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Int. J. Environ. Res. Public Health 2016, 13(2), 158; doi:10.3390/ijerph13020158

Association Between Smoking and Physician-Diagnosed Stroke and Myocardial Infarction in Male Adults in Korea

1
Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul 05029, Korea
2
Department of Dental Hygiene, Suwon Women’s College, Suwon 16632, Korea
3
Big Data Steering Department, National Health Insurance Service, Seoul 04156, Korea
4
Department of Public Health Administration, Hanyang Women’s University, Seoul 04763, Korea
5
Granduate School of Public Health, Inje University, Pusan 50834, Korea
6
Department of Internal Medicine, School of Medicine, Inha University Hospital, Incheon 22212, Korea
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 20 November 2015 / Revised: 11 January 2016 / Accepted: 15 January 2016 / Published: 25 January 2016
View Full-Text   |   Download PDF [265 KB, uploaded 25 January 2016]

Abstract

To evaluate the association between smoking and physician-diagnosed stroke and myocardial infarction, this study used Community Health Survey data from 2009 on 92,082 males over the age of 30 years. Using multiple logistic regression, association index between smoking and physician-diagnosed stroke and myocardial infarction was calculated after adjusting the effects of age, hypertension, and diabetes. The odds ratios (95% confidence interval) of the physician-diagnosed stroke and myocardial infarction in the smoking group were 1.12 (1.02–1.24) and 1.21 (1.06–1.38) compared to the non-smoking group. The values of the physician-diagnosed stroke and myocardial infarction were 0.84 (0.74–0.94) and 0.96 (0.82–1.12) in the current-smoking subgroup, 1.38 (1.24–1.53) and 1.45 (1.26–1.67) in the ex-smoking subgroup, 1.39 (1.18–1.63) and 1.85 (1.53–2.24) in the 10- to 19-year smokers groups, 1.39 (1.22–1.58) and 1.36 (1.15–1.60) in the 30- to 40-year smokers groups, and 0.53 (0.44–0.63) and 0.47 (0.36–0.63) in those who had smoked for over 50 years. These results showed smoking was a risk factor for stroke and myocardial infarction in Korean males. This objective evidence should guide policy-making and public health interventions in the fields of smoking prevention and prohibition. View Full-Text
Keywords: smoking; stroke; myocardial infarction smoking; stroke; myocardial infarction
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Chang, S.; Kim, H.; Kim, V.; Lee, K.; Jeong, H.; Lee, J.-H.; Shin, S.-A.; Shin, E.; Park, M.; Ko, E. Association Between Smoking and Physician-Diagnosed Stroke and Myocardial Infarction in Male Adults in Korea. Int. J. Environ. Res. Public Health 2016, 13, 158.

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