SmokeHaz: systematic reviews and meta-analyses of the effects of smoking on respiratory health

Jayes, Leah and Haslam, Patricia L. and Gratziou, Christina G. and Powell, Pippa and Britton, John and Vardavas, Constantine and Jimenez-Ruiz, Carlos and Leonardi-Bee, Jo (2016) SmokeHaz: systematic reviews and meta-analyses of the effects of smoking on respiratory health. Chest, 150 (1). pp. 164-179. ISSN 1931-3543

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Abstract

Background: Smoking tobacco increases the risk of respiratory disease in adults and children, but communicating the magnitude of these effects in a scientific manner that is accessible and usable by public and policymakers presents a challenge. We have therefore summarised scientific data on the impact of smoking on respiratory diseases to provide the content for a unique resource, SmokeHaz.

Methods: We conducted systematic reviews and meta-analyses of longitudinal studies (published to 2013) identified from electronic databases, grey literature, and experts. Random effect meta-analyses were used to pool the findings.

Results: We included 216 papers. Among adult smokers, we confirmed substantially increased risks of lung cancer (Risk Ratio (RR) 10.92, 95% CI 8.28-14.40; 34 studies), COPD (RR 4.01, 95% CI 3.18-5.05; 22 studies) and asthma (RR 1.61, 95% CI 1.07-2.42; 8 studies). Exposure to passive smoke significantly increased the risk of lung cancer in adult non-smokers; and increased the risks of asthma, wheeze, lower respiratory infections, and reduced lung function in children. Smoking significantly increased the risk of sleep apnoea, and asthma exacerbations in adult and pregnant populations; and active and passive smoking increased the risk of tuberculosis.

Conclusions: These findings have been translated into easily digestible content and published on the SmokeHaz website (www.smokehaz.eu).

Item Type: Article
Keywords: Smoking, Passive Smoking, Systematic Review, Meta-Analysis, Respiratory Diseases, Lung Diseases, Health Risks, Policy Makers, Public Awareness
Schools/Departments: University of Nottingham UK Campus > Faculty of Medicine and Health Sciences > School of Medicine > Division of Epidemiology and Public Health
Identification Number: https://doi.org/10.1016/j.chest.2016.03.060
Depositing User: Claringburn, Tara
Date Deposited: 20 May 2016 14:09
Last Modified: 13 Sep 2016 17:43
URI: http://eprints.nottingham.ac.uk/id/eprint/33435

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