Table 3.47. Relative risks for hip fracture among women smokers, case-control studies

StudyPopulationSmoking statusAge-adjusted relative risk (95% confidence interval)Multivariate analysis
Relative risk (95% confidence interval)Adjustment factors
Paganini-Hill et al. 1981 83 community cases, 166 community controls
Postmenopausal, aged <80 years
Postmenopausal smokers
1-10 cigarettes/day
> 11 cigarettes/day
0.9 *
1.7 *
1.1 *
2.0 *
Age, estrogen use, oophorectomy
Williams et al. 1982 160 hospital cases, 567 community controls
Aged 50-74 years
Risk elevated in smokers
Kreiger and Hilditch 1986 98 hospital cases, 884 hospital controls
Aged 45-74 years
Ever smoked1.5 **
1.8 *
1.3 **
1.3 *
Age, body mass, lactation, ovariectomy, estrogen use
La Vecchia et al. 1991b 209 hospital cases, 1,449 hospital controls
Median age 62 years
Current smokers1.6 (1.0-2.3)1.5 (1.0-2.1)Age, body mass, education, menopausal status, estrogen use, alcohol use
Kreiger et al. 1992 102 hospital cases, 277 hospital controls
Mean age 74 years
Current smokers2.7 (1.5-4.8)1.7 (0.9-3.3)Age, body mass, ovariectomy, estrogen use
Jaglal et al. 1993 381 hospital cases, 1,138 controls from population
Aged 55-84 years
> 60 pack-years1.4 (0.7-2.8) ** 1.2 (0.6-2.5)Multiple variables, including age, body mass, estrogen use, physical activity
Yamamoto et al. 1993 100 cases, 100 controls Population sample
Aged > 35 years
Habitual smokers1.5 (0.5-4.7)
Grisso et al. 1994 144 hospital cases, 218 controls from population
Aged > 45 years
Current smokersNot reported1.3 (0.7-2.6)Age, body mass, residence area
Johnell et al. 1995 2,086 cases from population, 3,532 controls from population or neighbors
Mean age 78 years
Current smokers0.9 (0.7-1.2)1.1 (0.8-1.5)Body mass; mental score; intake of tea, coffee, alcohol, calcium; physical activity
Michaelsson et al. 1995 247 cases, 893 controls
Population sample
Current smokers, >20 pack-years1.8 (1.0-3.2)§ 1.6 (0.9-3.0)Multiple variables, including body mass, height, estrogen use, physical activity
*

95% confidence interval was not reported.

**

Two control groups.

§

Not adjusted for age.

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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