ArticleBMC public health2021
Cigarette smoking and all-cause mortality in rural Chinese male adults: 15-year follow-up of the Anqing cohort study.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 10 citations in OpenAlex.
- Renal Hyperfiltration as a New Mechanism of Smoking-Related Mortality.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Tobacco smoke and all-cause mortality and premature death in China: a cohort study.BMC public health · 2023Article
- Association of the age at smoking initiation and cessation on all-cause and cause-specific mortality: The Japan Collaborative Cohort Study.Nagoya journal of medical science · 2023Article
- Age at smoking initiation and smoking cessation influence the incidence of stroke in China: a 10-year follow-up study.Journal of thrombosis and thrombolysis · 2023Article
- Assessment of association between smoking and all-cause mortality among Malaysian adult population: Findings from a retrospective cohort study.Tobacco induced diseases · 2022Article
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Authors and funding
21 authors at 9 institutions in 3 countries.
Funding
Abstract
backgroundAccording to the Global Burden of Disease Study 2017, smoking is one of the leading four risk factors contributing to deaths in China. We aimed to evaluate the associations of smoking with all-cause mortality in a Chinese rural population.
methodsMale participants over age 45 (n = 5367) from a large familial aggregation study in rural China, were included in the current analyses. A total of 528 former smokers and 3849 current smokers accounted for 10 and 71.7% of the cohort, respectively. Generalized Estimating Equations were used to evaluate the association between baseline smoking status and mortality, adjusting for pertinent covariates.
resultsThere were 579 recorded deaths during the 15-year follow-up. Current smokers (odds ratio [OR],1.60; 95% CI,1.23-2.08) had higher all-cause mortality risks than nonsmokers. Relative to nonsmokers, current smokers of more than 40 pack-years ([OR],1.85; 95% CI,1.33-2.56) had a higher all-cause mortality risk. Compared to nonsmokers, current smokers who started smoking before age 20 ([OR],1.91; 95% CI,1.43-2.54) had a higher all-cause mortality risk, and former smokers in the lower pack-year group who quit after age 41 (median) ([OR],3.19; 95% CI,1.83-5.56) also had a higher risk of death after adjustment. Furthermore, former smokers who were also former drinkers had the highest significant risk of mortality than never smokers or drinkers. (P for interaction = 0.034).
conclusionsThis study provides evidence that current smokers and former smokers have a higher mortality risk than nonsmokers and would benefit from cessation at a younger age.
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