Table 3.24. Relative risks for stroke among women for current smokers compared with nonsmokers, case-control studies

StudyPopulationNumber of casesNumber of controlsSource of controlsType of strokeSmoking statusRelative risk (95% confidence interval)
Donnan et al. 1989 Women
Aged 25-85 years
Australia
166 hospitalized for stroke166General populationCerebral ischemiaNever smoked
Current smokers
1.0
3.0 (1.3-7.1)
Gill et al. 1989 Women
Mean age, 53.4 years
United Kingdom
281 hospitalized for stroke303Participants in factory screening surveyTotalNever smoked1.0
Current smokers
1-10 cigarettes/day
1.8 (0.7-4.7)
11-20 cigarettes/day1.6 (0.8-3.0)
>20 cigarettes/day2.8 (1.7-4.7)
Cerebral infarctionNever smoked
Current smokers
1.0
2.3 (1.2-4.2)
Cerebral hemorrhageNever smoked
Current smokers
1.0
1.3 (0.5-3.4)
Subarachnoid hemorrhageNever smoked
Current smokers
1.0
2.5 (1.4-4.5)
Thompson et al. 1989 Women physicians
Aged 45-69 years
United Kingdom
37 fatal stroke
207 nonfatal stroke
488Women physiciansTotalNever smoked
Current smokers
1.0
2.3 *
Longstreth et al. 1992 Women > 18 years
United States
103 subarachnoid hemorrhage206General populationSubarachnoid hemorrhageNever smoked
Current smokers
1.0
4.6 (2.6-8.1)
Morris et al. 1992 Women admitted to Department of Neurosurgery
United Kingdom
131 subarachnoid hemorrhage131Women admitted with nonvascular or spinal pathologic conditionSubarachnoid hemorrhageNever smoked
Current smokers
1.0
1.9 (1.4-2.6)
Juvela et al. 1993 Women
Aged 15-60 years
Finland
133 hospitalized with subarachnoid hemorrhage150Hospitalized womenSubarachnoid hemorrhageNever smoked1.0
Current smokers2.4 (1.5-3.9)
< 10 cigarettes/day1.2 (0.5-2.7)
11-20 cigarettes/day3.6 (1.3-9.6)
>20 cigarettes/day2.0 (0.95-4.1)
Lidegaard 1993 Women
Aged 15-44 years
321 hospitalized for stroke1,198General populationIschemic stroke or transient ischemic attackNever smoked1.0
Current smokers
<10 cigarettes/day
1.6 (1.1-2.6)
> 10 cigarettes/day1.5 (1.1-2.0)
Hannaford et al. 1994 Denmark
Women physicians
Aged 21-70 years
United Kingdom
253 incident stroke or amaurosis fugax759Nested in cohortIncident stroke or amaurosis fugaxNever smoked1.0
Current smokers
1-14 cigarettes/day
2.1 (1.5-2.9)
> 15 cigarettes/day2.5 (1.7-3.7)
Pedersen et al. 1997 Women
Aged 45-64 years
Denmark
Hospitalized for cerebrovascular attack and surviving
160 subarachnoid hemorrhage
835 thromboembolic infarction
321 transient ischemic attack
3,171General populationSubarachnoid hemorrhageNever smoked1.0
Current smokers
1-10 cigarettes/day
3.7 (2.2-6.1)
11-20 cigarettes/day4.4 (2.7-7.1)
>20 cigarettes/day3.7 (1.1-12.0)
Thromboembolic infarctionNever smoked1.0
Current smokers
1-10 cigarettes/day
2.4 (1.8-3.2)
11-20 cigarettes/day3.4 (2.6-4.5)
>20 cigarettes/day6.4 (3.7-11.0)
Transient ischemic attackNever smoked1.0
Current smokers
1-10 cigarettes/day
2.5 (1.7-3.7)
11-20 cigarettes/day2.8 (1.9-4.1)
>20 cigarettes/day3.9 (1.7-9.0)
*

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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