El tabaquismo y su fracción atribuible en la enfermedad isquémica cardiaca
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| Natura: | Artículo científico |
| Lingua: | en |
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Instituto Nacional de Salud Pública
2002
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| _version_ | 1876487358415634432 |
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| author | Eduardo Lazcano |
| author_facet | Eduardo Lazcano |
| contents | El tabaquismo y su fracción atribuible en la enfermedad isquémica cardiaca Eduardo Lazcano Luisa María Sánchez Luis Alfredo López Adrián Estrada Eduardo Salazar Mauricio Hernández Salud Mexico smoking attributable fraction Key words: myocardial infarction Objective. To assess the impact of cigarette smoking oncoronary heart disease (CHD) and to propose a simple andefficient method to estimate its attributable fraction (AF).Material and Methods. A matched case-control study wasconducted in the Regional Hospital of Instituto Mexicanodel Seguro Social (Mexican Institute of Social Security) inMorelos State, Mexico, from May to June-2000. Cases were80 prevalent and incident patients with CHD. One-hundredsixtycontrols matched by sex and age were randomlyselected from the outpatient clinic. The attributable fractionwas obtained through summary estimators, variances, andconfidence intervals for matched designs with more thanone control per case. Results. The prevalence of cigarettesmoking previous to the coronary event was 80%, comparedto 62.1% in controls. Mantel-Haenszel odds ratios showeda positive association of cigarette smoking with CHD (OR,6.7; 95% CI, 3.2-13.8). The attributable fraction among theexposed was 85% (95% CI, 74-95) while the populationattributable fraction was 56% (95% CI, 45-66). The AF inexposed was 65% for males (95% CI, 53-77) and 31% forfemales (95% CI 14-47). Conclusions. The long-termsmoking AF on CHD is greater than 85%. Such a high AFshould be countered with the implementation of primaryprevention measures to encourage smoking cessation andwith smoking cessation clinics for active smokers. These arethe two most important public health interventions toclínicas antitabaco en fumadores activos, continúan siendolas más relevantes medidas de salud pública actuales, nosólo para prevenir enfermedad cardiovascular, sino un granespectro de enfermedades crónicas. El texto completoen inglés de este artículo está disponible eh: http://www.insp.mx/salud/index.html 2002 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10644508 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.1 Vol.44 |
| format | Artículo científico |
| id | redalyc_10644508 |
| institution | Redalyc |
| language | en |
| publishDate | 2002 |
| publisher | Instituto Nacional de Salud Pública |
| spellingShingle | El tabaquismo y su fracción atribuible en la enfermedad isquémica cardiaca Eduardo Lazcano Salud Mexico smoking attributable fraction Key words: myocardial infarction El tabaquismo y su fracción atribuible en la enfermedad isquémica cardiaca Eduardo Lazcano Luisa María Sánchez Luis Alfredo López Adrián Estrada Eduardo Salazar Mauricio Hernández Salud Mexico smoking attributable fraction Key words: myocardial infarction Objective. To assess the impact of cigarette smoking oncoronary heart disease (CHD) and to propose a simple andefficient method to estimate its attributable fraction (AF).Material and Methods. A matched case-control study wasconducted in the Regional Hospital of Instituto Mexicanodel Seguro Social (Mexican Institute of Social Security) inMorelos State, Mexico, from May to June-2000. Cases were80 prevalent and incident patients with CHD. One-hundredsixtycontrols matched by sex and age were randomlyselected from the outpatient clinic. The attributable fractionwas obtained through summary estimators, variances, andconfidence intervals for matched designs with more thanone control per case. Results. The prevalence of cigarettesmoking previous to the coronary event was 80%, comparedto 62.1% in controls. Mantel-Haenszel odds ratios showeda positive association of cigarette smoking with CHD (OR,6.7; 95% CI, 3.2-13.8). The attributable fraction among theexposed was 85% (95% CI, 74-95) while the populationattributable fraction was 56% (95% CI, 45-66). The AF inexposed was 65% for males (95% CI, 53-77) and 31% forfemales (95% CI 14-47). Conclusions. The long-termsmoking AF on CHD is greater than 85%. Such a high AFshould be countered with the implementation of primaryprevention measures to encourage smoking cessation andwith smoking cessation clinics for active smokers. These arethe two most important public health interventions toclínicas antitabaco en fumadores activos, continúan siendolas más relevantes medidas de salud pública actuales, nosólo para prevenir enfermedad cardiovascular, sino un granespectro de enfermedades crónicas. El texto completoen inglés de este artículo está disponible eh: http://www.insp.mx/salud/index.html 2002 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10644508 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.1 Vol.44 |
| title | El tabaquismo y su fracción atribuible en la enfermedad isquémica cardiaca |
| topic | Salud Mexico smoking attributable fraction Key words: myocardial infarction |
| url | https://www.redalyc.org/articulo.oa?id=10644508 |