Smokeless Tobacco Use and Prevalence of Cardiovascular Disease Among Males in the Population Assessment of Tobacco and Health (PATH) Study, Waves 1–4

Nahhas, Georges J.; Cummings, K. Michael; Halenar, Michael J; Sharma, Eva; Alberg, Anthony J.; Hatuskami, Dorothy; Bansal-Travers, Maansi; Hyland, Andrew; Gaalema, Diann E.; Morris, Pam; Duffy, Kara; Lagaud, Guy; Vivar, Juan C.; Marshall, Daniela; Blanco, Carlos; Taylor, Kristie

doi:10.1016/j.pmedr.2021.101650

Cited by 6 publications

(1 citation statement)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Over 30 carcinogens were contained in SLT and those strongly associated with multiple types of cancers, including oral, oropharyngeal, oesophageal, and pancreatic cancer [ 19 – 25 ]. It also significantly contributes to cardiovascular diseases and hypertension [ 26 ]. The systemic impact of SLT extends beyond these direct health risks.…”

Section: Introductionmentioning

confidence: 99%

Smokeless tobacco consumption among women of reproductive age: a systematic review and meta-analysis

Itumalla,

Khatib,

Gaidhane

et al. 2024

BMC Public Health

View full text Add to dashboard Cite

Smokeless tobacco (SLT) poses many negative health impacts. Despite its longstanding presence in societies across the world, the health implications of SLT have only been rigorously studied in recent decades. This systematic review and meta-analysis aimed to consolidate existing research to provide a comprehensive understanding of the global prevalence of SLT use among women of reproductive age. Relevant articles were extracted from databases such as PubMed, EMBASE, Web of Science, and Scopus from their inception until November 11, 2023. Observational studies reporting the number of SLT users among women of reproductive age were included. The quality of the studies was assessed using the Joanna Briggs Institute (JBI) tool. The meta-analysis used a random-effects model to determine SLT prevalence, supported by statistical tools like forest plots, I2 statistics, and sensitivity analyses to ensure the accuracy and comprehensiveness of the results. All statistical analyses were performed in R version 4.3. From 10 studies involving 2,053,667 participants, a pooled prevalence for SLT use among women of reproductive age was found to be 9.3% (95% CI: 0.038 to 0.21), with significant heterogeneity among studies (I2 = 100%). Publication bias was suspected among the studies. Sensitivity analysis and subgroup analysis couldn’t resolve the heterogeneity. Our analysis shows a significant prevalence of SLT use in women of reproductive age, especially in low socioeconomic and developing countries like India, Pakistan, and Nepal. For women of reproductive age, the use of smokeless tobacco (SLT) can lead to infertility, pregnancy complications, and adverse fetal outcomes, including low birth weight and preterm birth. The results highlight the necessity for specific public health measures and policy changes to decrease SLT consumption among reproductive-age women. Further studies are needed to investigate the reasons behind SLT usage in this group and to assess the impact of intervention strategies, to guide more effective public health initiatives and policies.

show abstract

Section: Introductionmentioning

confidence: 99%

Smokeless tobacco consumption among women of reproductive age: a systematic review and meta-analysis

Itumalla,

Khatib,

Gaidhane

et al. 2024

BMC Public Health

View full text Add to dashboard Cite

show abstract

Cardiovascular disease outcomes among established cigar users 40 years and older: Findings from the population assessment of tobacco and health (PATH) study, waves 1–5 (2013–2019)

Sharma,

Tang,

Lauten

et al. 2024

Preventive Medicine Reports

View full text Add to dashboard Cite

Non-cigarette Tobacco Use and Stroke Among West Africans: Evidence From the SIREN Study

Fakunle,

Okekunle,

Asowata

et al. 2023

Nicotine and Tobacco Research

View full text Add to dashboard Cite

Introduction Non-cigarette tobacco (NCT) represents a form of tobacco use with a misperceived significance in chronic disease events. Whether NCT use is sufficient to promote stroke events, especially among Africans, is yet to be understood. This study assessed the relationship between NCT use and stroke among indigenous Africans. Methods A total of 7,617 respondents (NCT users: 41 vs. non-NCT: 7576) from the Stroke Investigation Research and Educational Network study were included in the current analysis. NCT use was defined as self-reported use of smoked (cigars or piper) or smokeless (snuff or chewed) tobacco in the past year preceding stroke events. Stroke was defined based on clinical presentation and confirmed with a cranial CT/MRI. Multivariable-adjusted logistic regression was applied to estimate the odds ratio (OR) and 95% confidence interval (CI) for the relationship between NCT and stroke at p<0.05. Results Out of the 41 (0.54%) who reported NCT use, 27 (65.9%) reported using smokeless NCT. NCT users were older than non-smokers (62.8±15.7 vs 57.7±14.8 years). Overall, NCT use was associated with first-ever stroke (OR: 2.08; 95%CI: 1.02, 4.23) in the entire sample. Notably, smokeless NCT use was independently associated with higher odds of stroke (OR: 2.74; 95%CI: 1.15, 6.54), but smoked NCT use (OR: 0.16; 95%CI: 0.02, 1.63) presented a statistically insignificant association after adjusting for hypertension and other covariates. Conclusions NCT use was associated with higher odds of stroke, and public health interventions targeting NCT use might be promising in reducing the burden of stroke among indigenous Africans. Implications A detailed understanding of the relationship between NCT use and stroke will likely inform well-articulated policy guidance to promote evidence-based recommendations for public health prevention and management of stroke on the African continent.

show abstract

Smokeless Tobacco Use and Prevalence of Cardiovascular Disease Among Males in the Population Assessment of Tobacco and Health (PATH) Study, Waves 1–4

Cited by 6 publications

References 43 publications

Smokeless tobacco consumption among women of reproductive age: a systematic review and meta-analysis

Smokeless tobacco consumption among women of reproductive age: a systematic review and meta-analysis

Cardiovascular disease outcomes among established cigar users 40 years and older: Findings from the population assessment of tobacco and health (PATH) study, waves 1–5 (2013–2019)

Non-cigarette Tobacco Use and Stroke Among West Africans: Evidence From the SIREN Study

Contact Info

Product

Resources

About