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Passive smoking and chronic obstructive pulmonary disease mortality: findings from the Japan collaborative cohort study

Author

Listed:
  • Shigekazu Ukawa

    (Hokkaido University Graduate School of Medicine)

  • Akiko Tamakoshi

    (Hokkaido University Graduate School of Medicine)

  • Hiroshi Yatsuya

    (Fujita Health University)

  • Kazumasa Yamagishi

    (University of Tsukuba)

  • Masahiko Ando

    (Nagoya University Hospital)

  • Hiroyasu Iso

    (Osaka University Graduate School of Medicine)

Abstract

Objectives To elucidate the association between passive smoking at home and chronic obstructive pulmonary disease (COPD) mortality via a large-scale nationwide cohort study in Japan. Methods Never smokers (n = 34,604) aged 40–79 years at baseline (1988–1990; 4884 men, 29,720 women) were included in the analysis. Passive smoking at home was measured based on self-reported frequency of weekly exposure to passive smoking at home. An inverse probability of treatment-weighted competing risk model was used to calculate the hazard ratio (HR) and 95% confidence interval (CI) for COPD mortality. Results During a median follow-up of 16.4 years, 33 participants (10 men, 23 women) died of COPD. The HR for participants exposed to passive smoking at home ≤4 days per week or those who had almost daily exposure to passive smoking at home had a significantly increased risk of COPD mortality (HR 2.40, 95% CI 1.39–4.15, HR 2.88, 95% CI 1.68–4.93, respectively). Conclusions The present findings suggest that avoiding passive smoking at home may be beneficial for preventing death due to COPD among never smokers.

Suggested Citation

  • Shigekazu Ukawa & Akiko Tamakoshi & Hiroshi Yatsuya & Kazumasa Yamagishi & Masahiko Ando & Hiroyasu Iso, 2017. "Passive smoking and chronic obstructive pulmonary disease mortality: findings from the Japan collaborative cohort study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(4), pages 489-494, May.
    • Handle: RePEc:spr:ijphth:v:62:y:2017:i:4:d:10.1007_s00038-016-0938-1
    DOI: 10.1007/s00038-016-0938-1
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    References listed on IDEAS

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    3. Shiyi Cao & Chen Yang & Yong Gan & Zuxun Lu, 2015. "The Health Effects of Passive Smoking: An Overview of Systematic Reviews Based on Observational Epidemiological Evidence," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-12, October.
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    Cited by:

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    2. Tasuku Okui & Jinsang Park, 2021. "Geographical Differences and Their Associated Factors in Chronic Obstructive Pulmonary Disease Mortality in Japan: An Ecological Study Using Nationwide Data," IJERPH, MDPI, vol. 18(24), pages 1-10, December.

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