A retrospective analysis of the association between tobacco smoking and deaths from respiratory and cardiovascular diseases in the Kassena-Nankana districts of Northern Ghana
Identifieur interne : 001889 ( Main/Exploration ); précédent : 001888; suivant : 001890A retrospective analysis of the association between tobacco smoking and deaths from respiratory and cardiovascular diseases in the Kassena-Nankana districts of Northern Ghana
Auteurs : Philip Ayizem Dalinjong ; Paul Welaga ; Daniel K. Azongo ; Samuel Chatio ; Dominic Anaseba ; Felix Kondayire ; James Akazili ; Cornelius Debpuur ; Abraham Rexford OduroSource :
- Tobacco Induced Diseases [ 2070-7266 ] ; 2015.
Abstract
Tobacco use is a public health problem, responsible for approximately six million deaths annually worldwide. It is a risk factor for many diseases including cancers, respiratory and cardiovascular diseases. In low-and middle-income countries, respiratory and cardiovascular diseases are important causes of death. Tobacco use is prevalent in Ghana, but no study had examined the relationship between tobacco use and deaths from respiratory and cardiovascular diseases in the Upper East Region of Northern Ghana. Hence the paper assessed the association between tobacco use and deaths from respiratory and cardiovascular diseases in that region.
The study used verbal autopsy data collected from the Kassena-Nankana East and West districts of the Upper East Region of Northern Ghana. Data from deceased individuals aged 15 to 59 years whose deaths occurred between January 1, 2004 and December 31, 2011 and with a known cause as well as smoking status were analyzed. Two binary outcome variables were generated from the cause of death data; whether an individual died from respiratory diseases or not, and from cardiovascular diseases or not. Multiple logistic regression models were used to assess the relationship between tobacco use and deaths from respiratory and cardiovascular diseases.
Out of 3,492 deaths with a known cause of death and smoking status, a third of them smoked. About 16.6% of smokers and 8.1% of non-smokers died from respiratory diseases. Approximately, 10.7% of smokers died from cardiovascular diseases compared to 10.6% of non-smokers. In multivariate analyses, individuals with a history of smoking had two-fold increased odds [OR=2.18, 95% CI (1.6-2.9)] of dying from respiratory diseases. Besides, the number of years of smoking as well as the frequency of smoking is significantly associated with deaths from respiratory diseases. No association existed between tobacco use and deaths from cardiovascular diseases.
Within our study we identified a strong relationship between tobacco use and deaths from respiratory diseases, but not an association with deaths from cardiovascular diseases. Our findings highlight the need to make appropriate health interventions to control tobacco use and thus help reduce premature deaths from respiratory and other tobacco linked diseases.
Url:
DOI: 10.1186/s12971-015-0037-8
PubMed: 25937824
PubMed Central: 4416277
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A retrospective analysis of the association between tobacco smoking and deaths from respiratory and cardiovascular diseases in the Kassena-Nankana districts of Northern Ghana</title><author><name sortKey="Dalinjong, Philip Ayizem" sort="Dalinjong, Philip Ayizem" uniqKey="Dalinjong P" first="Philip Ayizem" last="Dalinjong">Philip Ayizem Dalinjong</name><affiliation><nlm:aff id="Aff1">Navrongo Health Research Center, Ghana Health Service, Post Office Box 114, Navrongo, Ghana Africa</nlm:aff><wicri:noCountry code="subfield">Ghana Africa</wicri:noCountry></affiliation></author><author><name sortKey="Welaga, Paul" sort="Welaga, Paul" uniqKey="Welaga P" first="Paul" last="Welaga">Paul Welaga</name><affiliation><nlm:aff id="Aff1">Navrongo Health Research Center, Ghana Health Service, Post Office Box 114, Navrongo, Ghana Africa</nlm:aff><wicri:noCountry code="subfield">Ghana Africa</wicri:noCountry></affiliation></author><author><name sortKey="Azongo, Daniel K" sort="Azongo, Daniel K" uniqKey="Azongo D" first="Daniel K" last="Azongo">Daniel K. 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Azongo</name><affiliation><nlm:aff id="Aff1">Navrongo Health Research Center, Ghana Health Service, Post Office Box 114, Navrongo, Ghana Africa</nlm:aff><wicri:noCountry code="subfield">Ghana Africa</wicri:noCountry></affiliation></author><author><name sortKey="Chatio, Samuel" sort="Chatio, Samuel" uniqKey="Chatio S" first="Samuel" last="Chatio">Samuel Chatio</name><affiliation><nlm:aff id="Aff1">Navrongo Health Research Center, Ghana Health Service, Post Office Box 114, Navrongo, Ghana Africa</nlm:aff><wicri:noCountry code="subfield">Ghana Africa</wicri:noCountry></affiliation></author><author><name sortKey="Anaseba, Dominic" sort="Anaseba, Dominic" uniqKey="Anaseba D" first="Dominic" last="Anaseba">Dominic Anaseba</name><affiliation><nlm:aff id="Aff1">Navrongo Health Research Center, Ghana Health Service, Post Office Box 114, Navrongo, Ghana Africa</nlm:aff><wicri:noCountry code="subfield">Ghana Africa</wicri:noCountry></affiliation></author><author><name sortKey="Kondayire, Felix" sort="Kondayire, Felix" uniqKey="Kondayire F" first="Felix" last="Kondayire">Felix Kondayire</name><affiliation><nlm:aff id="Aff1">Navrongo Health Research Center, Ghana Health Service, Post Office Box 114, Navrongo, Ghana Africa</nlm:aff><wicri:noCountry code="subfield">Ghana Africa</wicri:noCountry></affiliation></author><author><name sortKey="Akazili, James" sort="Akazili, James" uniqKey="Akazili J" first="James" last="Akazili">James Akazili</name><affiliation><nlm:aff id="Aff1">Navrongo Health Research Center, Ghana Health Service, Post Office Box 114, Navrongo, Ghana Africa</nlm:aff><wicri:noCountry code="subfield">Ghana Africa</wicri:noCountry></affiliation></author><author><name sortKey="Debpuur, Cornelius" sort="Debpuur, Cornelius" uniqKey="Debpuur C" first="Cornelius" last="Debpuur">Cornelius Debpuur</name><affiliation><nlm:aff id="Aff1">Navrongo Health Research Center, Ghana Health Service, Post Office Box 114, Navrongo, Ghana Africa</nlm:aff><wicri:noCountry code="subfield">Ghana Africa</wicri:noCountry></affiliation></author><author><name sortKey="Oduro, Abraham Rexford" sort="Oduro, Abraham Rexford" uniqKey="Oduro A" first="Abraham Rexford" last="Oduro">Abraham Rexford Oduro</name><affiliation><nlm:aff id="Aff1">Navrongo Health Research Center, Ghana Health Service, Post Office Box 114, Navrongo, Ghana Africa</nlm:aff><wicri:noCountry code="subfield">Ghana Africa</wicri:noCountry></affiliation></author></analytic><series><title level="j">Tobacco Induced Diseases</title><idno type="ISSN">2070-7266</idno><idno type="eISSN">1617-9625</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Tobacco use is a public health problem, responsible for approximately six million deaths annually worldwide. It is a risk factor for many diseases including cancers, respiratory and cardiovascular diseases. In low-and middle-income countries, respiratory and cardiovascular diseases are important causes of death. Tobacco use is prevalent in Ghana, but no study had examined the relationship between tobacco use and deaths from respiratory and cardiovascular diseases in the Upper East Region of Northern Ghana. Hence the paper assessed the association between tobacco use and deaths from respiratory and cardiovascular diseases in that region.</p></sec><sec><title>Methods</title><p>The study used verbal autopsy data collected from the Kassena-Nankana East and West districts of the Upper East Region of Northern Ghana. Data from deceased individuals aged 15 to 59 years whose deaths occurred between January 1, 2004 and December 31, 2011 and with a known cause as well as smoking status were analyzed. Two binary outcome variables were generated from the cause of death data; whether an individual died from respiratory diseases or not, and from cardiovascular diseases or not. Multiple logistic regression models were used to assess the relationship between tobacco use and deaths from respiratory and cardiovascular diseases.</p></sec><sec><title>Results</title><p>Out of 3,492 deaths with a known cause of death and smoking status, a third of them smoked. About 16.6% of smokers and 8.1% of non-smokers died from respiratory diseases. Approximately, 10.7% of smokers died from cardiovascular diseases compared to 10.6% of non-smokers. In multivariate analyses, individuals with a history of smoking had two-fold increased odds [OR=2.18, 95% CI (1.6-2.9)] of dying from respiratory diseases. Besides, the number of years of smoking as well as the frequency of smoking is significantly associated with deaths from respiratory diseases. No association existed between tobacco use and deaths from cardiovascular diseases.</p></sec><sec><title>Conclusions</title><p>Within our study we identified a strong relationship between tobacco use and deaths from respiratory diseases, but not an association with deaths from cardiovascular diseases. Our findings highlight the need to make appropriate health interventions to control tobacco use and thus help reduce premature deaths from respiratory and other tobacco linked diseases.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Eriksen, M" uniqKey="Eriksen M">M Eriksen</name></author><author><name sortKey="Mackay, J" uniqKey="Mackay J">J Mackay</name></author><author><name sortKey="Ross, H" uniqKey="Ross H">H Ross</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mathers, Cd" uniqKey="Mathers C">CD Mathers</name></author><author><name sortKey="Loncar, D" uniqKey="Loncar D">D Loncar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jha, P" uniqKey="Jha P">P Jha</name></author><author><name sortKey="Ranson, M" uniqKey="Ranson M">M Ranson</name></author><author><name sortKey="Nguyen, S" uniqKey="Nguyen S">S 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uniqKey="Groenewald P">P Groenewald</name></author><author><name sortKey="Vos, T" uniqKey="Vos T">T Vos</name></author><author><name sortKey="Norman, R" uniqKey="Norman R">R Norman</name></author><author><name sortKey="Laubscher, R" uniqKey="Laubscher R">R Laubscher</name></author><author><name sortKey="Van Walbeek, C" uniqKey="Van Walbeek C">C van Walbeek</name></author><author><name sortKey="Saloojee, Y" uniqKey="Saloojee Y">Y Saloojee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mallaina, P" uniqKey="Mallaina P">P Mallaina</name></author><author><name sortKey="Lionis, C" uniqKey="Lionis C">C Lionis</name></author><author><name sortKey="Rol, H" uniqKey="Rol H">H Rol</name></author><author><name sortKey="Imperiali, R" uniqKey="Imperiali R">R Imperiali</name></author><author><name sortKey="Burgess, A" uniqKey="Burgess A">A Burgess</name></author><author><name sortKey="Nixon, M" uniqKey="Nixon M">M Nixon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jiang, G" uniqKey="Jiang G">G Jiang</name></author><author><name sortKey="Wang, D" uniqKey="Wang D">D Wang</name></author><author><name sortKey="Li, W" uniqKey="Li W">W Li</name></author><author><name sortKey="Pan, Y" uniqKey="Pan Y">Y Pan</name></author><author><name sortKey="Zheng, W" uniqKey="Zheng W">W Zheng</name></author><author><name sortKey="Zhang, H" uniqKey="Zhang H">H Zhang</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Akazili, James" sort="Akazili, James" uniqKey="Akazili J" first="James" last="Akazili">James Akazili</name><name sortKey="Anaseba, Dominic" sort="Anaseba, Dominic" uniqKey="Anaseba D" first="Dominic" last="Anaseba">Dominic Anaseba</name><name sortKey="Azongo, Daniel K" sort="Azongo, Daniel K" uniqKey="Azongo D" first="Daniel K" last="Azongo">Daniel K. Azongo</name><name sortKey="Chatio, Samuel" sort="Chatio, Samuel" uniqKey="Chatio S" first="Samuel" last="Chatio">Samuel Chatio</name><name sortKey="Dalinjong, Philip Ayizem" sort="Dalinjong, Philip Ayizem" uniqKey="Dalinjong P" first="Philip Ayizem" last="Dalinjong">Philip Ayizem Dalinjong</name><name sortKey="Debpuur, Cornelius" sort="Debpuur, Cornelius" uniqKey="Debpuur C" first="Cornelius" last="Debpuur">Cornelius Debpuur</name><name sortKey="Kondayire, Felix" sort="Kondayire, Felix" uniqKey="Kondayire F" first="Felix" last="Kondayire">Felix Kondayire</name><name sortKey="Oduro, Abraham Rexford" sort="Oduro, Abraham Rexford" uniqKey="Oduro A" first="Abraham Rexford" last="Oduro">Abraham Rexford Oduro</name><name sortKey="Welaga, Paul" sort="Welaga, Paul" uniqKey="Welaga P" first="Paul" last="Welaga">Paul Welaga</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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