Chronic respiratory disease, smoking and prognosis for life. An epidemiological study. 1977

E Huhti, and J Ikkala, and T Hakulinen

A population group, comprising 653 men and 823 women aged 40-64 years, was surveyed in 1961 to determine the prevalence of chronic respiratory disease. Questionnaire, simple spirometry and thoracic radiography were used. The 10-year mortality of the population has been related to the initial findings. After standardization for age and smoking, men in each of the disease or symptom groups had a higher risk of dying during the 10-year period than men without lung disease; for the total group of men with chronic non-specific lung disease (CNSLD) the standardized risk ratio was 1.3. After standardization for age and presence of CNSLD, men in all smoking groups had a higher risk of dying than male non-smokers. For the total before the age of 15 therisk was 4.1-fold. When men with and without CNSLD were analysed separtely in different smoking groups, the excess mortality of men with CNSLD varied from 10 to 110% (risk ratios from 1.1 to 2.1), being highest among the heaviest smokers. In men without lung disease, the smokers had a 1.8-fold mortality as compared with non-smokers. In women, the CNSLD did not increase mortality, but in female smokers the risk of dying was roughly twice that of female non-smokers although the difference was not significant. It appears from the findings that, as far as the prognosis for life is concerned in the male population surveyed, smoking is more important than CNSLD. The effect of CNSLD seemed to be stronger in men who smoked at least 25 g of tobacco daily, than in men who smoked less. The ex-smokers resembled non-smokers more than smokers in mortality experience which suggests that the deleterious effects of smoking may disappear after smoking has been discontinued.

UI MeSH Term Description Entries
D008017 Life Expectancy Based on known statistical data, the number of years which any person of a given age may reasonably be expected to live. Life Extension,Years of Potential Life Lost,Expectancies, Life,Expectancy, Life,Life Expectancies
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D012140 Respiratory Tract Diseases Diseases involving the RESPIRATORY SYSTEM. Respiratory Diseases,Respiratory System Diseases,Disease, Respiratory System,Disease, Respiratory Tract,Respiratory System Disease,Respiratory Tract Disease
D002908 Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). Chronic Condition,Chronic Illness,Chronically Ill,Chronic Conditions,Chronic Diseases,Chronic Illnesses,Condition, Chronic,Disease, Chronic,Illness, Chronic
D005260 Female Females
D005387 Finland A country in northern Europe, bordering the Baltic Sea, Gulf of Bothnia, and Gulf of Finland, between Sweden and Russia. The capital is Helsinki. Aland Islands,Ă…land Islands
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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