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  • López-Cervantes, Juan PabloDepartment of Global Public Health and Primary Care, Centre for International Health, University of Bergen Faculty of Medicine and Dentistry, Bergen, Norway; Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway (författare)

Use of oral moist tobacco (snus) in puberty and its association with asthma in the population-based RHINESSA study.

  • Artikel/kapitelEngelska2024

Förlag, utgivningsår, omfång ...

  • BMJ Publishing Group Ltd,2024
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-536268
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-536268URI
  • https://doi.org/10.1136/bmjresp-2024-002401DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-228106URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • OBJECTIVES: To investigate the association of early snus use initiation (≤15 years of age) with asthma and asthma symptoms.DESIGN: Cross-sectional analysis of a population-based cohort.SETTING: Study centres in Norway, Sweden, Iceland, Denmark and Estonia, from 2016 to 2019.PARTICIPANTS: 9002 male and female participants above 15 years of age of the Respiratory Health in Northern Europe, Spain and Australia study.MAIN OUTCOME MEASURES: Current asthma and asthma symptoms.RESULTS: The median age of study participants was 28 years (range 15-53) and 58% were women. 20% had used snus, 29% men and 14% women. Overall, 26% of males and 14% of females using snus started ≤15 years of age. Early snus use initiation was associated with having three or more asthma symptoms (OR 2.70; 95% CI 1.46 to 5.00) and a higher asthma symptom score (β-coefficient (β) 0.35; 95% CI 0.07 to 0.63) in women. These associations were weak in men (OR 1.23; 95% CI 0.78 to 1.94; β 0.16; 95% CI -0.06 to 0.38, respectively). There was evidence for an association of early snus initiation with current asthma (OR 1.72; 95% CI 0.88 to 3.37 in women; OR 1.31; 95% CI 0.84 to 2.06 in men). A sensitivity analysis among participants without smoking history showed stronger estimates for all three outcomes, in both men and women, statistically significant for three or more asthma symptoms in women (OR 3.28; 95% CI 1.18 to 9.10). Finally, no consistent associations with asthma outcomes were found for starting snus after age 15 years.CONCLUSIONS: Snus initiation in puberty was associated with higher likelihood of asthma and asthma symptoms, with the highest estimates in females and those without smoking history. These results raise concerns about the health adversities of early snus initiation and emphasise the need for public health initiatives to protect young people from this tobacco product.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Schlünssen, ViviDepartment of Public Health, Research Unit for Environment, Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark (författare)
  • Senaratna, ChamaraAllergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne VCCC, VIC, Melbourne, Australia (författare)
  • Accordini, SimoneUnit of Epidemiology and Medical Statistics, Department of Diagnostics and Public Health, University of Verona, Verona, Italy (författare)
  • Callejas, Francisco JavierDepartment of Respiratory Medicine, Albacete University Hospital Complex, Albacete, Spain (författare)
  • Franklin, Karl A.Umeå universitet,Kirurgi(Swepub:umu)kafr0021 (författare)
  • Holm, MathiasDepartment of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Göteborg, Sweden (författare)
  • Jogi, Nils OskarDepartment of Medical Sciences, Clinical Physiology, Uppsala University, Uppsala, Sweden (författare)
  • Malinovschi, Andrei,1978-Uppsala universitet,Integrativ Fysiologi,Klinisk fysiologi,Lung- allergi- och sömnforskning,Department of Medical Sciences, Clinical Physiology, Uppsala University, Uppsala, Sweden(Swepub:uu)anmal535 (författare)
  • Oudin, AnnaUmeå universitet,Institutionen för folkhälsa och klinisk medicin(Swepub:umu)anou0004 (författare)
  • Sigsgaard, TorbenDepartment of Public Health, Research Unit for Environment, Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark (författare)
  • Thorarinsdottir, Elin HelgaPrimary Health Care of the Capital Area, Reykjavik, Iceland; Faculty of Medicine, University of Iceland, Reykjavik, Iceland (författare)
  • Janson, ChristerDepartment of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden (författare)
  • Bertelsen, Randi JacobsenDepartment of Clinical Science, University of Bergen, Bergen, Norway (författare)
  • Svanes, CecilieDepartment of Occupational Medicine, Haukeland University Hospital, Bergen, Norway; Department of Global Public Health and Primary Care, Centre for International Health, University of Bergen Faculty of Medicine and Dentistry, Bergen, Norway (författare)
  • Department of Global Public Health and Primary Care, Centre for International Health, University of Bergen Faculty of Medicine and Dentistry, Bergen, Norway; Department of Occupational Medicine, Haukeland University Hospital, Bergen, NorwayDepartment of Public Health, Research Unit for Environment, Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:BMJ Open Respiratory Research: BMJ Publishing Group Ltd11:12052-4439

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