair concentrations of cotinine have been shown to reflect systemic exposure to this constituent of smoke in both children and adults. At the present time it is not known, however, why some children exposed to passive smoking have asthma while others, similarly exposed, do not. The present study aimed at verifying whether asthmatic children are different from nonasthmatic children exposed to similar degrees of passive smoking in the way their bodies handle nicotine, a constituent of cigarette smoke. Seventy-eight asthmatic children were compared to 86 control children, all attending a consulting pediatric clinic in Toronto. A questionnaire completed by the parents and children detailed the daily number of cigarettes the child was exposed to and the identity of the smokers. Clinical data were extracted from the patients' charts. Urinary (corrected for creatinine) and hair concentrations of cotinine were measured by radioimmunoassays. The asthmatic and control children were of similar age, gender, and ethnic distribution, parental education, and socioeconomic status. Parents of asthmatic children tended to report a lower daily number of cigarettes (7.4 +/- 1.3/day vs. 11.2 +/- 2.3/day, p = 0.14), and this report agreed with the trend of urinary cotinine (47.1 +/- 9.1 ng/mg vs. 62.6 +/- 11.5 ng/mg, respectively). Conversely, children with asthma had on average twofold higher concentrations of cotinine in their hair (0.696 +/- 0.742 ng/mg) than control children (0.386 +/- 0.383) (p = 0.0001). In a similar manner, the hair:urine concentration ratio was significantly higher in children with asthma (0.028 +/- 0.002) than in their controls (0.18 +/- 0.003) (p = 0.0001). These results suggest that under exposure to similar amounts of nicotine, children with asthma have on average twofold higher systemic exposure to this constituent of cigarette smoke

  3. Skeletal Effects of Smoking.

    Science.gov (United States)

    Cusano, Natalie E

    2015-10-01

    Smoking is a leading cause of preventable death and disability. Smoking has long been identified as a risk factor for osteoporosis, with data showing that older smokers have decreased bone mineral density and increased fracture risk compared to nonsmokers, particularly at the hip. The increase in fracture risk in smokers is out of proportion to the effects on bone density, indicating deficits in bone quality. Advanced imaging techniques have demonstrated microarchitectural deterioration in smokers, particularly in the trabecular compartment. The mechanisms by which smoking affects skeletal health remain unclear, although multiple pathways have been proposed. Smoking cessation may at least partially reverse the adverse effects of smoking on the skeleton.

  4. Skeletal Effects of Smoking.

    Science.gov (United States)

    Cusano, Natalie E

    2015-10-01

    Smoking is a leading cause of preventable death and disability. Smoking has long been identified as a risk factor for osteoporosis, with data showing that older smokers have decreased bone mineral density and increased fracture risk compared to nonsmokers, particularly at the hip. The increase in fracture risk in smokers is out of proportion to the effects on bone density, indicating deficits in bone quality. Advanced imaging techniques have demonstrated microarchitectural deterioration in smokers, particularly in the trabecular compartment. The mechanisms by which smoking affects skeletal health remain unclear, although multiple pathways have been proposed. Smoking cessation may at least partially reverse the adverse effects of smoking on the skeleton. PMID:26205852

  5. [Prevention of coronary heart disease: smoking].

    Science.gov (United States)

    Heitzer, T; Meinertz, T

    2005-01-01

    Smoking is the leading preventable cause of illness and premature death in Germany, claiming over 110,000 lives a year because it directly increases the risk of dying from heart disease, stroke, emphysema and a variety of cancers. The overwhelming majority of smokers begin tobacco use before they reach adulthood. Among those young people who smoke, the average age is now 13-14. In Germany, about 39% of male and 31% of female adults (age 18-60 years) continue to smoke, despite information about the unequivocally negative health consequences of smoking. The exact mechanisms of smoking-related vascular disease are not yet known. Smoking causes acute hemodynamic alterations such as increase in heart rate, systematic and coronary vascular resistance, myocardial contractility, and myocardial oxygen demand. These short-term effects could lower the ischemic threshold in smokers with coronary artery disease and contribute to the increased risk for acute cardiovascular events. Endothelial damage is thought to be an initiating event in atherosclerosis and early studies have demonstrated that long-term smoking has direct toxic effects with structural changes of human endothelial cells. Recent research has shown the importance of the functional role of the endothelium in regulating vascular tone, platelet-endothelial interactions, leukocyte adhesion and smooth muscle cell proliferation via synthesis and release of a variety of substances such as nitric oxide. There is strong evidence that smoking leads to endothelial dysfunction mainly by increased inactivation of nitric oxide by oxygen-derived free radicals. Smoking also increases oxidative modification of LDL and is associated with lower HDL plasma levels. Smoking induces a systemic inflammatory response with increased leukocyte count and elevation of the C-reactive protein level. Importantly, the prothrombotic effects of smoking have been repeatedly demonstrated to cause alterations in platelet function, imbalance of

  6. Cost of tobacco‐related diseases, including passive smoking, in Hong Kong

    OpenAIRE

    McGhee, S M; Ho, L M; Lapsley, H M; Chau, J; Cheung, W L; Ho, S Y; Pow, M; Lam, T. H.; Hedley, A J

    2006-01-01

    Background: Costs of tobacco-related disease can be useful evidence to support tobacco control. In Hong Kong we now have locally derived data on the risks of smoking, including passive smoking. Aim: To estimate the health-related costs of tobacco from both active and passive smoking. Methods: Using local data, we estimated active and passive smoking-attributable mortality, hospital admissions, outpatient, emergency and general practitioner visits for adults and children, use of nursing homes ...

  7. Tobacco Smoking Using a Waterpipe (Hookah): What You Need to Know

    OpenAIRE

    Eissenberg, Thomas

    2013-01-01

    Smoking tobacco using a waterpipe (hookah) is increasing worldwide and is remarkably common among adolescents and young adults in the United States. Contrary to misperceptions that waterpipe tobacco smoking presents fewer health risks than cigarette smoking, recent data demonstrate clearly that the smoke from a waterpipe contains many of the same toxicants that are in cigarettes, including the dependence-producing drug nicotine, cancer-causing polycyclic aromatic hydrocarbons, pulmonary disea...

  8. Transgenerational Exposure to Environmental Tobacco Smoke

    Directory of Open Access Journals (Sweden)

    Xavier Joya

    2014-07-01

    Full Text Available Traditionally, nicotine from second hand smoke (SHS, active or passive, has been considered the most prevalent substance of abuse used during pregnancy in industrialized countries. Exposure to environmental tobacco smoke (ETS is associated with a variety of health effects, including lung cancer and cardiovascular diseases. Tobacco is also a major burden to people who do not smoke. As developing individuals, newborns and children are particularly vulnerable to the negative effects of SHS. In particular, prenatal ETS has adverse consequences during the entire childhood causing an increased risk of abortion, low birth weight, prematurity and/or nicotine withdrawal syndrome. Over the last years, a decreasing trend in smoking habits during pregnancy has occurred, along with the implementation of laws requiring smoke free public and working places. The decrease in the incidence of prenatal tobacco exposure has usually been assessed using maternal questionnaires. In order to diminish bias in self-reporting, objective biomarkers have been developed to evaluate this exposure. The measurement of nicotine and its main metabolite, cotinine, in non-conventional matrices such as cord blood, breast milk, hair or meconium can be used as a non-invasive measurement of prenatal SMS in newborns. The aim of this review is to highlight the prevalence of ETS (prenatal and postnatal using biomarkers in non-conventional matrices before and after the implementation of smoke free policies and health effects related to this exposure during foetal and/or postnatal life.

  9. One Last Puff? Public Smoking Bans and Smoking Behavior

    OpenAIRE

    Anger, Silke; Kvasnicka, Michael; Siedler, Thomas

    2011-01-01

    This paper investigates the short-term effects of public smoking bans on individual smoking behavior. In 2007 and 2008, state-level smoking bans were gradually introduced in all of Germany's federal states. We exploit this variation to identify the effect that smoke-free policies had on individuals’ smoking propensity and smoking intensity. Using rich longitudinal data from the German Socio-Economic Panel Study, our difference-in-differences estimates show that the introduction of smoke-free ...

  10. Effects of parental smoking on medical care utilization by children.

    Science.gov (United States)

    Vogt, T M

    1984-01-01

    A household interview survey of 2,582 adult members of the Kaiser-Permanente Medical Care Program of Oregon conducted in 1970-71 contained detailed questions about cigarette smoking patterns. Detailed, computerized medical records were maintained for all inpatient and outpatient care rendered between 1967 and 1974 to the 1,761 children of the interviewed sample. Adjusted for age, family size, socioeconomic status, and duration of Health Plan membership, children in non-smoking households used significantly more outpatient services than did children in smoking households, a relationship largely accounted for by their use of more preventive medical services than by children in smoking households. There were no significant differences in inpatient medical care use and outpatient care use for respiratory illness by children of smoking and non-smoking households. PMID:6689838

  11. Developmental changes in genetic and shared environmental contributions to smoking initiation and subsequent smoking quantity in adolescence and young adulthood

    Science.gov (United States)

    Bares, Cristina B.; Kendler, Kenneth S.; Maes, Hermine H.

    2015-01-01

    Background Few studies examining the genetic architecture of cigarette smoking have focused on adolescents or examined developmental changes in additive genetic, shared environment and unique environmental influences on liability to initiate cigarette smoking and quantity of cigarettes smoked. The aim of this study is to add to the literature on liability to initiate and use cigarettes during adolescence using a nationally representative sample. Method Data for this study came from adolescent and young adult twin pairs (ages 14-33) from the National Longitudinal Study of Adolescent to Adult Health. We ran a series of developmental causal-contingent-common pathway models to examine whether additive genetic, shared and unique environmental influences on liability to the initiation of cigarette use are shared with those on smoking quantity, and whether their contributions change across development. Results We found evidence for a developmental shift in genetic and shared environmental contributions to cigarette use. Early in adolescence genetic and environmental influences work independently on liability to cigarette smoking initiation and quantity of cigarettes smoked, but liability to these behaviors becomes correlated as individuals age into young adulthood. Conclusions These findings provide insight into the causal processes underlying the liability to smoke cigarettes. With age, there is greater overlap in the genetic and environmental factors that influence the initiation of cigarette smoking and quantity of cigarettes smoked. PMID:26227182

  12. Pleiotropic effects of Chr15q25 nicotinic gene cluster and the relationship between smoking, cognition and ADHD.

    Science.gov (United States)

    Schuch, Jaqueline B; Polina, Evelise R; Rovaris, Diego L; Kappel, Djenifer B; Mota, Nina R; Cupertino, Renata B; Silva, Katiane L; Guimarães-da-Silva, Paula O; Karam, Rafael G; Salgado, Carlos A I; White, Melanie J; Rohde, Luis A; Grevet, Eugenio H; Bau, Claiton H D

    2016-09-01

    Polymorphisms in the CHRNA5-CHRNA3-CHRNB4 gene cluster (Chr15q25) have been robustly associated with nicotine dependence, including genome-wide studies, as well as with cognitive and neuropsychological measures. In addition, cognitive processes can be influenced by nicotine use through nicotinic acetylcholine receptors (nAChRs). Here, we evaluated the effect of polymorphisms in CHRNA5-CHRNA3-CHRNB4 gene cluster and their interaction with tobacco smoking status on cognition in patients with Attention Deficit/Hyperactivity Disorder (ADHD). Eight SNPs from the CHRNA5-CHRNA3-CHRNB4 gene cluster were evaluated on a clinical sample of 403 adults with ADHD. Cognitive performance was assessed using the Wechsler Adult Intelligence Scale-Revised (WAIS-R). Analyses of covariance were used to assess the influence of single markers and their interaction with smoking status in the Vocabulary and Block Design subtests of WAIS-R. Correction for multiple comparisons was applied. Lifetime smoking was associated to Vocabulary subtest. The TT genotypes of CHRNA5 SNPs rs588765 and rs514743 showed a trend towards association with, respectively, higher and lower scores on the Vocabulary subtest. There was a significant interaction between intergenic SNP rs8023462 and smoking on Vocabulary scores. Our results are consistent with an influence of variants in the CHRNA5-CHRNA3-CHRNB4 gene cluster on cognitive measures. The overall scenario suggests a pleiotropic role of Chr15q25 nicotinic gene cluster with complex influences in ADHD, tobacco smoking and cognitive performance, characteristics that can be partially interdependent and may share underlying genetic factors. PMID:27302872

  13. Trends in Oral Antibiotic, Proton Pump Inhibitor, and Histamine 2 Receptor Blocker Prescription Patterns for Children Compared With Adults: Implications for Clostridium difficile Infection in the Community.

    Science.gov (United States)

    Faden, Howard S; Ma, Chan-Xing

    2016-07-01

    The use of antibiotics, proton pump inhibitor (PPI), and histamine 2 receptor blocker (H2B) was compared between children and adults in the community from 2005 through 2011. Antibiotic prescription rates remained stable for children, but increased significantly for adults, P = .03. PPI prescription rates increased for children, P = .02 and for adults, P = .009. H2B prescription rates increased for children, P = .03, but not for adults. Antibiotic prescription rates were significantly higher in children than adults in all 7 years, P < .0001. In contrast, PPI prescription rates were significantly higher in adults than children in all 7 years, P < .0001. H2B prescription rates were significantly higher in adults than children 1 to 18 years old P < .0001; however, H2B prescription rates were highest in children <1 year old, P = .0001. The high use of oral antibiotics, PPI, and H2B among outpatients may be a contributing factor to the rise of Clostridium difficile infection in the community. PMID:26350427

  14. Does neighborhood social cohesion modify the relationship between neighborhood social norms and smoking behaviors in Mexico?

    Science.gov (United States)

    Lozano, Paula; Fleischer, Nancy L; Moore, Spencer; Shigematsu, Luz Myriam Reynales; Santillán, Edna Arillo; Thrasher, James F

    2016-07-01

    The aim of this study was to examine the separate and combined relationships of neighborhood social norms and neighborhood social cohesion with smoking behavior in a cohort of adult Mexican smokers. Neighborhood anti-smoking norms were measured as the proportion of residents in each neighborhood who believed that society disapproves of smoking. Perceived social cohesion was measured using a 5-item cohesion scale and aggregated to the neighborhood level. Higher neighborhood anti-smoking norms were associated with less successful quitting. Neighborhood social cohesion modified the relationship between neighborhood social norms and two smoking behaviors: smoking intensity and quit attempts. Residents of neighborhoods with weaker anti-smoking norms and higher social cohesion had lower smoking intensity and more quit attempts than residents living in other areas. Social cohesion may help buffer smoking behavior in areas with weak social norms.

  15. Differential impact of local and federal smoke-free legislation in Mexico: a longitudinal study among adult smokers Impacto diferencial de la legislación federal y local de espacios libres de humo de tabaco en México: un estudio longitudinal entre fumadores adultos

    Directory of Open Access Journals (Sweden)

    James F Thrasher

    2010-01-01

    Full Text Available Objective. To assess the impact of Mexico City and federal smoke-free legislation on secondhand tobacco smoke (SHS exposure and support for smoke-free laws. Material and Methods. Pre- and post-law data were analyzed from a cohort of adult smokers who participated in the International Tobacco Control (ITC Policy Evaluation Suvey in four Mexican cities. For each indicator, we estimated prevalence, changes in prevalence, and between-city differences in rates of change. Results. Self-reported exposure to smoke-free media campaigns generally increased more dramatically in Mexico City. Support for prohibiting smoking in regulated venues increased overall, but at a greater rate in Mexico City than in other cities. In bars and restaurants/cafés, self-reported SHS exposure had significantly greater decreases in Mexico City than in other cities; however, workplace exposure decreased in Tijuana and Guadalajara, but not in Mexico City or Ciudad Juárez. Conclusions. Although federal smoke-free legislation was associated with important changes smoke-free policy impact, the comprehensive smoke-free law in Mexico City was generally accompanied by a greater rate of change.Objetivo. Evaluar el impacto de la legislación federal y del Distrito Federal (DF de espacios libres de humo de tabaco (ELHT sobre la exposición al humo de tabaco y el apoyo a las leyes. Material y métodos. Se analizaron datos antes y después de la ley en una cohorte de fumadores adultos de cuatro ciudades mexicanas donde se aplicó la Encuesta Internacional para Evaluar las Políticas Públicas para el Control del Tabaco (Encuesta ITC. Para cada indicador, se estimó la prevalencia, cambios en la prevalencia y diferencias entre ciudades en las tasas de cambio. Resultados. La exposición autorreportada a las campañas sobre los ELHT incrementaron dramáticamente en el DF. El apoyo para prohibir fumar en lugares regulados aumentó en general, pero aumentó más en el DF. La exposici

  16. Effects of smoking abstinence on reaction time variability in smokers with and without ADHD: An ex-Gaussian analysis

    Science.gov (United States)

    Kollins, Scott H.; McClernon, F. Joseph; Epstein, Jeff N.

    2009-01-01

    Smoking abstinence differentially affects cognitive functioning in smokers with ADHD, compared to non-ADHD smokers. Alternative approaches for analyzing reaction time data from these tasks may further elucidate important group differences. Adults smoking ≥15 cigarettes with (n = 12) or without (n = 14) a diagnosis of ADHD completed a continuous performance task (CPT) during two sessions under two separate laboratory conditions—a ‘Satiated’ condition wherein participants smoked up to and during the session; and an ‘Abstinent’ condition, in which participants were abstinent overnight and during the session. Reaction time (RT) distributions from the CPT were modeled to fit an ex-Gaussian distribution. The indicator of central tendency for RT from the normal component of the RT distribution (mu) showed a main effect of Group (ADHD Satiated), Group × Session interaction (ADHD increased significantly under Abstinent condition compared to Control), and a trend toward a main effect of Group (ADHD > Control). Alternative approaches to analyzing RT data provide a more detailed description of the effects of smoking abstinence in ADHD and non-ADHD smokers and results differ from analyses using more traditional approaches. These findings have implications for understanding the neuropsychopharmacology of nicotine and nicotine withdrawal. PMID:19041198

  17. Smoking and lifestyle in an urban population

    Directory of Open Access Journals (Sweden)

    Elkin Martínez L

    2011-07-01

    Full Text Available Smoking is harmful for one’s health and affects many people in the world. Its consequences are high morbidity and mortality from cardio-respiratory diseases and cancer. This complex public health issue also entails high costs. In order to understand this addiction, it is necessary to find out whether its presence is an isolated habit or a part of an unhealthy behavior. Objective: to explore the relationship between smoking and some components of a lifestyle. Methodology: a cross-sectional study with 4,000 adults aiming at identifying the link between smoking and certain aspects of lifestyle such as age, gender, education, socioeconomic level, physical inactivity, eating habits, recreation and alcohol. Results: age and socioeconomic level were not found to be associated with smoking; however, gender, schooling level, alcohol consumption, physical inactivity, unhealthy eating habits, and inadequate recreation were found to be statistically and epidemiologically related to smoking. Conclusions: smoking is associated with other adverse components of an unhealthy lifestyle. Community control and health promotion activities should address this issue through comprehensive strategies aimed at modifying human behavior in order to achieve more effective results.

  18. Adolescents' knowledge and opinions about smoking

    DEFF Research Database (Denmark)

    Povlsen, Lene; Aryal, Umesh Raj; Petzold, Max;

    2016-01-01

    BACKGROUND: The use of tobacco products among adolescents in Southeast Asia represents a major public health burden. Two out of ten adolescents attending school are tobacco users and several factors influence them to initiate tobacco use. Most studies related to tobacco use are quantitative, wher...... and reduce smoking. CONCLUSION: Curbing the tobacco epidemic in Nepal requires healthy public policies and multifaceted interventions to address the knowledge gap on health consequences associated with smoking among adolescents, teachers and parents/adults......., whereas qualitative studies exploring adolescents' smoking behavior and their views, knowledge and experiences are scarce. OBJECTIVE: To gain a deep understanding of Nepalese adolescents' knowledge and opinions about smoking and reasons for smoking initiation. SUBJECTS: Adolescents from four secondary...... schools in the Bhaktapur district, Nepal. METHODS: Eight focus-group discussions were conducted with 71 adolescents aged 13-16 years and from grades 8-10. Data were analyzed using manifest qualitative content analysis. RESULTS: The participants knew that smoking represents health risks as well as socio...

  19. Smoking, Smoking Cessation, and Lung Cancer Screening in the NELSON Trial

    NARCIS (Netherlands)

    C.M. van der Aalst (Carlijn)

    2011-01-01

    textabstractMore than one billion people around the world currently smoke tobacco. The use of tobacco kills more than 5 million people yearly. If this trend continues, it is expected that more than 8 million people will die annually from tobacco-related diseases by 2030 and more than 1 billion peopl

  20. Quantifying the contribution of changes in healthcare expenditures and smoking to the reversal of the trend in life expectancy in the Netherlands Health policies, systems and management in high-income countries

    NARCIS (Netherlands)

    F. Peters (Frederick); W.J. Nusselder (Wilma); Reibling, N. (Nadine); Wegner-Siegmundt, C. (Christian); J.P. Mackenbach (Johan)

    2015-01-01

    textabstractBackground: Since 2001 the Netherlands has shown a sharp upturn in life expectancy (LE) after a longer period of slower improvement. This study assessed whether changes in healthcare expenditure (HCE) explain this reversal in trends in LE. As an alternative explanation, the impact of cha