Table 3.23. Relative risks for coronary heart disease (CHD) among women, by time since smoking cessation, cohort studies

StudyPopulationNumber of years of follow-upOutcomeNumber of casesSmoking statusRelative risk (95% confidence interval)
Omenn et al. 1990 5,386 U.S. women
Aged >35 years§
10Death from CHDNR * ** Never smoked1.0
Current smokers1.7(1.3-2.3)
Former smokers Cessation for:
< 1 year1.3 (0.96-1.9)
2-9 years1.3 (0.9-1.8)
10-19 years1.1 (0.7-1.9)
> 20 years0.9 (0.4-1.8)
LaCroix et al. 1991 4,469 women
Aged > 65 years
3 U.S. communities
5Death from cardiovascular diseaseNR >§<§ Never smoked1.0
Current smokers1.7 (1.3-2.4)
Former smokers Cessation for:
< 5 years1.0 (0.5-2.1)
6-10 years1.0 (0.5-2.0)
11-20 years0.5 (0.2-1.1)
>20 years0.8 (0.4-1.4)
Kawachi et al. 1994 117,006 U.S. women nurses
Aged 30-55 years
12Nonfatal myocardial infarction418
166
138

36
22
26
13
41
Current smokers1.0
Never smoked0.2 (0.2-0.3)
Former smokers Cessation for:
< 2 years0.8 (0.5-1.3)
2-4 years0.4 (0.3-0.7)
5-9 years0.4 (0.2-0.6)
10-14 year0.3 (0.1-0.5)
> 15 years0.3 (0.2-0.4)
Death from CHD123Current smokers1.0
49Never smoked0.2 (0.2-0.4)
47Former smokers Cessation for:
7< 2 years1.5 (0.4-5.2)
92-4 years0.6 (0.2-1.4)
145-9 years0.7 (0.4-1.4)
410-14 years0.3 (0.1-0.9)
13> 15 years0.3 (0.2-0.7)
Kawachi et al. 1994 (continued)CHD541Current smokers1.0
215Never smoked0.2 (0.2-0.3)
185Former smokers Cessation for:
43<2 years0.8 (0.5-1.2)
312-4 years0.5 (0.3-0.7)
405-9 years0.4 (0.3-0.7)
1710-14 years0.3 (0.1-0.5)
54> 15 years0.3 (0.2-0.4)
Paganini-Hill and Hsu 1994 8,869 women
Median age, 73 years
U.S. retirement community
10Death from CHDNRNever smoked
Current smokers
Former smokers
Cessation for:
1.0
1.5 (1.1-2.0)
< 5 years1.3 (0.8-2.0)
6-10 years1.4 (0.9-2.2)
11-20 years1.5 (1.1-2.0)
> 21 years1.1 (0.8-1.4)
Burns et al. 1997b 594,551 women
Aged >30 years
25 U.S. states
12Death from CHDNRNever smoked1.0
Current smokers1.4 (1.3-1.5)
Former smokers Cessation for :
2-4 years2.2¶¶
5-9 years1.5¶¶
10-14 years1.0¶¶
15-19 years0.8¶¶
20-24 years0.9¶¶
25-29 years1.0¶¶
30-34 years0.6¶¶
35-39 years0.6¶¶
Friedman et al. 1997 36,035 U.S. women
Aged > 35 years
Enrolled in health maintenance organization
6Death from CHD134Never smoked1.0
Current smokers
7< 19 cigarettes/day1.4¶¶
13> 20 cigarettes/day2.2¶¶
Former smokers Cessation for:
92-10 years1.4¶¶
1411-20 years1.4¶¶
12>20 years1.1¶¶
*

NR = Value not specified in report of study.

**

392 deaths from CHD among all women (never smokers, current smokers, and former smokers).

§

75% had coronary artery disease.

>§<§

729 deaths from cardiovascular disease among men and women.

Data are for white women only; number of black former smokers was insufficient for separate analyses.

¶¶

95% confidence interval was not reported.

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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