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Excess injury mortality among smokers: a neglected tobacco hazard.
Tob Control. 2005 Jun; 14 Suppl 1:i28-32.TC

Abstract

OBJECTIVE

To assess the mortality risks from injuries for smokers and ex-smokers and to quantify the mortality burden of smoking from injury in Taiwan.

METHODS

Smokers' (and ex-smokers') mortality risks from injuries were compared with that of non-smokers in a merged cohort from Taiwan. A total of 64,319 male subjects were followed up for 12-18 years. Relative risks (RR) (adjusted for age and alcohol use) and 95% confidence intervals (CI) for cause specific injury deaths were calculated using the Cox proportional hazard model. Relative risks of injury mortality were also calculated to assess the presence of dose-response relations with daily smoking quantity.

RESULTS

Alcohol use adjusted relative mortality risks for all injuries (RR 1.69, 95% CI 1.39 to 2.05) including those from motor vehicle accidents (RR 1.88, 95% CI 1.44 to 2.45) and non-motor vehicle accidents (RR 1.48, 95% CI 1.11 to 1.99) were significantly higher for smokers than non-smokers. Mortality was also increased for most subtypes of non-motor vehicle injuries including falls, fires, and job related injuries. Furthermore, these increases were dose dependent, with the heaviest smokers having the highest risk and the lightest smokers the lowest risk, and ex-smokers, no increase. In 2001, over one fifth (23%) of all male injury deaths in Taiwan was associated with smoking.

CONCLUSION

This study demonstrated the significant association between fatal injuries and smoking. This relation adds further weight to smoking cessation campaigns.

Links

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Authors+Show Affiliations

Wen CP
Division of Health Policy Research, National Health Research Institutes, Taipei, Taiwan. cwengood@nhri.org.tw
Tsai SP
No affiliation info available
Cheng TY
No affiliation info available
Chan HT
No affiliation info available
Chung WS
No affiliation info available
Chen CJ
No affiliation info available

MeSH

Accidental FallsAccidents, OccupationalAccidents, TrafficAdultAlcohol DrinkingCause of DeathCohort StudiesEducational StatusHumansMaleRisk FactorsSmokingTaiwanWounds and Injuries

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15923444

Citation

Wen, C P., et al. "Excess Injury Mortality Among Smokers: a Neglected Tobacco Hazard." Tobacco Control, vol. 14 Suppl 1, 2005, pp. i28-32.
Wen CP, Tsai SP, Cheng TY, et al. Excess injury mortality among smokers: a neglected tobacco hazard. Tob Control. 2005;14 Suppl 1:i28-32.
Wen, C. P., Tsai, S. P., Cheng, T. Y., Chan, H. T., Chung, W. S., & Chen, C. J. (2005). Excess injury mortality among smokers: a neglected tobacco hazard. Tobacco Control, 14 Suppl 1, i28-32.
Wen CP, et al. Excess Injury Mortality Among Smokers: a Neglected Tobacco Hazard. Tob Control. 2005;14 Suppl 1:i28-32. PubMed PMID: 15923444.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Excess injury mortality among smokers: a neglected tobacco hazard. AU - Wen,C P, AU - Tsai,S P, AU - Cheng,T Y, AU - Chan,H T, AU - Chung,W S I, AU - Chen,C J, PY - 2005/6/1/pubmed PY - 2005/7/21/medline PY - 2005/6/1/entrez SP - i28 EP - 32 JF - Tobacco control JO - Tob Control VL - 14 Suppl 1 N2 - OBJECTIVE: To assess the mortality risks from injuries for smokers and ex-smokers and to quantify the mortality burden of smoking from injury in Taiwan. METHODS: Smokers' (and ex-smokers') mortality risks from injuries were compared with that of non-smokers in a merged cohort from Taiwan. A total of 64,319 male subjects were followed up for 12-18 years. Relative risks (RR) (adjusted for age and alcohol use) and 95% confidence intervals (CI) for cause specific injury deaths were calculated using the Cox proportional hazard model. Relative risks of injury mortality were also calculated to assess the presence of dose-response relations with daily smoking quantity. RESULTS: Alcohol use adjusted relative mortality risks for all injuries (RR 1.69, 95% CI 1.39 to 2.05) including those from motor vehicle accidents (RR 1.88, 95% CI 1.44 to 2.45) and non-motor vehicle accidents (RR 1.48, 95% CI 1.11 to 1.99) were significantly higher for smokers than non-smokers. Mortality was also increased for most subtypes of non-motor vehicle injuries including falls, fires, and job related injuries. Furthermore, these increases were dose dependent, with the heaviest smokers having the highest risk and the lightest smokers the lowest risk, and ex-smokers, no increase. In 2001, over one fifth (23%) of all male injury deaths in Taiwan was associated with smoking. CONCLUSION: This study demonstrated the significant association between fatal injuries and smoking. This relation adds further weight to smoking cessation campaigns. SN - 1468-3318 UR - https://www.unboundmedicine.com/medline/citation/15923444/Excess_injury_mortality_among_smokers:_a_neglected_tobacco_hazard_ DB - PRIME DP - Unbound Medicine ER -