Table 3.21. Relative risks for coronary heart disease (CHD) among women for current smokers compared with nonsmokers, cohort studies

StudyPopulationNumber of years of follow-upOutcomeNumber of casesSmoking statusRelative risk (95% confidence interval)
Cederlöf et al. 1975 28,000 women
Aged 18-69 years
Sweden
10Death from CHD457Never smoked1.0
Current smokers
Aged 50-59 years2.6 *
Aged 60-69 years1.1 *
Doll et al. 1980 6,194 women physicians
Aged > 20 years
United Kingdom
22Death from CHD179Never smoked1.0
Current smokers
1-14 cigarettes/day1.0 *
15-24 cigarettes/day2.2 *
> 25 cigarettes/day2.1 *
Barrett-Connor et al. 1987 2,048 women
Aged 50-79 years
United States
10Death from CHD59Aged 50-64 years
Never smoked1.0
Current smokers2.7 *
Aged 65-79 years
Never smoked1.0
Current smokers1.0 *
Hirayama 1990 142,857 women
Aged > 40 years
Sampled from Japanese census
17Death from ischemic heart disease1,378Nonsmokers ** 1.0
Current smokers
1-9 cigarettes/day1.7 (1.4-2.5)
10-19 cigarettes/day2.3 (1.9-2.7)
> 20 cigarettes/day3.8 (2.9-4.9)
LaCroix et al. 1991 4,469 women
Aged > 65 years
United States
10Death from CHDNR§ Never smoked
Current smokers
1.0
1.7 (1.3-2.3)
Freund et al. 1993 2,587 women
Aged 45-84 years
United States
34Angina
Coronary insufficiency
Myocardial infarction
Death from CHD
303Aged 45-64 years
Nonsmokers ** 1.0
Current smokers1.2 (1.0-1.6)
Aged 65-84 years
Nonsmokers1.0
Current smokers1.2 (0.9-1.6)
Kawachi et al. 1994 117,006 women nurses
Aged 30-55 years
United States
12CHD incidence215Never smoked1.0
Current smokers
931-14 cigarettes/day2.5 (1.8-3.5)
24215-24 cigarettes/day4.8 (3.8-6.1)
12325-34 cigarettes/day5.5 (4.1-7.4)
79> 35 cigarettes/day5.5 (3.9-7.8)
Paganini-Hill and Hsu 1994 8,869 women
Median age, 73 years
United States
10Death from CHDNRNever smoked
Current smokers
1.0
1.5 (1.1-1.9)
Njølstad et al. 1996 5,701 women
Aged 35-52 years
Norway
12CHD incidence20Never smoked1.0
73Current smokers3.6 (2.2-6.0)
191-9 cigarettes/day2.3 (1.2-4.2)
4010-19 cigarettes/day4.1 (2.47.1)
13> 20 cigarettes/day5.9 (2.9-11.8)
Burns et al. 1997b 594,551 women
Aged >30 years
United States
12Death from CHD7,065
1,248
Never smoked
Current smokers
1.0
1.4 (1.3-1.5)
Freidman et al. 1997 36,035 women
Aged > 35 years
Enrolled in health maintenance organization
6Death from CHD134Never smoked1.0
Current smokers
20< 19 cigarettes/day1.4 *
30> 20 cigarettes/day2.2 *
Thun et al. 1997c 676,527 women
Aged >30 years
United States
6Death from CHD3,717
1,161
Never smoked
Current smokers
1.0
1.6 (1.4-1.7)
*

95% confidence interval was not reported.

**

Women who were never smokers and women who were former smokers combined.

§

NR = Value not specified in report of study.

From: Chapter 3. Health Consequences of Tobacco Use Among Women

Cover of Women and Smoking
Women and Smoking: A Report of the Surgeon General.
Office on Smoking and Health (US).

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