Second-hand smoking, hypertension and cardiovascular risk: findings from Peru

Abstract Background Second-hand smoking has not been detailedly studied in Peru, where smoking is prohibited in all indoor workplaces, public places, and public transportation. Second-hand smoke exposure may occur at home or any other places. This study aimed to estimate the prevalence of second-han...

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Autores principales: Antonio Bernabe-Ortiz, Rodrigo M. Carrillo-Larco
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Lenguaje:EN
Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/de4fa23c33c04aefbba7f5ea0b796069
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spelling oai:doaj.org-article:de4fa23c33c04aefbba7f5ea0b7960692021-12-05T12:05:14ZSecond-hand smoking, hypertension and cardiovascular risk: findings from Peru10.1186/s12872-021-02410-x1471-2261https://doaj.org/article/de4fa23c33c04aefbba7f5ea0b7960692021-12-01T00:00:00Zhttps://doi.org/10.1186/s12872-021-02410-xhttps://doaj.org/toc/1471-2261Abstract Background Second-hand smoking has not been detailedly studied in Peru, where smoking is prohibited in all indoor workplaces, public places, and public transportation. Second-hand smoke exposure may occur at home or any other places. This study aimed to estimate the prevalence of second-hand smoking and assess its association with hypertension and cardiovascular risk in Peru. Materials and methods Secondary analysis of a nationally-representative population-based survey including individuals aged 18–59 years. There were two outcomes: hypertension and 10-year cardiovascular risk using the Framingham and the 2019 World Health Organization (WHO) risk scores. The exposure was self-reported second-hand smoking during the 7 days before the survey. The association between second-hand smoking and hypertension was quantified with Poisson models reporting prevalence ratio (PR) and 95% confidence interval (95% CI); the association between second-hand smoking and cardiovascular risk was quantified with linear regressions reporting coefficients and their 95% CI. Results Data from 897 individuals, mean age: 38.2 (SD: 11.8) years, and 499 (55.7%) females, were analyzed, with 8.7% subjects reporting second-hand smoking at home and 8.3% at work or any other place. Thus, 144 (15.5%; 95% CI: 12.8%-18.6%) subjects reported any second-hand smoking. In multivariable model second-hand smoking was associated with hypertension (PR = 2.42; 95% CI: 1.25–4.67), and with 1.2% higher Framingham cardiovascular risk, and 0.2% higher 2019 WHO risk score. Conclusions There is an association between second-hand smoking and hypertension as well as with cardiovascular risk, and 15% of adults reported second-hand smoke exposure overall with half of them exposed at home. There is a need to guarantee smoking-free places to reduce cardiovascular risk.Antonio Bernabe-OrtizRodrigo M. Carrillo-LarcoBMCarticleSecond-hand smokingHypertensionCardiovascular riskPeruDiseases of the circulatory (Cardiovascular) systemRC666-701ENBMC Cardiovascular Disorders, Vol 21, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Second-hand smoking
Hypertension
Cardiovascular risk
Peru
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Second-hand smoking
Hypertension
Cardiovascular risk
Peru
Diseases of the circulatory (Cardiovascular) system
RC666-701
Antonio Bernabe-Ortiz
Rodrigo M. Carrillo-Larco
Second-hand smoking, hypertension and cardiovascular risk: findings from Peru
description Abstract Background Second-hand smoking has not been detailedly studied in Peru, where smoking is prohibited in all indoor workplaces, public places, and public transportation. Second-hand smoke exposure may occur at home or any other places. This study aimed to estimate the prevalence of second-hand smoking and assess its association with hypertension and cardiovascular risk in Peru. Materials and methods Secondary analysis of a nationally-representative population-based survey including individuals aged 18–59 years. There were two outcomes: hypertension and 10-year cardiovascular risk using the Framingham and the 2019 World Health Organization (WHO) risk scores. The exposure was self-reported second-hand smoking during the 7 days before the survey. The association between second-hand smoking and hypertension was quantified with Poisson models reporting prevalence ratio (PR) and 95% confidence interval (95% CI); the association between second-hand smoking and cardiovascular risk was quantified with linear regressions reporting coefficients and their 95% CI. Results Data from 897 individuals, mean age: 38.2 (SD: 11.8) years, and 499 (55.7%) females, were analyzed, with 8.7% subjects reporting second-hand smoking at home and 8.3% at work or any other place. Thus, 144 (15.5%; 95% CI: 12.8%-18.6%) subjects reported any second-hand smoking. In multivariable model second-hand smoking was associated with hypertension (PR = 2.42; 95% CI: 1.25–4.67), and with 1.2% higher Framingham cardiovascular risk, and 0.2% higher 2019 WHO risk score. Conclusions There is an association between second-hand smoking and hypertension as well as with cardiovascular risk, and 15% of adults reported second-hand smoke exposure overall with half of them exposed at home. There is a need to guarantee smoking-free places to reduce cardiovascular risk.
format article
author Antonio Bernabe-Ortiz
Rodrigo M. Carrillo-Larco
author_facet Antonio Bernabe-Ortiz
Rodrigo M. Carrillo-Larco
author_sort Antonio Bernabe-Ortiz
title Second-hand smoking, hypertension and cardiovascular risk: findings from Peru
title_short Second-hand smoking, hypertension and cardiovascular risk: findings from Peru
title_full Second-hand smoking, hypertension and cardiovascular risk: findings from Peru
title_fullStr Second-hand smoking, hypertension and cardiovascular risk: findings from Peru
title_full_unstemmed Second-hand smoking, hypertension and cardiovascular risk: findings from Peru
title_sort second-hand smoking, hypertension and cardiovascular risk: findings from peru
publisher BMC
publishDate 2021
url https://doaj.org/article/de4fa23c33c04aefbba7f5ea0b796069
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