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Long-term impact of smoking cessation on the incidence of coronary heart disease

Bibliographic Data

ID11023822
AuthorsAnna N A Tosteson (0000-0001-7718-8943, Brigham and Women's Hospital), A N Tosteson, Milton C Weinstein, Lawrence Williams (0000-0001-8224-4487), L W Williams (0009-0002-0136-7501), L Goldman (0000-0002-2420-1582)
Year1990
Volume80
Issue12
Pages1481-1486
Publication date1990-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.80.12.1481
PMID2240335
OpenAlexW2065426490
LanguageEN
Citations received3
References cited22

Using a simulation model of the US male population, we estimated the long-term impact that future smoking cessation programs would have on the distribution and occurrence of coronary heart disease in males ages 35-84. For interventions that reduce the number of smokers by 25 percent in 1990, the number of men free of coronary heart disease is projected to increase by 416,787 (0.7 percent) in 2015, and the age-standardized absolute incidence to decline by 2.3 percent. Incidence rates and absolute incidences are projected to fall in men under age 65, but absolute incidence would rise in men over age 65, in large part because of the increased number of men who were at risk for coronary heart disease because of a reduction in non-coronary smoking-related mortality. These trends were more marked for greater smoking reductions and were generally unaffected in a variety of analyses using alternative assumptions, which considered smoking as a risk factor in the elderly, a lag-time before benefits from smoking cessation were realized and secular declines in smoking prevalence. Subject to the assumptions of our model, we conclude that smoking reductions will markedly reduce coronary heart disease, especially in younger age groups, and that this benefit will be slightly offset by a small increase in absolute incidence in elderly men

Absolute risk reduction · Coronary heart disease · Environmental health · Incidence (geometry) · Population · Psychological intervention · Risk factor · Smoking cessation · Demography · Global Public Health Policies and Epidemiology · Internal Medicine · Medicine · Obesity, Physical Activity, Diet · Smoking Behavior and Cessation

  • The impact of demographic and risk factor changes on coronary heart disease deaths in Beijing, 1999–2010

    Open Access•Jun Cheng, Dong Zhao et al.•BMC Public Health•2009

  • Impact on cardiovascular disease events of the implementation of Argentina's national tobacco control law

    Jonatan Konfino, Daniel Ferrante et al.•Tobacco Control•2012

  • The future impact of population growth and aging on coronary heart disease in China

    Open Access•Andrew Moran, Andrew E Moran et al.•BMC Public Health•2008

  • Smoking and Carcinoma of the Lung

    Open Access•Richard Doll, A B Hill•BMJ•1950

  • Forecasting coronary heart disease incidence, mortality, and cost

    Milton C Weinstein, P G Coxson et al.•American Journal of Public Health•1987

Unique citing works3
Citations per year0,17
Citation span2008 - 2012 (5)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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