Tobacco and Alcohol Consumption Rates among Chinese Women of Reproductive Age in 2004–2011: Rate and Sociodemographic Influencing Factors

Liu, Ruiyi; Chen, Li; Zeng, Huan; Reis, Cesar; Reis, Haley; Yang, Xian-Jie; Lin, Xiaoyun; Li, Huabing; Meng, Xuchen; Sharma, Manoj; Zhao, Yong

doi:10.3390/ijerph16010056

Cited by 14 publications

(12 citation statements)

References 34 publications

(35 reference statements)

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“… 58 Interestingly, when further stratified the population by sex, significant effects were only observed among male participants. These findings are consistent with those of Millwood and his colleagues 58 and likely relates to more modest alcohol drinking in women, 59 even within the “drinker” subgroup. Previous observational studies have supported an inverse association between low to moderate alcohol consumption and stroke risk.…”

Section: Discussionsupporting

confidence: 89%

Large‐Scale Targeted Sequencing Study of Ischemic Stroke in the Han Chinese Population

Shi

Kelly

Zhu

et al. 2022

JAHA

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Background Ischemic stroke is likely caused by interactions of multiple genes and environmental determinants. However, large‐scale sequencing studies to discern functional genetic variants and their interactions with clinical and lifestyle risk factors on ischemic stroke are limited. Methods and Results We sequenced functional regions of 740 previously identified genes associated with atherosclerotic disease among 999 ischemic stroke cases and 1001 controls of Chinese ancestry. Multiple logistic regression models were used to examine the associations between variants and ischemic stroke and test interactions between variants and clinical and lifestyle risk factors. Functional variants achieving suggestive significance were replicated in an independent sample of 4724 ischemic stroke cases and 5029 controls. Driven by variant main effects, each minor allele of the correlated rs174535, rs174545, and rs3834458 variants at MYRF‐FADS1‐FADS2 conferred an average 0.83‐fold (95% CI, 0.78–0.88) decreased odds of stroke. Significant main effects of MTHFR rs1801133 missense variant were also observed, with each copy of the A allele associated with a 1.20‐fold (95% CI, 1.13–1.27) higher odds of ischemic stroke. The functional ALDH2 rs671 variant was identified in interaction analyses with alcohol drinking ( Meta‐P =3.39×10 −17 ). Each minor allele conferred a 0.54‐fold (95% CI, 0.45–0.64) decreased odds of stroke among drinkers and a 0.89‐fold (95% CI, 0.83–0.97) decreased odds among nondrinkers. Conclusions Significant associations at MYRF‐FADS1‐FADS2 indicate that genetically elevated polyunsaturated fatty acids may decrease ischemic stroke risk in East Asians. Significant associations at MTHFR and ALDH2 robustly confirm deleterious effects of genetically elevated homocysteine and alcohol intake, respectively, on ischemic stroke.

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Section: Discussionsupporting

confidence: 89%

Large‐Scale Targeted Sequencing Study of Ischemic Stroke in the Han Chinese Population

Shi

Kelly

Zhu

et al. 2022

JAHA

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“…Women in the early birth cohort had low social status, poor nutrition, and were more susceptible to the social environment, while men born later were more likely to be exposed to smoking, drinking, and other risk factors that lead to a higher level of risk [38]. Based on previous studies reported in China, the unfavorable trend in the group of men born later was related to social disintegration, as they were more likely to be exposed to risk factors such as alcohol and drug abuse, tobacco use, unemployment, and income inequality: the complex interactions between these factors may have led to an increase in LC risk in China [27,39,40,41,42,43].…”

Section: Discussionmentioning

confidence: 99%

Long-Term Trends of Liver Cancer Incidence and Mortality in China 1990–2017: A Joinpoint and Age–Period–Cohort Analysis

Wang

Mubarik

Zhang

et al. 2019

IJERPH

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Liver cancer (LC) is one of the most common causes of cancer-related deaths: this study aims to present the long-term trends and age–period–cohort effects of the incidence of and mortality from LC in China during 1990–2017. Incidence and mortality data were obtained from the Global Burden of Disease Study 2017. We determined trends in the age-standardized incidence rate (ASIR) and mortality rate (ASMR) using Joinpoint regression. An age–period–cohort (APC) analysis was performed to describe the long-term trends with intrinsic estimator methods. The ASMR decreased markedly before 2013 and increased thereafter, with overall average annual percent change (AAPC) values of −0.5% (95% confidence interval (CI): −0.6%, −0.3%) for men and −1.3% (−1.6%, −1.0%) for women during 1990–2017. The ASIR significantly increased by 0.2% (0.1%, 0.3%) in men and decreased by 1.1% (−1.2%, −1.0%) in women from 1990 to 2017. The risks of LC incidence and mortality increased with age in both genders. The period effect risk ratios (RRs) of incidence and mortality displayed similar monotonic increasing trends in men and remained stable in women. The cohort effect showed an overall downward trend and almost overlapping incidence and mortality in both genders, and later birth cohorts experienced lower RRs than previous birth cohorts. Older age, recent period, and birth before 1923 were associated with a higher risk of liver cancer incidence and mortality. The net age and period effects showed an increasing trend, while the cohort effects presented a decreasing trend in incidence and mortality risk. As China’s population aging worsens and with the popularization of unhealthy lifestyles, the burden caused by liver cancer will remain a huge challenge in China’s future.

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“…Similar kinds of results have been employed in studies done across different parts in the developing nations. [ 28 29 30 ]…”

Section: Discussionmentioning

confidence: 99%

Estimation of the prevalence of tobacco consumption among rural women in South India using mixed methods analysis

Shrivastava

2020

Indian J Community Med

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Background: Tobacco consumption is a public health problem in Tamil Nadu. Objectives: The current study was done to estimate the prevalence of tobacco consumption among rural women and to identify the sociodemographic characteristics with high prevalence of tobacco consumption. Materials and Methods: It was a community-based cross-sectional descriptive study conducted among women ≥18 years of age. Mixed methods were employed to obtain the comprehensive picture about the substance use among women. Multistage random sampling method was used to interview 210 women using a semi-structured and pretested schedule. This was followed by key informant interviews, in which nine women were interviewed. Frequency distributions and Chi-square test were employed to study the association. In addition, manual content analysis was done to identify the reasons for the initiation of tobacco consumption and the measures to curb the practice. Results: The prevalence of tobacco consumption among the women was estimated as 15.2%. Women in the lower socioeconomic status group showed a higher prevalence of tobacco consumption than the middle and high socioeconomic status group. All 32 (100%) women were consuming tobacco products in the smokeless forms. Further, 28 (87.5%) women were not willing to quit tobacco consumption. Conclusion: The prevalence of tobacco consumption among the women was estimated to be above expectation of the national figures. Lower socioeconomic class and poor educational status were found to be major determinants for tobacco consumption among rural women.

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Tobacco and Alcohol Consumption Rates among Chinese Women of Reproductive Age in 2004–2011: Rate and Sociodemographic Influencing Factors

Cited by 14 publications

References 34 publications

Large‐Scale Targeted Sequencing Study of Ischemic Stroke in the Han Chinese Population

Large‐Scale Targeted Sequencing Study of Ischemic Stroke in the Han Chinese Population

Long-Term Trends of Liver Cancer Incidence and Mortality in China 1990–2017: A Joinpoint and Age–Period–Cohort Analysis

Estimation of the prevalence of tobacco consumption among rural women in South India using mixed methods analysis

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