ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2013
Smoking status, physical health-related quality of life, and mortality in middle-aged and older women.
Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 40 citations in OpenAlex.
- Effects of High-Intensity Interval Training and Continuous Aerobic Training on Health-Fitness, Health Related Quality of Life, and Psychological Measures in College-Aged Smokers.International journal of environmental research and public health · 2022Trial
- Examining Associations Between Smoking Patterns and Employment Status Among a Nationally Representative Sample of U.S. Adults.AJPM focus · 2025Article
- Smoking is Associated With Impaired Long-term Quality of Life in Elderly People: A 22-year Cohort Study in NIPPON-DATA 90.Journal of epidemiology · 2024Article
- Association between smoking status and health-related quality of life: a study on differences among age groups.Frontiers in public health · 2024Article
- Genome-wide polygenic risk score for rheumatoid arthritis prediction in postmenopausal women.The journal of gene medicine · 2024Article
- Tobacco consumption and quality of life among teachers: a bidirectional problem.Frontiers in public health · 2024Article
- Differential patterns of lifestyle behaviors among low- and high-income postmenopausal women in Korea: a latent class analysis.BMC women's health · 2023Article
- Individuals with long-term illness, disability or infirmity are more likely to smoke than healthy controls: An instrumental variable analysis.Frontiers in public health · 2022Article
- The Association Between Smoking and Health-Related Quality of Life Among Chinese Individuals Aged 40 Years and Older: A Cross-Sectional Study.Frontiers in public health · 2022Article
- Comparing the preclinical risk profile of inhalable candidate and potential candidate modified risk tobacco products: A bridging use case.Toxicology reports · 2020Article
- The association between post-diagnosis health behaviors and long-term quality of life in survivors of ductal carcinoma in situ: a population-based longitudinal cohort study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018Article
- Association of occasional smoking with total mortality in the population-based Tromsø study, 2001-2015.BMJ open · 2017Article
- Article
- Active smoking and COPD phenotype: distribution and impact on prognostic factors.International journal of chronic obstructive pulmonary disease · 2017Observational
- Health-Related Quality of Life With Regard to Smoking, Consumption of Alcohol, and Sports Participation.Iranian Red Crescent medical journal · 2016Article
- Effect of smoking status on coronary artery disease among Chinese post-menopausal women.Internal and emergency medicine · 2016Observational
- Review
- Smoking status and health-related quality of life: a longitudinal study in young adults.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016Article
- The effect of smoking on the duration of life with and without disability, Belgium 1997-2011.BMC public health · 2014Article
- A mechanistic hypothesis of the factors that enhance vulnerability to nicotine use in females.Neuropharmacology · 2014Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
introductionWomen who smoke, particularly older women, have been relatively neglected in smoking research. There is a lack of knowledge concerning the relation of level of smoking to quality of life and mortality among middle-aged and older women smokers.
methodsThis study examined the relation of smoking status to physical health-related quality of life (PHRQL) and total mortality in women in the Women's Health Initiative (WHI) Observational Study. Participants were 90,849 postmenopausal women, who were an average age of 63.6 years at baseline. Analyses used multiple linear and Cox proportional hazards regression and controlled for age, educational level, and ethnicity. Never-smokers were the reference group.
resultsWe found that smoking status was significantly related to PHRQL cross-sectionally at baseline and prospectively at a 3-year follow-up, with those who smoked having lower PHRQL. Heavier smokers showed large, clinically meaningful associations with PHRQL and light smokers showed small associations. In addition, we found that the smoking status at baseline was significantly related to 10-year total mortality. Both light and heavier smoking at baseline significantly correlated with higher mortality risk; however, the relationship of smoking to mortality was dose dependent. Among former smokers, those who had smoked longer showed significantly lower PHRQL and significantly increased mortality risk.
conclusionsFindings suggest that the risks of smoking may not be evident to light smokers and that educational interventions targeted to middle-aged and older women stressing the consequences of light smoking may be particularly beneficial.
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