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Smoking and eight-year mortality in an elderly cohort.
Int J Tuberc Lung Dis. 2000 Aug; 4(8):698-704.IJ

Abstract

SETTING

The increasing numbers of elderly people highlight the question of smoking effects in this age group.

OBJECTIVE

To investigate whether there is a relationship between smoking and 8-year mortality in a representative elderly cohort aged 65 years and over, residing in the department of Gironde, in the south-west of France.

METHODS

Data were collected by a questionnaire administered during home visits. Every death was systematically recorded during the 8-year follow-up.

RESULTS

The 2786 (99.8%) subjects included in the study were categorised into current smokers, former smokers and never smokers. Mortality was higher (P < 0.0001) in men (39.6%) than in women (29.4%). In men, the risk of mortality was higher (P = 0.01) among current (44.5%) and former smokers (41.4%) than in never smokers (32.5%). The risks were similar in never smokers and former smokers who had stopped more than 20 years previously. Tobacco consumption in pack-years was higher (P = 0.02) in those people who died during the follow-up period than in those who were still alive. Mortality due to respiratory disease (P = 0.008) and lung cancer (P < 0.0001) was significantly higher in current smokers than in former and never smokers. Adjusting for potential confounding factors, smoking remains significantly associated with mortality both in current (relative risk [RR] = 1.7, P < 0.001) and former smokers (RR = 1.3, P = 0.004).

CONCLUSION

These results confirm the consequences of smoking even in the elderly, and raise the question of smoking prevention after 65 years of age.

Authors+Show Affiliations

INSERM Unité 330, Université Victor Segalen Bordeaux II, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10949320

Citation

Tessier, J F., et al. "Smoking and Eight-year Mortality in an Elderly Cohort." The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease, vol. 4, no. 8, 2000, pp. 698-704.
Tessier JF, Nejjari C, Letenneur L, et al. Smoking and eight-year mortality in an elderly cohort. Int J Tuberc Lung Dis. 2000;4(8):698-704.
Tessier, J. F., Nejjari, C., Letenneur, L., Barberger-Gateau, P., Dartigues, J. F., & Salamon, R. (2000). Smoking and eight-year mortality in an elderly cohort. The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease, 4(8), 698-704.
Tessier JF, et al. Smoking and Eight-year Mortality in an Elderly Cohort. Int J Tuberc Lung Dis. 2000;4(8):698-704. PubMed PMID: 10949320.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Smoking and eight-year mortality in an elderly cohort. AU - Tessier,J F, AU - Nejjari,C, AU - Letenneur,L, AU - Barberger-Gateau,P, AU - Dartigues,J F, AU - Salamon,R, PY - 2000/8/19/pubmed PY - 2001/3/3/medline PY - 2000/8/19/entrez SP - 698 EP - 704 JF - The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease JO - Int J Tuberc Lung Dis VL - 4 IS - 8 N2 - SETTING: The increasing numbers of elderly people highlight the question of smoking effects in this age group. OBJECTIVE: To investigate whether there is a relationship between smoking and 8-year mortality in a representative elderly cohort aged 65 years and over, residing in the department of Gironde, in the south-west of France. METHODS: Data were collected by a questionnaire administered during home visits. Every death was systematically recorded during the 8-year follow-up. RESULTS: The 2786 (99.8%) subjects included in the study were categorised into current smokers, former smokers and never smokers. Mortality was higher (P < 0.0001) in men (39.6%) than in women (29.4%). In men, the risk of mortality was higher (P = 0.01) among current (44.5%) and former smokers (41.4%) than in never smokers (32.5%). The risks were similar in never smokers and former smokers who had stopped more than 20 years previously. Tobacco consumption in pack-years was higher (P = 0.02) in those people who died during the follow-up period than in those who were still alive. Mortality due to respiratory disease (P = 0.008) and lung cancer (P < 0.0001) was significantly higher in current smokers than in former and never smokers. Adjusting for potential confounding factors, smoking remains significantly associated with mortality both in current (relative risk [RR] = 1.7, P < 0.001) and former smokers (RR = 1.3, P = 0.004). CONCLUSION: These results confirm the consequences of smoking even in the elderly, and raise the question of smoking prevention after 65 years of age. SN - 1027-3719 UR - https://www.unboundmedicine.com/medline/citation/10949320/Smoking_and_eight_year_mortality_in_an_elderly_cohort_ L2 - https://www.ingentaconnect.com/openurl?genre=article&amp;issn=1027-3719&amp;volume=4&amp;issue=8&amp;spage=698&amp;aulast=Tessier DB - PRIME DP - Unbound Medicine ER -