Association Between Smoking and Physician-Diagnosed Stroke and Myocardial Infarction in Male Adults in Korea

Sounghoon Chang, Hyeongsu Kim, Vitna Kim, Kunsei Lee, Hyoseon Jeong, Jung-Hyun Lee, Soon-Ae Shin, Eunyoung Shin, Minsu Park and Eunjung Ko
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Sounghoon Chang: Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul 05029, Korea
Hyeongsu Kim: Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul 05029, Korea
Vitna Kim: Department of Dental Hygiene, Suwon Women’s College, Suwon 16632, Korea
Kunsei Lee: Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul 05029, Korea
Hyoseon Jeong: Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul 05029, Korea
Jung-Hyun Lee: Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul 05029, Korea
Soon-Ae Shin: Big Data Steering Department, National Health Insurance Service, Seoul 04156, Korea
Eunyoung Shin: Department of Public Health Administration, Hanyang Women’s University, Seoul 04763, Korea
Minsu Park: Granduate School of Public Health, Inje University, Pusan 50834, Korea
Eunjung Ko: Department of Internal Medicine, School of Medicine, Inha University Hospital, Incheon 22212, Korea

IJERPH, 2016, vol. 13, issue 2, 1-9

Abstract: To evaluate the association between smoking and physician-diagnosed stroke and myocardial infarction, this study used Community Health Survey data from 2009 on 92,082 males over the age of 30 years. Using multiple logistic regression, association index between smoking and physician-diagnosed stroke and myocardial infarction was calculated after adjusting the effects of age, hypertension, and diabetes. The odds ratios (95% confidence interval) of the physician-diagnosed stroke and myocardial infarction in the smoking group were 1.12 (1.02–1.24) and 1.21 (1.06–1.38) compared to the non-smoking group. The values of the physician-diagnosed stroke and myocardial infarction were 0.84 (0.74–0.94) and 0.96 (0.82–1.12) in the current-smoking subgroup, 1.38 (1.24–1.53) and 1.45 (1.26–1.67) in the ex-smoking subgroup, 1.39 (1.18–1.63) and 1.85 (1.53–2.24) in the 10- to 19-year smokers groups, 1.39 (1.22–1.58) and 1.36 (1.15–1.60) in the 30- to 40-year smokers groups, and 0.53 (0.44–0.63) and 0.47 (0.36–0.63) in those who had smoked for over 50 years. These results showed smoking was a risk factor for stroke and myocardial infarction in Korean males. This objective evidence should guide policy-making and public health interventions in the fields of smoking prevention and prohibition.

Keywords: smoking; stroke; myocardial infarction (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
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