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Interaction of smok...
Interaction of smoking and social status on the risk of respiratory outcomes in a Swedish adult population : A Nordic Epilung study
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- Bashir, Muwada Bashir Awad (author)
- Gothenburg University,Göteborgs universitet,Krefting Research Centre
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- Basna, Rani, 1981 (author)
- Gothenburg University,Göteborgs universitet,Krefting Research Centre
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- Hedman, Linnea, 1979- (author)
- Umeå universitet,Avdelningen för hållbar hälsa
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- Backman, Helena (author)
- Umeå universitet,Avdelningen för hållbar hälsa
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- Ekerljung, Linda, 1979 (author)
- Gothenburg University,Göteborgs universitet,Krefting Research Centre
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- Andersén, Heidi (author)
- Faculty of Medicine and Health Technology, Tampere University Respiratory Research Group, Tampere University, Tampere, Finland; Oncology Unit, Vaasa Keskussairaala, Vaasa, Finland
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- Wennergren, Göran, 1947 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics
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- Bhatta, Laxmi (author)
- K.G. Jebsen Center for Genetic Epidemiology, Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Trondheim, Norway
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- Lindberg, Anne (author)
- Umeå universitet,Avdelningen för medicin
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- Lundbäck, Bo, 1948 (author)
- Gothenburg University,Göteborgs universitet,Krefting Research Centre
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- Kankaanranta, Hannu, 1967 (author)
- Gothenburg University,Göteborgs universitet,Krefting Research Centre
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- Rönmark, Eva (author)
- Umeå universitet,Avdelningen för hållbar hälsa
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- Nwaru, Bright I (author)
- Gothenburg University,Göteborgs universitet,Wallenberg Centre for Molecular and Translational Medicine,Krefting Research Centre
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(creator_code:org_t)
- Elsevier, 2023
- 2023
- English.
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In: Respiratory Medicine. - : Elsevier. - 0954-6111 .- 1532-3064. ; 211
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Abstract
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- Background: Evidence abounds on the independent roles of social class and smoking in relation to obstructive airway diseases, but data are sparse on the impact of their interaction. We evaluated whether and to what extent social class and smoking interact in relation to risk of respiratory diseases in adults.Methods: Data from the population-based studies, West Sweden Asthma Study (WSAS, n = 23,753) and Obstructive Lung Disease in Northern Sweden studies (OLIN, n = 6519), were used, constituting randomly selected adults aged 20–75 years. Bayesian network analysis was used to estimate the probability for the interaction between smoking and socioeconomic status in relation to respiratory outcomes.Results: Occupational and educational SES modified the association between smoking and the probability of allergic and non-allergic asthma. Former smokers who were at intermediate non manual employees and manual workers in service had higher probability of allergic asthma compared to professionals and executives. Furthermore, former smokers with primary education had higher probability of non-allergic asthma than those with secondary and tertiary education. Similarly, former smokers among professionals and executives had higher probability of non-allergic asthma than manual and home workers and primary educated. Likewise, allergic asthma due to former smoking was higher among highly educated compared to low educated.Conclusions: Beyond their independent roles, socioeconomic status and smoking interact in defining the risk of respiratory diseases. Clearer understanding of this interaction can help to identify population subgroups at most need of public health interventions.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Asthma
- Bayesian analysis
- COPD
- Interaction
- Smoking
- Social class
Publication and Content Type
- ref (subject category)
- art (subject category)
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Bashir, Muwada B ...
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Basna, Rani, 198 ...
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Hedman, Linnea, ...
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Backman, Helena
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Ekerljung, Linda ...
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Andersén, Heidi
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Wennergren, Göra ...
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Bhatta, Laxmi
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Lindberg, Anne
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Lundbäck, Bo, 19 ...
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Kankaanranta, Ha ...
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Rönmark, Eva
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Nwaru, Bright I
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Respiratory Medi ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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Respiratory Medi ...
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Umeå University
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University of Gothenburg