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자료유형
학술저널
저자정보
Kim, Kyoungwoo (Department of Family Medicine, Inje University Seoul Paik Hospital) Yoo, Taiwoo (Sin-geon-gang-in Center) Kim, Yeonju (Department of Preventive Medicine, Seoul National University College of Medicine) Choi, Ji-Ho (Department of Family Medicine, Inha University Hospital) Myung, Seung-Kwon (National Cancer Center) Park, Sang-Min (Department of Family Medicine, Seoul National University College of Medicine) Hong, Yun-Chul (Department of Preventive Medicine, Seoul National University College of Medicine) Cho, Belong (Department of Family Medicine, Seoul National University College of Medicine) Park, Sue K. (Department of Preventive Medicine, Seoul National University College of Medicine) Yoo, Keun-Young (Department of Preventive Medicine, Seoul National University College of Medicine)
저널정보
아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제15권 제14호
발행연도
2014.1
수록면
5,685 - 5,689 (5page)

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Background: It is well known that smoking is a preventable factor for all-cause mortality; however, it is still questionable how many years after smoking cessation that people will have reduced risk for mortality, in particular in those with a high interest in their own health. We aimed to examine the association between time since quitting smoking and total mortality among past-smokers relative to current smokers. Materials and Methods: We enrolled 36,446 health examinees that voluntarily taken with diverse health check-up packages of high cost burden in 1995-2003 and followed them till death by 2004. The history of cigarette smoking consumption was collected using a self-administrative questionnaire at the first visit time. Mortality risk by smoking cessation years was analyzed using Cox's proportional hazard model. Results: Compared to non-smokers, male smokers over 15 pack-years had higher risk for total mortality (HR=1.60, 95%CI 1.23-2.14). The mortality risk in female smokers with same pack-years was more pronounced than that in male smokers (HR=2.83, 95%CI 1.17-7.04) despite a small number of cases. Compared to current smokers, a decrease of total mortality was observed among those who ceased smoking, and inverse dose-response was found with years after cessation: RR 0.98 (95%CI, 0.64-1.41) (<2 yrs), 0.60 (95%CI, 0.43-0.83) (3-9 yrs), and 0.58 (95%CI, 0.43-0.79) (${\geq}10$ yrs). Conclusions: A reduced risk of total mortality was observed after 3 years of smoking cessation. Our findings suggest that at least 3 years of smoking cessation may contribute to reduce premature mortality among Asian men.

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