Variations in risks from smoking between high-income, middle-income, and low-income countries. An analysis of data from 179 000 participants from 63 countries

Digital

Autores:
Sathish, Thirunavukkarasu
Teo, Koon
Britz-McKibbin, Philip
Gill, Biban
Islam, Shofiqul
Pare, Guillaume
Rangarajan, Sumathy
Duong, MyLinh
Lanas, Fernando
Lopez-Jaramillo, Patricio
Mony, Prem
Pinnaka, Lakshmi
Raman Kutty, Vellappillil
Orlandini, Andres
Avezum, Alvaro
Wielgosz, Andreas
Poirier, Paul
Alhabib, Khalid F.
Temizhan, Ahmet
Chifamba, Jephat
Yeates, Karen
Kruger, Iolanthé M.
Khatib, Rasha
Yusuf, Rita
Rosengren, Annika
Zatonska, Katarzyna
Iqbal, Romaina
Lui, Weida
Lang, Xinyue
Li, Sidong
Hu, Bo
Dans, Antonio
Yusufali, Afzalhussein
Bahonar, Ahmad
O’Donnell, Martin J.
McKee, Martin
Yusuf, Salim
Tipo de recurso:
Article of journal
Fecha de publicación:
2022
Institución:
Universidad de Santander
Repositorio:
Repositorio Universidad de Santander
Idioma:
spa
OAI Identifier:
oai:repositorio.udes.edu.co:001/6076
Acceso en línea:
https://doi.org/10.1016/S2214-109X(21)00509-X
https://repositorio.udes.edu.co/handle/001/6076
Palabra clave:
Rights
openAccess
License
© 2021 The Author(s). Published by Elsevier Ltd.
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repository_id_str
dc.title.spa.fl_str_mv Variations in risks from smoking between high-income, middle-income, and low-income countries. An analysis of data from 179 000 participants from 63 countries
title Variations in risks from smoking between high-income, middle-income, and low-income countries. An analysis of data from 179 000 participants from 63 countries
spellingShingle Variations in risks from smoking between high-income, middle-income, and low-income countries. An analysis of data from 179 000 participants from 63 countries
title_short Variations in risks from smoking between high-income, middle-income, and low-income countries. An analysis of data from 179 000 participants from 63 countries
title_full Variations in risks from smoking between high-income, middle-income, and low-income countries. An analysis of data from 179 000 participants from 63 countries
title_fullStr Variations in risks from smoking between high-income, middle-income, and low-income countries. An analysis of data from 179 000 participants from 63 countries
title_full_unstemmed Variations in risks from smoking between high-income, middle-income, and low-income countries. An analysis of data from 179 000 participants from 63 countries
title_sort Variations in risks from smoking between high-income, middle-income, and low-income countries. An analysis of data from 179 000 participants from 63 countries
dc.creator.fl_str_mv Sathish, Thirunavukkarasu
Teo, Koon
Britz-McKibbin, Philip
Gill, Biban
Islam, Shofiqul
Pare, Guillaume
Rangarajan, Sumathy
Duong, MyLinh
Lanas, Fernando
Lopez-Jaramillo, Patricio
Mony, Prem
Pinnaka, Lakshmi
Raman Kutty, Vellappillil
Orlandini, Andres
Avezum, Alvaro
Wielgosz, Andreas
Poirier, Paul
Alhabib, Khalid F.
Temizhan, Ahmet
Chifamba, Jephat
Yeates, Karen
Kruger, Iolanthé M.
Khatib, Rasha
Yusuf, Rita
Rosengren, Annika
Zatonska, Katarzyna
Iqbal, Romaina
Lui, Weida
Lang, Xinyue
Li, Sidong
Hu, Bo
Dans, Antonio
Yusufali, Afzalhussein
Bahonar, Ahmad
O’Donnell, Martin J.
McKee, Martin
Yusuf, Salim
dc.contributor.author.none.fl_str_mv Sathish, Thirunavukkarasu
Teo, Koon
Britz-McKibbin, Philip
Gill, Biban
Islam, Shofiqul
Pare, Guillaume
Rangarajan, Sumathy
Duong, MyLinh
Lanas, Fernando
Lopez-Jaramillo, Patricio
Mony, Prem
Pinnaka, Lakshmi
Raman Kutty, Vellappillil
Orlandini, Andres
Avezum, Alvaro
Wielgosz, Andreas
Poirier, Paul
Alhabib, Khalid F.
Temizhan, Ahmet
Chifamba, Jephat
Yeates, Karen
Kruger, Iolanthé M.
Khatib, Rasha
Yusuf, Rita
Rosengren, Annika
Zatonska, Katarzyna
Iqbal, Romaina
Lui, Weida
Lang, Xinyue
Li, Sidong
Hu, Bo
Dans, Antonio
Yusufali, Afzalhussein
Bahonar, Ahmad
O’Donnell, Martin J.
McKee, Martin
Yusuf, Salim
dc.contributor.researchgroup.spa.fl_str_mv Masira
description Digital
publishDate 2022
dc.date.accessioned.none.fl_str_mv 2022-02-21T16:49:42Z
dc.date.available.none.fl_str_mv 2022-02-21T16:49:42Z
dc.date.issued.none.fl_str_mv 2022-02-24
dc.type.spa.fl_str_mv Artículo de revista
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url https://doi.org/10.1016/S2214-109X(21)00509-X
https://repositorio.udes.edu.co/handle/001/6076
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dc.relation.citationendpage.spa.fl_str_mv E226
dc.relation.citationissue.spa.fl_str_mv 2
dc.relation.citationstartpage.spa.fl_str_mv E216
dc.relation.citationvolume.spa.fl_str_mv 10
dc.relation.indexed.spa.fl_str_mv Scopus
dc.relation.ispartofjournal.spa.fl_str_mv The Lancet Global Health
dc.rights.spa.fl_str_mv © 2021 The Author(s). Published by Elsevier Ltd.
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dc.rights.uri.spa.fl_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0/
rights_invalid_str_mv © 2021 The Author(s). Published by Elsevier Ltd.
Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)
https://creativecommons.org/licenses/by-nc-nd/4.0/
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eu_rights_str_mv openAccess
dc.format.extent.spa.fl_str_mv 11 p
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dc.publisher.spa.fl_str_mv The Lancet Global Health
dc.publisher.place.spa.fl_str_mv Reino Unido
dc.source.spa.fl_str_mv https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(21)00509-X/fulltext
institution Universidad de Santander
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spelling Sathish, Thirunavukkarasu608ee5e8-4c13-4d65-abf1-f9cc024d292a-1Teo, Koon60475883-56ab-4acc-833d-b027ad828534-1Britz-McKibbin, Philip641e492e-a7fb-40b0-8c0c-75e86dedd6f9-1Gill, Biban4df90553-fcd1-41ca-ab2d-d68c36861895-1Islam, Shofiqule02df6ce-a317-49c4-8ebd-72d82c266011-1Pare, Guillaumedd7820f6-1654-4bf6-8fb2-3666b651dba9-1Rangarajan, Sumathy5466c363-e515-4bd2-8537-eb839320f385-1Duong, MyLinh197e561b-3afb-4dab-ae0f-5d12947f463b-1Lanas, Fernandod22b7fe4-9f1f-4028-a22b-be782ef03d3c-1Lopez-Jaramillo, Patricio9a71267b-dcb0-4d31-b37d-2d30be58d4d2-1Mony, Premab6dbf82-20a0-4744-abfd-8a723db46c4d-1Pinnaka, Lakshmi4fbf920a-4cb7-4e32-8526-444e16f29999-1Raman Kutty, Vellappillil096a62d9-a241-4aa1-9566-75ce7e7095e0-1Orlandini, Andrescbafea09-3a82-4064-a22f-d34a0e7583d4-1Avezum, Alvaro8b920360-abb2-4ec8-b5ee-4e3f4e0b11eb-1Wielgosz, Andreasd9d25746-66c4-498e-a328-286412ab8782-1Poirier, Paul582804c9-12d8-40fc-b146-7e224c5d4312-1Alhabib, Khalid F.e4f1522a-5a72-4a8a-ba9e-96c458d47be6-1Temizhan, Ahmet626c731f-6484-4126-b211-2d9f81423b38-1Chifamba, Jephatf2496279-e934-40b8-8f61-0039a09f03f8-1Yeates, Karen79418492-ec06-4cc6-831a-4bf5b245b584-1Kruger, Iolanthé M.592ee486-f3e6-450b-80ba-a4245ac2ec2b-1Khatib, Rasha7beae0a6-cfd5-4272-bf8c-1b5896fed8e5-1Yusuf, Rita73629390-dae0-4d21-aca0-90da88bd2808-1Rosengren, Annika923779f9-3a92-4086-b3d9-9d78974926d9-1Zatonska, Katarzyna6d84170f-b69c-462b-9d93-3f363491580a-1Iqbal, Romaina015cbc16-dd01-4e26-adff-257bb8827f50-1Lui, Weida40254af2-c71a-4f14-baa3-11f57b22fbc5-1Lang, Xinyuef5cb5a50-3e79-4c6b-b92d-b71f7804e1cb-1Li, Sidongabe5371e-d7ea-478a-90b0-849d633a155d-1Hu, Bobec2821d-8ea9-4783-b64e-5fc592117452-1Dans, Antoniof365ef5a-7610-4022-8485-31d6d3879cd6-1Yusufali, Afzalhussein2c177fd9-b761-4f07-b754-1e05fe659a48-1Bahonar, Ahmad0f7df84f-12df-494e-9416-c33d4b5fedbe-1O’Donnell, Martin J.6fe522ea-5a33-4480-8561-96b0975c3172-1McKee, Martin5258b372-6b7d-4e6f-aaa6-0e81538245af-1Yusuf, Salim06a836b5-f5e3-41d9-a516-9cc46e5d7948-1Masira2022-02-21T16:49:42Z2022-02-21T16:49:42Z2022-02-24DigitalBackground Separate studies suggest that the risks from smoking might vary between high-income (HICs), middle-income (MICs), and low-income (LICs) countries, but this has not yet been systematically examined within a single study using standardised approaches. We examined the variations in risks from smoking across different country income groups and some of their potential reasons. Methods We analysed data from 134 909 participants from 21 countries followed up for a median of 11·3 years in the Prospective Urban Rural Epidemiology (PURE) cohort study; 9711 participants with myocardial infarction and 11 362 controls from 52 countries in the INTERHEART case-control study; and 11 580 participants with stroke and 11 331 controls from 32 countries in the INTERSTROKE case-control study. In PURE, all-cause mortality, major cardiovascular disease, cancers, respiratory diseases, and their composite were the primary outcomes for this analysis. Biochemical verification of urinary total nicotine equivalent was done in a substudy of 1000 participants in PURE. Findings In PURE, the adjusted hazard ratio (HR) for the composite outcome in current smokers (vs never smokers) was higher in HICs (HR 1·87, 95% CI 1·65–2·12) than in MICs (1·41, 1·34–1·49) and LICs (1·35, 1·25–1·46; interaction p<0·0001). Similar patterns were observed for each component of the composite outcome in PURE, myocardial infarction in INTERHEART, and stroke in INTERSTROKE. The median levels of tar, nicotine, and carbon monoxide displayed on the cigarette packs from PURE HICs were higher than those on the packs from MICs. In PURE, the proportion of never smokers reporting high second-hand smoke exposure (≥1 times/day) was 6·3% in HICs, 23·2% in MICs, and 14·0% in LICs. The adjusted geometric mean total nicotine equivalent was higher among current smokers in HICs (47·2 μM) than in MICs (31·1 μM) and LICs (25·2 μM; ANCOVA p<0·0001). By contrast, it was higher among never smokers in LICs (18·8 μM) and MICs (11·3 μM) than in HICs (5·0 μM; ANCOVA p=0·0001). Interpretation The variations in risks from smoking between country income groups are probably related to the higher exposure of tobacco-derived toxicants among smokers in HICs and higher rates of high second-hand smoke exposure among never smokers in MICs and LICs.Funding Full funding sources are listed at the end of the paper (see Acknowledgments).Ciencias Médicas y de la Salud11 papplication/pdfhttps://doi.org/10.1016/S2214-109X(21)00509-Xhttps://repositorio.udes.edu.co/handle/001/6076spaThe Lancet Global HealthReino UnidoE2262E21610ScopusThe Lancet Global Health© 2021 The Author(s). Published by Elsevier Ltd.info:eu-repo/semantics/openAccessAtribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)https://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(21)00509-X/fulltextVariations in risks from smoking between high-income, middle-income, and low-income countries. 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