Women who smoke like men die like men who smoke: Findings from two Australian cohort studies

Jamrozik, Konrad, McLaughlin, Deirdre, McCaul, Kieran, Almeida, Osvaldo P., Wong, Kore Yiee, Vagenas, Dimitrios and Dobson, Annette (2011) Women who smoke like men die like men who smoke: Findings from two Australian cohort studies. Tobacco Control, 20 4: 258-265. doi:10.1136/tc.2010.039172

Author Jamrozik, Konrad
McLaughlin, Deirdre
McCaul, Kieran
Almeida, Osvaldo P.
Wong, Kore Yiee
Vagenas, Dimitrios
Dobson, Annette
Title Women who smoke like men die like men who smoke: Findings from two Australian cohort studies
Journal name Tobacco Control   Check publisher's open access policy
ISSN 0964-4563
Publication date 2011-07
Sub-type Article (original research)
DOI 10.1136/tc.2010.039172
Volume 20
Issue 4
Start page 258
End page 265
Total pages 8
Place of publication London, United Kingdom
Publisher B M J Group
Collection year 2012
Language eng
Formatted abstract
Background: There is controversy about whether men and women with similar smoking histories have similar incidence and mortality rates from smoking related diseases.

Objective: To compare mortality rates from all causes of death and various smoking related causes for men and women smokers categorised by numbers of cigarettes smoked and for ex-smokers by time since quitting.

Methods: This was a 10-year follow-up study with deaths identified from the National Death Index. The setting was two cohort studies in Australia established in 1996. Participants were: men (n=12 154) and women (n=11 707) aged (mean (SD)) 72.1 (4.4) and 72.5 (1.5) years, respectively, when recruited. The main outcome measure was HRs for men and women separately and RRs calculated from combined analyses using proportional hazards models (for deaths from all causes) and competing risks proportional hazards models (for specific causes).

Results: HRs for deaths from all causes for men (n=3549 deaths) and women (n=2665 deaths) among smokers increased with amount smoked and for ex-smokers decreased with time since quitting. Similar effects were found for various groups of smoking-related conditions with the dose-response effects largest for lung cancer and chronic obstructive pulmonary disease. The ratios of HRs for women relative to men were near unity and the 95% CIs included unity for almost all comparisons.

Conclusions: The data provide strong evidence that men and women with similar patterns of smoking experience similar rates of death due to smoking.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 11 times in Thomson Reuters Web of Science Article | Citations
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