Table 3.34. Relative risks for infertility among women smokers, case-control studies

StudyPopulationStudy periodEnd pointSmoking statusRelative risk (95%confidence interval)Adjustment factors
Olsen et al. 1983 Cases: 213 women with primary infertility
Controls: 1,296 fertile women
Denmark
1977-1980Primary infertilityNonsmokers
Smokers
1.0
1.6 (1.1-2.2)
Maternal age, parity, education, oral contraceptive use, alcohol consumption, residence
Cases: 65 women with secondary infertility
Controls: 1,651 fertile women
Denmark
1977-1980Secondary infertilityNonsmokers
Smokers
1.0
2.1 (1.3-3.6)
Maternal age, parity, education, oral contraceptive use, alcohol consumption, residence
Daling et al. 1987 Cases: 170 women with primary tubal infertility
Controls: 170 fertile women never previously pregnant
United States
1979-1981Never smoked
Former smokers
Current smokers
1.0
1.1 (0.5-2.5)
2.7 (1.4-5.3)
Matched for race, census tract of residence, age
Phipps et al. 1987 Cases: 1,390 infertile women
Controls: 1,264 women after delivery
United States and Canada
1981-1983Primary infertilityNonsmokers1.0Maternal age, religion, contraception use, time since menarche, number of sexual partners, education
Smokers, infertility thought primarily due to:
Cervical factor1.7 (1.0-2.7)
Tubal disease1.6 (1.1-2.2)
Ovulatory factor1.0 (0.8-1.4)
Endometriosis0.9 (0.6-1.3)
Joesoef et al. 1993 Cases: 1,815 infertile women
Controls: 1,760 primiparous fertile women
United States
1981-1983Primary infertilityNever smoked
Former smokers
Current smokers
1.0
0.6 (0.5-0.8)
1.9 (1.5-2.3)
Maternal age, body mass index, education, age at menarche, gravidity, frequency of sexual intercourse, number of previous miscarriages, use of marijuana, use of cocaine, consumption of alcohol
Tzonou et al. 1993 Cases: 84 infertile women
Controls: 168 pregnant women
Greece
1987-1988Secondary infertilityNever smoked
Ever smoked
1.0
2.6 (1.2-6.0)
Maternal age, gravidity, education, residence,

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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