Circulation Journal
Online ISSN : 1347-4820
Print ISSN : 1346-9843
Epidemiology
Smoking, Smoking Cessation, and Risk of Mortality in a Japanese Working Population ― Japan Epidemiology Collaboration on Occupational Health Study ―
Shamima AkterTohru NakagawaToru HondaShuichiro YamamotoKeisuke KuwaharaHiroko OkazakiHuanhuan HuTeppei ImaiAkiko NishiharaToshiaki MiyamotoNaoko SasakiTakayuki OgasawaraAkihiko UeharaMakoto YamamotoTaizo MurakamiMakiko ShimizuMasafumi EguchiTakeshi KochiAi HoriSatsue NagahamaKentaro TomitaMaki KonishiIkuko KashinoAkiko NanriIsamu KabeTetsuya MizoueNaoki KunugitaSeitaro Dohifor the Japan Epidemiology Collaboration on Occupational Health Study Group
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2018 Volume 82 Issue 12 Pages 3005-3012

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Abstract

Background: The effect of smoking on mortality in working-age adults remains unclear. Accordingly, we compared the effects of cigarette smoking and smoking cessation on total and cause-specific mortality in a Japanese working population.

Methods and Results: This study included 79,114 Japanese workers aged 20–85 years who participated in the Japan Epidemiology Collaboration on Occupational Health Study. Deaths and causes of death were identified from death certificates, sick leave documents, family confirmation, and other sources. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated via Cox proportional hazards regression. During a maximum 6-year follow-up, there were 252 deaths in total. Multivariable-adjusted HRs (95% CIs) for total mortality, cardiovascular disease (CVD) mortality, and tobacco-related cancer mortality were 1.49 (1.10–2.01), 1.79 (0.99–3.24), and 1.80 (1.02–3.19), respectively, in current vs. never smokers. Among current smokers, the risks of total, tobacco-related cancer, and CVD mortality increased with increasing cigarette consumption (Ptrend<0.05 for all). Compared with never smokers, former smokers who quit <5 and ≥5 years before baseline had HRs (95% CIs) for total mortality of 1.80 (1.00–3.25) and 1.02 (0.57–1.82), respectively.

Conclusions: In this cohort of workers, cigarette smoking was associated with increased risk of death from all and specific causes (including CVD and tobacco-related cancer), although these risks diminished 5 years after smoking cessation.

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© 2018 THE JAPANESE CIRCULATION SOCIETY
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