ArticleFrontiers in cardiovascular medicine2023
Assessing the association between smoking and hypertension: Smoking status, type of tobacco products, and interaction with alcohol consumption.
Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Associations of exclusive e-cigarette use and dual use of e-cigarettes and combustible cigarettes with prevalent and incident hypertension: A systematic review and meta-analysis.American journal of preventive cardiology · 2026Review
- Cigarette smoking, e-cigarette use, and hypertension: a population-based cross-sectional study.Journal of human hypertension · 2026Article
- Analysis of demographic factors and consumption habits on hypertension in the adult population in Indonesia: (Health Indonesian survey 2023).Journal of public health research · 2026Article
- A life course perspective on evolving hypertension and diabetes risk among older Indians.BMC public health · 2026Article
- Prevalence of hypertension in adults of primitive tribe of east Singhbhum district of Jharkhand: A community-based cross-sectional study.Journal of family medicine and primary care · 2026Article
- Perioperative cognitive dysfunction in bladder cancer patients, causal factors, and possible interventions.Frontiers in medicine · 2026Review
- The pain-comorbidity links: a cross-sectional analysis of musculoskeletal burden in Saudi older adults.Frontiers in public health · 2026Article
- Polyphenolic Compounds in the Prevention and Treatment of Hypertension: A Review.International journal of molecular sciences · 2025Review
- Increased Left Ventricular Myocardial Extracellular Volume Assessed by Cardiac Computed Tomography as a Consequence of Aortic Stenosis and Coexisting Cardiovascular Risk Factors.Journal of clinical medicine · 2025Article
- Article
- Additive interaction of conjoint tobacco smoking and heavy drinking on hypertension prevalence in rural Uganda: a community-based cross-sectional study.BMC public health · 2025Article
- Assessing heat stress, ambulatory hypertension and thermal symptoms in fish smokers along coastal areas in Ghana: a cross-sectional study.BMJ public health · 2025Article
- Associations of tobacco use, physical activity and diet with hypertension in the city of Kandahar, Afghanistan: a community-based cross-sectional study.BMC research notes · 2024Article
- The comorbidity burden of type 2 diabetes mellitus (T2DM): sex differences and associated factors among 830 cases in North-Eastern Morocco.Diabetology international · 2024Article
- Lifestyle Factors, Sociodemographic Characteristics and Incident Hypertension: A Prospective Analysis of the Korean National Health Insurance Service Sample Cohort.Journal of personalized medicine · 2024Article
- Influence of type of cooking fuel on risk of hypertension among reproductive-age women in sub-Saharan Africa: insights from nationally representative cross-sectional surveys.International health · 2024Article
- Prevalence and associated factors of undiagnosed hypertension among women aged 15-49 years in India: an analysis of National Family Health Survey-4 data.Journal of human hypertension · 2024Article
- The Association Between Smoking Behavior and the Risk of Hypertension: Review of the Observational and Genetic Evidence.Journal of multidisciplinary healthcare · 2024Review
- Tobacco exposure and alcohol drinking prevalence and associations with hypertension in rural southwest China: A cross-sectional study.Tobacco induced diseases · 2024Article
- Article
Corrections and comments
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Authors and funding
7 authors.
Funding
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Abstract
Background: The association between tobacco use and hypertension risk has been extensively researched but remains controversial, and few existing studies have considered the role of tobacco type and dosage response in this association. In this context, this study aims to provide epidemiological evidence for the possible relationship between tobacco smoking and future hypertension risk, with the tobacco type and consumption dose into consideration. Methods: This study was based on 10-year follow-up data from the Guizhou Population Health Cohort conducted in southwest China. Multivariate Cox proportional hazards regression models were used to estimate hazard ratios (HRs) and 95% confidence intervals [95% confidence intervals (CIs)], and restricted cubic spline analyses were performed to visualize the dose-response association. Results: A total of 5,625 participants (2,563 males and 3,062 females) were included in the final analysis. Heavy smokers of machine-rolled cigarettes had an elevated hypertension risk compared with non-smokers (HR: 1.50, 95% CI: 1.05-2.16). The interaction effects of heavy smoking-heavy drinking patterns increased the future hypertension risk, with an adjusted HR of 2.58 (95% CI: 1.06-6.33). Conclusion: This study did not find a significant association between overall tobacco use status and the risk of hypertension. However, heavy machine-rolled cigarette smokers had a statistically significant increased risk of hypertension compared with non-smokers, and a J-shape association has been found between the average daily consumption of machine-rolled cigarettes and the risk of hypertension. Besides, tobacco and alcohol consumption jointly increased the long-term hypertension risk.
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