Wednesday February 26, 2020

Cigars, Pipes Tied To Same Risks As Cigarettes

Traditionally, doctors have asked just whether people smoked cigarettes, but they should instead be questioning patients more broadly about tobacco use

0
//
E-cigarettes
E-cigarettes is considered to be safer than tobacco cigarettes. Pixabay
  • Cigarettes are not the only tobacco products which can cause death
  • Other tobacco products like cigars and pipes are just harmful
  • All these tobacco products can cause cancer

Cigarettes are not the only type of tobacco products that can lead to premature death or fatalities from smoking-related cancers, a U.S. study confirms.

While people who exclusively smoke cigarettes have twice the risk of premature death from all causes compared to people who avoid tobacco altogether, exclusive cigar smokers have a 20 percent higher risk of early death, researchers report in JAMA Internal Medicine.

Cigarettes are not the only harmful tobacco products available in the market. Pixabay
Cigarettes are not the only harmful tobacco products available in the market. Pixabay

When it comes to fatalities from specific cancers that have been tied to tobacco use, cigarette smokers have four times the risk of people who never used tobacco, but cigar smokers are 61 percent more likely to die of these cancers and pipe users have 58 percent higher odds.

“We knew exclusive users of cigars and pipes were at greater risk of disease than people who do not use tobacco,” said lead study author Carol Christensen of the U.S. Food and Drug Administration’s Center for Tobacco Products. “However, this study provides information that reflects today’s patterns of tobacco use.”

Also Read: Banning E-Cigarettes Deprives Indian Smokers of a Less Harmful Alternative: Experts

These data “underscore the importance of complete quitting,” Christensen said by email.

For the study, researchers examined nationally representative survey data, collected starting in 1985, from 357,420 participants who were followed through 2011.

Overall, 203,071 people, or about 57 percent, never used tobacco at all. Another 57,251 participants were current daily cigarette smokers, while 9,414 said they had a less frequent habit and 77,773 were former cigarette smokers.

In addition, 531 people were current daily cigar smokers, while 608 individuals used cigars less frequently and 2,398 had quit.

For pipes, 1,099 participants had a current daily habit, while 78 people used pipes less often and 5,237 had quit.

Pipes, hookahs and all other tobacco products are just as harmful as a cigarette. post-gazette.com
Pipes, hookahs and all other tobacco products are just as harmful as a cigarette. post-gazette.com

During the study period, 51,150 people died of all causes.

With a daily cigarette, cigar or pipe habit, people had an elevated risk of death from tobacco-related cancers including malignancies of the bladder, oesophagus, larynx, lung, mouth and throat, and pancreas.

Nondaily users

Even with a nondaily cigarette habit, people were more than six times more likely to die of lung cancer than individuals who never used tobacco. They also had more than seven times the risk of dying from a chronic obstructive pulmonary disease, more than four times the odds of death from oral cancers, and 43 percent higher odds of death from a circulatory system disorder.

Current cigar smokers had more than three times the odds of dying of lung cancer, and for current pipe smokers, the risk was 51 percent higher, compared with never-smokers.

The results were limited, however, by the relatively small numbers of cigar and pipe smokers in the sample, the authors noted.

Cigarettes, hookah, pipes, cigars all are equally harmful.
Cigarettes, hookah, pipes, cigars all are equally harmful.

Another limitation was that survey questions about tobacco use changed over time and didn’t determine how often nondaily smokers might have used cigarettes, cigars or pipes.

Even so, the results suggest that doctors may need to broaden how they discuss smoking with patients to make sure people understand they’re at risk even when they don’t have a daily habit, said Dr. Michael Ong of the University of California-Los Angeles and VA Greater Los Angeles Healthcare System.

Also Read:  Beware! Vapor smoke from E-cigarettes are just as harmful, says a new research

“Patients often do not associate the occasional use of cigar or pipes with health risks, but this study shows that current, particularly daily, cigar use is associated with increased overall risk of death,” Ong, who wasn’t involved in the study, said by email.

Doctors also need to broaden their message about smoking and cigarettes to include other tobacco products that are becoming more popular, said Judith Prochaska, a researcher at Stanford University in California who wasn’t involved in the study.

e-cigarettes
Smoking e-cigarettes are not a healthier alternative to smoking. cigarettes Pixabay

Traditionally, doctors have asked just whether people smoked cigarettes, but they should instead be questioning patients more broadly about tobacco use, Prochaska said by email.

“The tobacco landscape has been changing dramatically,” Prochaska added. “While cigarettes remain the primary tobacco product used, cigars, smokeless tobacco, e-cigarettes, hookah, and even pipe tobacco have seen gains in use, while cigarette use in the U.S. has been declining.” VOA

Next Story

Childhood Ignorance and Abuse Leads to Smoking Cigarettes

Childhood physical abuse leads to heavy cigarette use and smoking of other drugs

0
Smoking childhood
Children who have been abused, mistreated or neglected at home are more likely to start smoking cigarettes and other substances. Pixabay

Health and lifestyle researchers have found that children who have been abused, mistreated or neglected at home are more likely to start smoking cigarettes and other substances.

The study, published in the journal Substance Use & Misuse, showed that physical abuse of children in high-risk homes, especially when they’re toddlers or teens, dramatically increases the odds that their adolescent experimentation with cigarettes will lead to a heavy smoking habit.

For the findings, the study examined data on children who were at high risk for abuse and neglect — either because they had been referred to a child protective service or lived in conditions associated with the likelihood of maltreatment or both.

Smoking childhood
Adolescent cigarette smoking is a really serious social problem and public health concern. Pixabay

“I wanted to look at different types of maltreatment and whether they have an impact on cigarette smoking,” said study lead author Susan Yoon, Assistant Professor at Ohio State University in the US.

“Adolescent cigarette smoking is a really serious social problem and public health concern. Brain development is not complete until late adolescence or during young adulthood, and cigarette smoking is associated with damage in brain development,” Yoon said.

“We also know that those who start smoking cigarettes during adolescence are more likely to continue smoking into adulthood,” Yoon added.

For the results, the research team used data on 903 adolescents, who were assessed at age 12, 16 and 18.

A breakdown of different types of abuse and neglect experienced by the sample population during three different time periods (early childhood, school age and adolescence) confirmed how vulnerable these kids were.

The researchers used their responses about smoking between the ages of 12 and 18 to identify three patterns of cigarette use: stable low/no use (61 per cent of respondents), gradually increasing use (30 per cent) and sharply increasing cigarette use (nine per cent).

“It was almost shocking how the pattern of cigarette use over time went up so drastically in the sharply increasing use class,” Yoon said.

Smoking
Physical abuse during adolescence had an even stronger effect — this type of mistreatment at that point in life was linked to 3.7 times higher odds for sharply increased cigarette use. Pixabay

“They were pretty similar to the others at age 12 — almost 80 percent didn’t smoke. At age 16, we saw that almost 60 per cent had used cigarettes more than 20 days in the past year and by 18, every single kid in this group reported heavy use of cigarettes,” Yoon added.

A statistical analysis showed that adolescents who experienced early childhood physical abuse were 2.3 times more likely to be in the sharply increasing cigarette use group compared with the stable no/low group.

Physical abuse during adolescence had an even stronger effect — this type of mistreatment at that point in life was linked to 3.7 times higher odds for sharply increased cigarette use.

Also Read- Here’s Why Consumption of Half Pint of Beer a Day May Help You Live Longer

Adolescents who had been neglected during early childhood were 1.89 times more likely to be in the gradually increasing cigarette use group than in the stable no/low use group.

About 40 per cent of these smokers had reported using cigarettes at age 16, and by age 18, more than 80 per cent were smokers, and about 40 per cent had smoked on more than 20 days in the previous year, the study said. (IANS)