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Sökning: onr:"swepub:oai:DiVA.org:hj-24448" > Use of Scandinavian...

Use of Scandinavian Moist Smokeless Tobacco (Snus) and the Risk of Atrial Fibrillation

Hergens, Maria-Pia, (författare)
Department of Communicable Disease Control, Stockholm County Council, Stockholm, Sweden
Galanti, Rosaria, (författare)
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
Hansson, Jenny, (författare)
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
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Fredlund, Peeter, (författare)
Centre for Epidemiology and Community Medicine, Stockholm County Council, Stockholm, Sweden
Ahlbom, Anders, (författare)
Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
Alfredsson, Lars, (författare)
Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
Bellocco, Rino, (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden and Department of Statistics, University of Milano-Bicocca, Milano, Italy
Eriksson, Marie, (författare)
Department of Statistics, Umeå University, Umeå, Sweden
Fransson, Eleonor I, (författare)
Högskolan i Jönköping, HHJ, Avd. för naturvetenskap och biomedicin, Högskolan i Jönköping, HHJ. ADULT, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden and School of Health Science, Jönköping University, Jönköping, Sweden
Hallqvist, Johan, (författare)
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
Jansson, Jan-Håkan, (författare)
Department of Medicine, Umeå University, Umeå, Sweden
Knutsson, Anders, (författare)
Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden
Pedersen, Nancy, (författare)
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
Lagerros, Ylva Trolle, (författare)
Unit of Clinical Epidemiology, Dept. of Medicine, Karolinska Institutet, Stockholm, Sweden
Ostergren, Per-Olof, (författare)
Social Medicine and Global Health, Department of Clinical Sciences in Malmö, Lund University, Lund, Sweden
Magnusson, Cecilia, (författare)
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
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2014
Engelska.
Ingår i: Epidemiology. - 1044-3983 .- 1531-5487. ; 25:6, s. 872-876
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • <p><strong>BACKGROUND:</strong> Snus is a smokeless tobacco product, widely used among Swedish men and increasingly so elsewhere. There is debate as to whether snus is an acceptable "harm-reduction" tobacco product. Since snus use delivers a dose of nicotine equivalent to cigarettes, and has been implicated in cardiac arrhythmia because of associations with sudden cardiovascular death, a relation with atrial fibrillation is plausible and important to investigate.</p><p><strong>METHODS::</strong> To assess the relation between use of snus and risk of atrial fibrillation, we carried out a pooled analysis of 7 prospective Swedish cohort studies. In total, 274,882 men, recruited between 1978 and 2004, were followed via the National Patient Register for atrial fibrillation. Primary analyses were restricted to 127,907 never-smokers. Relative risks were estimated using Cox proportional hazard regression.</p><p><strong>RESULTS::</strong> The prevalence of snus use was 25% among never-smokers. During follow-up, 3,069 cases of atrial fibrillation were identified. The pooled relative risk of atrial fibrillation was 1.07 (95% confidence interval = 0.97-1.19) in current snus users, compared with nonusers.</p><p><strong>CONCLUSION::</strong> Findings from this large national pooling project indicate that snus use is unlikely to confer any important increase in risk of atrial fibrillation.</p>

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

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20-year follow-up
cigarette-smoking
population
heart
stroke
health
patterns
flutter
obesity
habits

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