dc.contributor.author |
Fa-Binefa, Manel |
dc.contributor.author |
Clará Velasco, Alberto |
dc.contributor.author |
Pérez-Fernández, Silvia |
dc.contributor.author |
Grau Magaña, Maria |
dc.contributor.author |
Dégano, Irene R. |
dc.contributor.author |
Martí-Lluch, Ruth |
dc.contributor.author |
Ramos, Rafel |
dc.contributor.author |
Marrugat de la Iglesia, Jaume |
dc.contributor.author |
Elosua Llanos, Roberto |
dc.date.accessioned |
2020-03-31T07:44:51Z |
dc.date.issued |
2019 |
dc.identifier.citation |
Fa-Binefa M, Clará A, Pérez-Fernández S, Grau M, Dégano IR, Marti-Lluch R, et al. Early smoking-onset age and risk of cardiovascular disease and mortality. Prev Med. 2019 Jul; 124:17-22. DOI: 10.1016/j.ypmed.2019.04.022 |
dc.identifier.issn |
0091-7435 |
dc.identifier.uri |
http://hdl.handle.net/10230/44118 |
dc.description.abstract |
Early smoking onset age (SOA) is a public health concern with scant empirical evidence of its role in health outcomes. The study had two aims: i) to assess whether an early SOA was associated with the risk of fatal and non-fatal CVD and all-cause and CVD mortality and ii) to explore the linear and non-linear association between SOA and the outcomes of interest. Data from 4499 current or former smokers, recruited from 1995 to 2005, aged 25 to 79 years, and with a median 7.02 years of follow-up, were obtained from the REGICOR population-based cohort. In the present analysis, performed in 2018, the independent variable was SOA and the dependent variables were CVD events, CVD mortality, and all-cause mortality. Penalized smoothing spline methods were used to assess the linear and non-linear association. During follow-up, 361 deaths and 210 CVD events were recorded. A significant non-linear component was identified in the association between SOA and CVD outcomes with a cut-off point at 12 years: In the group aged ≤12 years, each year of delay in SOA was inversely associated with CVD risk (HR = 0.71; 95%CI = 0.53-0.96) and CVD mortality (HR = 0.58; 95%CI = 0.37-0.90). No association was observed in the older SOA group. A linear association was observed between SOA and all-cause mortality, and each year of delay was associated with 4% lower risk of mortality (HR = 0.96; 95%CI = 0.93-0.98). The associations were adjusted for lifelong exposure to tobacco and cardiovascular risk factors. These results reinforce the value of preventing tobacco use among teenagers and adolescents. |
dc.format.mimetype |
application/pdf |
dc.language.iso |
eng |
dc.publisher |
Elsevier |
dc.relation.ispartof |
Preventive Medicine. 2019 Jul;124:17-22 |
dc.rights |
© Elsevier http://dx.doi.org/10.1016/j.ypmed.2019.04.022 |
dc.title |
Early smoking-onset age and risk of cardiovascular disease and mortality |
dc.type |
info:eu-repo/semantics/article |
dc.identifier.doi |
http://dx.doi.org/10.1016/j.ypmed.2019.04.022 |
dc.subject.keyword |
Cardiovascular diseases |
dc.subject.keyword |
Cardiovascular risk |
dc.subject.keyword |
Mortality |
dc.subject.keyword |
Smoking |
dc.subject.keyword |
Smoking onset age |
dc.subject.keyword |
Youth |
dc.rights.accessRights |
info:eu-repo/semantics/openAccess |
dc.type.version |
info:eu-repo/semantics/acceptedVersion |