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ID 115592
Author
Tamura, Takashi Nagoya University
Kadomatsu, Yuka Nagoya University
Tsukamoto, Mineko Nagoya University
Okada, Rieko Nagoya University
Sasakabe, Tae Nagoya University|Aichi Medical University
Kawai, Sayo Nagoya University|Aichi Medical University
Hishida, Asahi Nagoya University
Hara, Megumi Saga University
Tanaka, Keitaro Saga University
Shimoshikiryo, Ippei Kagoshima University
Takezaki, Toshiro Kagoshima University
Watanabe, Isao Kyoto Prefectural University of Medicine
Matsui, Daisuke Kyoto Prefectural University of Medicine
Nishiyama, Takeshi Nagoya City University
Suzuki, Sadao Nagoya City University
Endoh, Kaori University of Shizuoka
Kuriki, Kiyonori University of Shizuoka
Kita, Yoshikuni Tsuruga Nursing University
Ikezaki, Hiroaki Kyushu University
Furusyo, Norihiro Kyushu University
Koyanagi, Yuriko N. Aichi Cancer Center Research Institute
Oze, Isao Aichi Cancer Center Research Institute
Nakamura, Yohko Chiba Cancer Center Research Institute
Mikami, Haruo Chiba Cancer Center Research Institute
Naito, Mariko Nagoya University|Hiroshima University
Wakai, Kenji Nagoya University
Keywords
blood pressure
exposure to passive smoking
hypertension
Japan
nonsmokers
Content Type
Journal Article
Description
Brief exposure to passive smoking immediately elevates blood pressure. However, little is known about the association between exposure to passive smoking and chronic hypertension. We aimed to examine this association in a cross-sectional study, after controlling multiple potential confounders.
Participants included 32,098 lifetime nonsmokers (7,216 men and 24,882 women) enrolled in the Japan Multi-Institutional Collaborative Cohort Study. Passive smoking was assessed using a self-administered questionnaire. The single question about exposure to passive smoking had five response options: “sometimes or almost never,” “almost every day, 2 hours/day or less,” “almost every day, 2 to 4 hours/day,” “almost every day, 4 to 6 hours/day,” and “almost every day, 6 hours/day or longer.” Hypertension was defined as any of the following: systolic blood pressure ≥140 mmHg, diastolic blood pressure ≥90 mmHg, or use of antihypertensive medication. Multivariate-adjusted odds ratio (OR) and 95% confidence interval (CI) for hypertension were estimated by exposure level to passive smoking using unconditional logistic regression models.
The multivariate-adjusted OR for hypertension in those exposed almost every day was 1.11 (95% CI: 1.03–1.20) compared with those exposed sometimes or almost never. The OR for a 1-hour per day increase in exposure was 1.03 (95% CI: 1.01–1.06, P for trend = .006). This association was stronger in men than in women; the ORs were 1.08 (95% CI: 1.01–1.15, P for trend = .036) and 1.03 (95% CI: 1.00–1.05, P for trend = .055), respectively.
Our findings suggest importance of tobacco smoke control for preventing hypertension.
Journal Title
Medicine
ISSN
00257974
15365964
NCID
AA00728867
Publisher
Wolters Kluwer Health
Volume
97
Issue
48
Start Page
e13241
Published Date
2018-11
Rights
This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY)(https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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language
eng
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departments
Medical Sciences