Relationship between diet quality and smoking status in Korean men: Findings from the cancer screening examination cohortφ and the tobacco control center€ in Korea

Certain conditions such as common mental disorders (CMDs), functional limitation (FL) and poor diet quality may affect the lives of individuals who suffer from chronic obstructive pulmonary disease (COPD). This study sought to examine time trends in the prevalence of CMDs, FL and diet quality among male and female COPD patients living in Spain from 2006 to 2017 and to identify which factors were related to CMDs, FL and a poor/improvable diet quality in these patients. We performed a cross-sectional study among COPD patients aged ≥ 40 years old using data from the Spanish National Health Surveys conducted in 2006, 2011 and 2017, identifying a total of 2572 COPD patients. Binary logistic regressions were performed to determine the characteristics related to CMDs, FL and poor/improvable diet quality. Over the years of the study, the prevalence of FL among female COPD patients increased (p for trend <0.001). In addition, CMDs were associated to body mass index (BMI), educational level, physical activity, smoking status, occupation, chronic conditions and alcohol consumption; FL was related to age, living with a partner, educational level, physical activity and chronic conditions; and poor/improvable diet quality was associated to age, smoking status, BMI and physical activity.

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Diet Quality, Physical Activity, Smoking Status, and Weight Fluctuation Are Associated with Weight Change in Women and Men

Journal of Nutrition ◽

10.3945/jn.109.120808 ◽

2010 ◽

Vol 140 (7) ◽

pp. 1287-1293 ◽

Cited By ~ 43

Author(s):

Ruth W. Kimokoti ◽

P. K. Newby ◽

Philimon Gona ◽

Lei Zhu ◽

Guneet K. Jasuja ◽

...

Keyword(s):

Physical Activity ◽

Diet Quality ◽

Weight Change ◽

Smoking Status ◽

Weight Fluctuation

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Abstract MP24: Comparison of Predictive Ability of Dietary and Lifestyle Scores For 10-Year Risk of Cardiovascular Mortality in a Pan-European Cohort Study

Circulation ◽

10.1161/circ.131.suppl_1.mp24 ◽

2015 ◽

Vol 131 (suppl_1) ◽

Author(s):

Camille Lassale ◽

Yvonne Van der Schouw ◽

Joline Beulens ◽

Guy Fagherazzi ◽

Nina Roswall ◽

...

Keyword(s):

Diet Quality ◽

Mortality Risk ◽

Healthy Lifestyle ◽

Smoking Status ◽

Predictive Ability ◽

Predictive Performance ◽

Lifestyle Risk Factors ◽

Lifestyle Risk ◽

Diet And Lifestyle ◽

Cvd Mortality

Introduction: Diet quality indexes and lifestyle indexes (which also include other lifestyle characteristics such as smoking and obesity) have recently received increased attention in disease prevention. Hypothesis: We aimed to investigate the comparative predictive performance of a comprehensive list of dietary and lifestyle indexes in relation to cardiovascular (CVD) mortality. Methods: We applied these indexes to men and women from 10 European countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study and examined their association with 10-year CVD mortality risk. We computed 10 dietary indexes and 2 diet and lifestyle indexes and calculated quartiles. Cox proportional hazard models stratified by age and study centre, adjusted for age, BMI, energy intake, smoking status, physical activity and educational level were fit to estimate Hazard Ratios (HR) and 95% CI. Harrell’s C-statistic, a discrimination measure of predictive performance, was calculated for each model. Results: After 10 years of follow up, 3761 CVD deaths were observed among 451 256 participants. All dietary indexes, except one, were significantly associated with CVD mortality with HR ranging from 0.75 to 0.84 for the fully adjusted model when comparing top vs bottom quartile (Table 1). Stronger effect size was observed for the diet and lifestyle indexes, particularly the Healthy Lifestyle Index (HLI). Discrimination of the full models was high and did not vary between scores. We found no heterogeneity in HRs across countries for most scores, except a modest heterogeneity for Mediterranean diet scores (I 2 =48%) and HLI (75%); however, heterogeneity across countries of the C-statistics was high for all scores (I 2 = 87%). Conclusion: Our results show that diet quality as a whole, or a cluster of lifestyle behaviours including diet, are consistently associated with a reduction of 10-year CVD mortality risk and that models comprising only age, sex and lifestyle risk factors could serve as predictors of CVD mortality.

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Exposure to tobacco imagery in popular films and the risk of ever smoking among children in southern India

Tobacco Control ◽

10.1136/tobaccocontrol-2019-055353 ◽

2020 ◽

pp. tobaccocontrol-2019-055353

Author(s):

Muralidhar M Kulkarni ◽

Veena Ganesh Kamath ◽

Asha Kamath ◽

Sarah Lewis ◽

Ilze Bogdanovica ◽

...

Keyword(s):

Tobacco Control ◽

Smoking Status ◽

Cross Sectional Study ◽

Southern India ◽

Cross Sectional ◽

Popular Films ◽

Smoking Uptake ◽

Indian Law ◽

Independent Effects ◽

Adjusted Model

BackgroundExposure to smoking in films is a recognised cause of smoking uptake among children. In India, in an attempt to protect children, films containing smoking are required to include tobacco control messaging including audiovisual disclaimers, on-screen health warnings when tobacco imagery is displayed and antitobacco ‘health spots’ before and during the film. We report a study of the association between ever smoking and exposure to tobacco imagery in locally popular films among children in Udupi district of Karnataka state in southern India.MethodsA cross-sectional questionnaire survey of all students in grades 6–8 in schools in the Udupi district ascertained smoking status and potential confounders of smoking uptake, and whether children had seen any of 27 locally popular films we had coded and found to contain imagery of actual or implied tobacco use. Ever-smoking status was defined as any reported smoking of cigarettes, beedis or other tobacco products currently or at any time in the past. Independent effects on ever-smoking status were estimated using multiple logistic regression.ResultsOf 46 706 students enrolled in grades 6–8 in 914 participating schools, 39 282 (84.1%) provided questionnaire responses sufficiently complete for analysis. Ever smoking was reported by 914 (2.3%) participants and in a mutually adjusted model was significantly related to age, male sex, living in a home where smoking is allowed, having parents or siblings who smoke, low paternal education, low levels of family wealth, low self-esteem, rebelliousness and poor school performance. After allowing for these effects, the odds of ever smoking were not increased among students who had seen any of the listed films containing tobacco imagery when included in the analysis as a binary exposure (OR 0.9, 95% CI 0.4 to 2.0), and decreased in relation to level of exposure graded into tertiles of tobacco intervals seen.ConclusionsIn this cross-sectional study, children in southern India who had seen films containing tobacco imagery are no more likely to smoke than those who had not, indicating that the tobacco control messaging mandated by Indian law may be attenuating the effect of tobacco imagery in films on smoking uptake.

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Lung Cancer Screening Eligibility and Utilization Among Transgender Patients: An Analysis of the 2017–2018 United States Behavioral Risk Factor Surveillance System Survey

Nicotine & Tobacco Research ◽

10.1093/ntr/ntaa127 ◽

2020 ◽

Vol 22 (12) ◽

pp. 2164-2169

Author(s):

Justin T Stowell ◽

Yasha Parikh ◽

Kimberly Tilson ◽

Anand K Narayan

Keyword(s):

Lung Cancer ◽

Cancer Screening ◽

Surveillance System ◽

Smoking Status ◽

Lung Cancer Screening ◽

Behavioral Risk ◽

Behavioral Risk Factor ◽

Behavioral Risk Factor Surveillance ◽

Risk Factor Surveillance ◽

To Receive

Abstract Introduction Transgender and gender diverse (TGD) persons disproportionately face many health disparities including a higher risk of lung cancer. Lung cancer screening (LCS) using low-dose chest computed tomography has reduced lung cancer mortality in eligible high-risk smokers across several large trials, yet utilization of LCS remains low. TGD persons may be less likely to receive recommended cancer screening compared with cisgender populations. We sought to compare eligibility for and utilization of LCS between TGD and cisgender persons in the United States. We also examined if the utilization of LCS varied by smoking status within each gender identity group. Methods We analyzed data from the 2017 and 2018 Behavioral Risk Factor Surveillance System (BRFSS) cross-sectional survey to determine eligibility and utilization of LCS among TGD participants compared with cisgender persons. Logistical regression analysis of potentially confounding variables included age category, race/ethnicity, income, employment status, health insurance, and having a personal doctor. Results Of 37 023 weighted respondents, 0.5% were TGD. Although eligibility for LCS was statistically similar (8.8% TGD vs. 12.2% cisgender) (adjusted odds ratio = 0.81, 95% confidence interval = 0.27–2.39, p = .703), only 2.3% of TGD participants reported obtaining a LCS chest computed tomography versus 17.2% of cisgender participants (adjusted odds ratio = 0.04, 95% confidence interval = 0.01–0.59, p = .019). Smoking status showed no association with LCS utilization among gender identity groups. Conclusions TGD persons may be less likely to receive LCS despite having similar smoking status and eligibility of cisgender persons, suggesting a disparity in utilization of this preventative health service. Implications Targeted efforts to increase LCS utilization and promote smoking cessation for at-risk TGD patients may be warranted.

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Social climate on tobacco control in an advanced tobacco control country

Nordic Studies on Alcohol and Drugs ◽

10.1177/1455072518767750 ◽

2018 ◽

Vol 35 (3) ◽

pp. 152-164 ◽

Cited By ~ 2

Author(s):

Otto Ruokolainen ◽

Hanna Ollila ◽

Kristiina Patja ◽

Katja Borodulin ◽

Tiina Laatikainen ◽

...

Keyword(s):

Tobacco Control ◽

Attitude Change ◽

Smoking Status ◽

Adult Population ◽

Control Policy ◽

Population Based ◽

Tobacco Control Policy ◽

Smoking Bans ◽

Workplace Smoking ◽

Future Policy

Aims: Finland has implemented a gradually tightening tobacco control policy for decades. Recently the objective of a tobacco-free Finland was introduced. Still, the population’s acceptance of tobacco control policy has not been measured. More knowledge is needed on differences in attitudes and factors associated with tobacco control opinions for future policy-making. Methods: A population-based study with quantitative analysis. Attitudes on smoking and tobacco control policy were assessed within the National FINRISK 2012 Study in Finland involving 25–74-year-old adults ( N = 4905). In analyses, smoking status groups were compared. Results: In general, attitudes differed systematically by smoking status. Differences increased or decreased when moving from never smokers to other smoking groups. Similarities in attitudes were found particularly on youth smoking, while differences between smoking groups were notable on statements regarding smoking on balconies and availability of tobacco products. The adjusted analysis showed that smoking status was most strongly associated with attitudes on different tobacco control policy measures. Daily smokers viewed stricter tobacco control policy and workplace smoking bans more negatively than others, though they viewed societal support for quitters and sufficiency of tobacco control policy more positively compared with others. Differences were vast compared with non-smokers, but also occasional smokers differed from daily smokers. Conclusions: Tightening tobacco control and workplace smoking bans were supported by the Finnish adult population, but societal support for quitters to a lesser extent. Attitude change, where smokers are seen as deserving help to quit smoking, is important.

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