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Article: Smoking and tuberculosis among the elderly in Hong Kong

TitleSmoking and tuberculosis among the elderly in Hong Kong
Authors
KeywordsChinese
Elderly
Notification
Smoking
Tuberculosis
Issue Date2004
PublisherAmerican Thoracic Society. The Journal's web site is located at http://ajrccm.atsjournals.org
Citation
American Journal Of Respiratory And Critical Care Medicine, 2004, v. 170 n. 9, p. 1027-1033 How to Cite?
AbstractA cohort of 42,655 clients that were first registered with the Elderly Health Service in 2000 were followed prospectively through the tuberculosis (TB) notification registry until the end of 2002. A total of 286 active TB cases (186 culture confirmed) were identified. The annual TB notification rates were 735, 427, and 174 per 100,000 among current smokers, ex-smokers, and never-smokers, respectively (p < 0.001). The trend in TB risk persisted after the control of background characteristics using Cox proportional hazards analysis (adjusted hazard ratios [HRs]: 2.63, 1.41, and 1, p < 0.001). In comparison with never-smokers, current smokers had an excess risk of pulmonary TB (adjusted HR, 2.87; 95% confidence interval [CI], 2.00-4.11; p < 0.001), but not extrapulmonary TB (adjusted HR, 1.04; 95% CI, 0.33-3.30; p = 0.95). Among the current smokers, those who developed TB smoked more cigarettes per day than those who did not (13.43, SD 8.76 vs. 10.96, SD 7.87, p = 0.01). A statistically significant dose-response relationship was observed with respect to active TB and culture-confirmed TB (both p < 0.05). Smoking accounted for 32.8% (95% Ci, 14.9-48.0%), 8.6% (95% Ci, 3.3-15.1 %), and 18.7% (95% Ci, 7.7-30.4%) of the TB risk among males, females, and the entire cohort, respectively. Approximately 44.9% (95% CI, 20.7-64.6%) of the sex difference was attributable to smoking.
Persistent Identifierhttp://hdl.handle.net/10722/86866
ISSN
2023 Impact Factor: 19.3
2023 SCImago Journal Rankings: 5.336
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, CCen_HK
dc.contributor.authorLi, Ten_HK
dc.contributor.authorLam, THen_HK
dc.contributor.authorYew, WWen_HK
dc.contributor.authorLaw, WSen_HK
dc.contributor.authorTam, CMen_HK
dc.contributor.authorChan, WMen_HK
dc.contributor.authorChan, CKen_HK
dc.contributor.authorHo, KSen_HK
dc.contributor.authorChang, KCen_HK
dc.date.accessioned2010-09-06T09:22:17Z-
dc.date.available2010-09-06T09:22:17Z-
dc.date.issued2004en_HK
dc.identifier.citationAmerican Journal Of Respiratory And Critical Care Medicine, 2004, v. 170 n. 9, p. 1027-1033en_HK
dc.identifier.issn1073-449Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/86866-
dc.description.abstractA cohort of 42,655 clients that were first registered with the Elderly Health Service in 2000 were followed prospectively through the tuberculosis (TB) notification registry until the end of 2002. A total of 286 active TB cases (186 culture confirmed) were identified. The annual TB notification rates were 735, 427, and 174 per 100,000 among current smokers, ex-smokers, and never-smokers, respectively (p < 0.001). The trend in TB risk persisted after the control of background characteristics using Cox proportional hazards analysis (adjusted hazard ratios [HRs]: 2.63, 1.41, and 1, p < 0.001). In comparison with never-smokers, current smokers had an excess risk of pulmonary TB (adjusted HR, 2.87; 95% confidence interval [CI], 2.00-4.11; p < 0.001), but not extrapulmonary TB (adjusted HR, 1.04; 95% CI, 0.33-3.30; p = 0.95). Among the current smokers, those who developed TB smoked more cigarettes per day than those who did not (13.43, SD 8.76 vs. 10.96, SD 7.87, p = 0.01). A statistically significant dose-response relationship was observed with respect to active TB and culture-confirmed TB (both p < 0.05). Smoking accounted for 32.8% (95% Ci, 14.9-48.0%), 8.6% (95% Ci, 3.3-15.1 %), and 18.7% (95% Ci, 7.7-30.4%) of the TB risk among males, females, and the entire cohort, respectively. Approximately 44.9% (95% CI, 20.7-64.6%) of the sex difference was attributable to smoking.en_HK
dc.languageengen_HK
dc.publisherAmerican Thoracic Society. The Journal's web site is located at http://ajrccm.atsjournals.orgen_HK
dc.relation.ispartofAmerican Journal of Respiratory and Critical Care Medicineen_HK
dc.subjectChinese-
dc.subjectElderly-
dc.subjectNotification-
dc.subjectSmoking-
dc.subjectTuberculosis-
dc.subject.meshAgeden_HK
dc.subject.meshAged, 80 and overen_HK
dc.subject.meshAnalysis of Varianceen_HK
dc.subject.meshCase-Control Studiesen_HK
dc.subject.meshCohort Studiesen_HK
dc.subject.meshComorbidityen_HK
dc.subject.meshConfidence Intervalsen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshGeriatric Assessmenten_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshIncidenceen_HK
dc.subject.meshMaleen_HK
dc.subject.meshProbabilityen_HK
dc.subject.meshProportional Hazards Modelsen_HK
dc.subject.meshRegistriesen_HK
dc.subject.meshSeverity of Illness Indexen_HK
dc.subject.meshSex Distributionen_HK
dc.subject.meshSmoking - epidemiologyen_HK
dc.subject.meshSurvival Analysisen_HK
dc.subject.meshTuberculosis, Pulmonary - diagnosis - epidemiologyen_HK
dc.titleSmoking and tuberculosis among the elderly in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1073-449X&volume=170&spage=1027&epage=1033&date=2004&atitle=Smoking+and+tuberculosis+among+the+elderly+in+Hong+Kongen_HK
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1164/rccm.200404-512OCen_HK
dc.identifier.pmid15282201-
dc.identifier.scopuseid_2-s2.0-7044249689en_HK
dc.identifier.hkuros96368en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-7044249689&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume170en_HK
dc.identifier.issue9en_HK
dc.identifier.spage1027en_HK
dc.identifier.epage1033en_HK
dc.identifier.isiWOS:000224739800019-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLeung, CC=7402612644en_HK
dc.identifier.scopusauthoridLi, T=7406374261en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridYew, WW=7005934631en_HK
dc.identifier.scopusauthoridLaw, WS=7103147875en_HK
dc.identifier.scopusauthoridTam, CM=7201442997en_HK
dc.identifier.scopusauthoridChan, WM=7403918361en_HK
dc.identifier.scopusauthoridChan, CK=7404813960en_HK
dc.identifier.scopusauthoridHo, KS=7403581605en_HK
dc.identifier.scopusauthoridChang, KC=7404878870en_HK
dc.identifier.issnl1073-449X-

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