smoking

Cigarettes, Cigars, or Pipes Carry Significant Mortality Risk

Individuals who exclusively use cigars, pipes, or cigarettes have a significantly risk of mortality, a new study showed.

For their study, the researchers assessed 357,420 patients enrolled in the National Longitudinal Mortality Study who exclusively used cigars, pipes, or cigarettes. Data were also obtained from the Current Population Survey, the Tobacco Use Supplement, and the National Death Index.
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All patients included in the study provided information regarding their tobacco use via surveys at baseline (1985) and were followed through 2011.

A total of 51,150 patients died during follow-up. Results showed that the risk for all-cause mortality was higher in exclusive current cigarette smokers (hazard ratio [HR] 1.98) and exclusive current cigar smokers (HR 1.20) compared with individuals who had never used tobacco.

Furthermore, the risk of mortality due to tobacco-related cancer was increased in exclusive current cigarette smokers (HR 4.06), exclusive current cigar smokers (HR 1.61), and exclusive current pipe smokers (HR 1.58).

The researchers noted significant associations of daily and nondaily cigarette use with lung cancer death (HR 6.24), oral cancer death (HR 4.62), circulatory death (HR 1.43), cardiovascular death (HR 1.24), cerebrovascular death (HR 1.39), and chronic obstructive pulmonary disease death (HR 7.66).

“This study provides further evidence that exclusive use of cigar, pipes, and cigarettes each confers significant mortality risks,” the researchers concluded.

—Christina Vogt

Reference:

Christensen CH, Rostron B, Cosgrove C, et al. Association of cigarette, cigar, and pipe use with mortality risk in the US population [Published online February 19, 2018]. JAMA Intern Med. doi:10.1001/jamainternmed.2017.8625.