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# Health Sciences# Cardiovascular Medicine

The Impact of Smoking on Health and Society

Exploring smoking rates, health risks, and strategies for cessation.

― 7 min read


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Each year, Smoking causes over 7 million deaths around the world. That’s like a small town disappearing every year because of smoking-related issues. This means smoking leads to about one in ten deaths and is responsible for at least 12% of deaths among adults 30 years and older. In the USA, about 480,000 people lose their lives annually due to smoking. In total, over 100 million people died from smoking-related diseases in the 20th century alone!

Historically, smoking habits have varied by region. In Western Europe, for instance, around 37% of men and 25% of women smoke. However, between 1990 and 2009, the smoking rates in Western Europe dropped by 26%. On the other hand, some countries in the Middle East and Africa saw an increase in smoking by 57% during the same period.

In the East African Community, which includes countries like Kenya and Uganda, smoking-related deaths rank among the top five causes of death. But the rates of smoking can vary quite a bit between different places. For example, Rwanda has one of the lowest rates of smoking in Africa, with only 14% of men and a mere 3% of women using tobacco.

Health Risks of Smoking

Smoking is a significant risk factor for heart diseases. It’s been shown that smoking can lead to about 5.9 million premature deaths from Cardiovascular Diseases (CVD) each year. This means smoking is a big player in cutting lives shorter, especially before the age of 70.

The health issues caused by smoking include problems like clogged arteries, strokes, and other cardiovascular issues. Smoking damages blood vessels and affects how they function, leading to various health problems. Studies show that smoking increases bad Cholesterol Levels while lowering the good cholesterol. This combination is not good news for heart health.

Smoking and Its Links to Blood Pressure

Smoking has been recognized as a risk for High Blood Pressure, which is another factor leading to heart issues. Interestingly, there’s a bit of a twist in this story. Even though smoking is linked to high blood pressure, some research shows that smokers may not always have significantly higher blood pressure.

While some studies suggest that smoking can contribute to high blood pressure, the exact connection is still up for debate. Some say smoking can lead to temporary issues, while others claim it might not have a direct impact on blood pressure.

Nicotine and Carbon Monoxide

The bad guys in cigarettes are not just nicotine but also carbon monoxide. These harmful substances can cause temporary damage, especially to blood vessels, making it harder to cope with exercise. If you’re trying to get fit, having these guys in your system doesn’t help!

Health Effects and Mortality

The risk of developing high blood pressure and heart attacks can both be influenced by smoking. These chronic diseases can shorten how long you live, and they certainly don’t boost your quality of life.

A report showed that smoking and high blood pressure are among the top three risk factors for early death and disability among men worldwide. This makes smoking a big issue to tackle when it comes to public health.

The Study: Who, What, and How

This study looked at smoking among employees and their spouses in the beverage industry in Rwanda. Researchers wanted to find out why some people smoke and others don’t.

The study involved 440 participants, including both workers and their spouses. The age range was from 30 to 75, ensuring a good mix of younger and older individuals. The researchers also made sure not to include anyone with existing heart diseases so they could get a clearer picture of smoking behavior.

Understanding Who Smokes

In this study, 93.2% of participants were non-smokers. This means only 6.8% of the group actually smoked. That’s pretty good news for a population!

Age and Smoking

When looking at age, they found that younger people (below 40) were less likely to smoke, while older folks (over 51) showed a higher tendency to smoke. This makes sense: older adults may have been smoking longer and find it harder to quit.

Gender Differences

Out of all the participants, 51.1% were men and 5.5% of them smoked. In contrast, only 1.4% of the women smoked. This shows that men are smoking more than women in this group.

Employment and Smoking

When considering employment status, about 56.6% of participants were employees and 4.8% of them smoked. Among spouses, only 2% smoked. So, being an employee didn’t seem to make a huge difference in smoking rates.

Examining Health Factors

The study also looked into various health factors related to smoking, such as cholesterol levels, body mass index (BMI), and blood pressure.

Cholesterol Levels

Most participants had normal cholesterol levels, but the rates of smoking were quite low among them. There wasn’t a significant relationship between cholesterol levels and smoking.

Triglycerides

Interestingly, the study found that those with higher triglyceride levels were more likely to smoke. It seems that smoking and high triglycerides might go hand in hand, which is not a great combo for health.

Cardiovascular Disease Risk

Participants with a higher risk of cardiovascular disease were also more likely to smoke. This is a big red flag since smoking can worsen the condition!

Diabetes

People without diabetes showed a higher likelihood of smoking compared to those with diabetes. This suggests that individuals with diabetes might be more inclined to avoid smoking, possibly due to the health risks they already face.

Body Mass Index (BMI)

When looking at body weight, there wasn’t a significant link between BMI and smoking in this study. This means whether you’re normal weight, overweight, or obese doesn’t necessarily dictate if you smoke.

Blood Pressure Levels

Finally, when researchers looked at blood pressure, they found that smokers were more likely to have high blood pressure. This indicates a strong connection between smoking and hypertension.

The Key Findings of the Study

The study identified several factors linked to smoking behavior:

  1. Increased CVD Risk: Those with a higher cardiovascular disease risk were more likely to smoke.

  2. High Serum Uric Acid Levels: Higher levels of uric acid were strongly associated with smoking.

  3. Older Age: The likelihood of smoking increased with age.

  4. Hypertension: Surprisingly, people with high blood pressure or those treated for it were less likely to smoke, possibly because health advice encouraged them to quit.

Why This Matters

The findings of this study highlight the importance of targeting smoking cessation efforts. It’s clear that addressing cardiovascular health and high uric acid levels could lead to better outcomes in reducing smoking rates.

If you’re trying to kick the habit, knowing these factors can help guide you. Health programs that consider these aspects can be much more effective.

Comparing with Other Studies

When comparing the smoking rates found in this study to others, it’s clear that Rwanda is doing pretty well. For instance, many countries report smoking rates of 15% to 20%. Rwanda, with only 6.8% smoking, shows that something is working!

In the sub-Saharan region, countries like Nigeria report higher smoking rates, while Rwanda’s numbers show a positive trend. Even within Rwanda, some studies have shown similar low smoking rates, suggesting that the country’s efforts to control smoking are paying off.

Final Thoughts

The low rate of smoking in this study is a win for public health. While not everyone is lighting up, there are still certain groups that require attention. The findings highlight the need for targeted strategies that take into account factors like age, cardiovascular risk, and uric acid levels.

With focused efforts, smoking rates can continue to decline, leading to healthier lives and longer life expectancies. Remember, quitting smoking is tough, but it’s never too late to start the journey toward a smoke-free life!

So, whether you choose to quit smoking or never start, keep in mind that your health should always come first. Let's smoke out the bad habits and breathe in the good vibes!

Original Source

Title: Factors associated with tobacco smoking among beverage industrial workers and their spouses in Rwanda.

Abstract: BackgroundGlobally, smoking leads to over 7 million preventable deaths annually, with higher rates in men (16%) than women (7%). While smoking has declined in high-income countries, tobacco use in Rwanda is comparatively low, affecting 14% of men and 3% of women. ObjectiveThe study aimed to identify the factors associated with tobacco smoking among workers and their spouses in Rwanda. MethodThis research employed a cross-sectional study design conducted in a beverage manufacturing industry in Rwanda. The target population was 822 participants, including industry employees and their spouses, aged 30 to 75 years. Using the Cochrane formula, the initial sample size was determined to be 384, and after the non-response rate adjustment and correction, the final sample size was set at 440. The data collection was carried out from May to December 2018. A combination of stratified and simple random sampling was used to ensure the samples representativeness. ResultsThe analysis reveals 6.8% were smokers and several key predictors of smoking behavior. Participants with elevated cardiovascular disease (CVD) risk ([≥]10%) have significantly higher odds of smoking, with an adjusted odds ratio of 2.946 (95% CI: 1.102-7.875, p=0.03), suggesting that CVD risk is a crucial factor in smoking behavior due to overlapping lifestyle risks. Additionally, high serum uric acid (SUA) levels ([≥]7 mg/dl) are strongly associated with smoking, with an adjusted odds ratio of 4.278 (95% CI: 1.141-11.872, p=0.005), indicating that elevated SUA levels are over four times more likely to be linked to smoking. Age is another significant predictor, with participants aged 50 years or older being nearly three times more likely to smoke compared to younger individuals, as shown by an adjusted odds ratio of 2.766 (95% CI: 1.126-6.797, p=0.02). Participants with hypertension or those treated for hypertension have lower adjusted odds ratio of 0.380 (95% CI: 0.100-1.446, p=0.049). ConclusionThe study found that tobacco smoking is relatively rare in this population, with elevated cardiovascular disease risk. High serum uric acid levels, and older age identified as significant predictors of smoking. Author summaryO_ST_ABSWhat is already known on this topicC_ST_ABSTobacco smoking is a major global cause of preventable deaths, with higher smoking rates in men, and although smoking has declined in high-income countries, tobacco use remains relatively low in Rwanda. What this study addsThe study identifies key factors associated with smoking among industrial workers and their spouses in Rwanda, including elevated cardiovascular disease risk, high serum uric acid levels, and older age. How this study might affect research, practice, or policyThis study highlights important predictors of smoking in a Rwandan context, which could inform targeted public health strategies, smoking cessation programs, and policy decisions aimed at reducing tobacco use.

Authors: Charles Nsanzabera, Jean claude Rukundo, Mustafe Yusuf Said, Leonard Ndayisenga

Last Update: 2024-10-30 00:00:00

Language: English

Source URL: https://www.medrxiv.org/content/10.1101/2024.10.29.24316376

Source PDF: https://www.medrxiv.org/content/10.1101/2024.10.29.24316376.full.pdf

Licence: https://creativecommons.org/licenses/by/4.0/

Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.

Thank you to medrxiv for use of its open access interoperability.

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