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Association between cigarette smoking and stroke based on Korea community health survey

보건학논집 - 서울대학교 2017년 54권 1호 p.15 ~ 22
최하영, 김호,
소속 상세정보
최하영 ( Choi Ha-Young ) - 서울대학교 보건대학원 보건학과
김호 ( Kim Ho ) - 서울대학교 보건대학원 보건학과

Abstract


Objectives: The present study assesses the association between smoking including ex-smokers and prevalence of stroke in South Korea.


Methods: Data were obtained from the Korean Community Health Survey conducted in South Korea, 2012. Using generalized linear model, survey regression and meta-analysis were conducted to examine the relationship between smoking and stroke in each 17 metropolitan cities and provinces with 252 regional sites.

Results: Stroke is positively associated with smoking history and there were differences in odds ratio between 17 cities and provinces. The most significant effect among 17 was an increase of 3.11(95% CI: 1.42- 6.84) and the effect size of overall 252 regions was an increase of 37% (95% CI: 9%-71%) for stroke.

Conclusion: This study suggests that smokers are at higher risk of stroke. Considering the difference in risk between communities, public health programs to reduce cigarette smoking should be more supportive in vulnerable regions.

키워드

Stroke; Smoking; Community health survey; Regional difference; Survey regression; Meta-analysis

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