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1 Nord-Trøndelag Health Study Research Centre, Norwegian University of Science andTechnology (NTNU), Verdal, 2 Dept of Community Medicine and General Practice, NTNU, Trondheim, 3 Dept of Thoracic Medicine, University of Bergen, Bergen, Norway. 4 Dept ofRespiratory Medicine and Allergology, University Hospital, Lund, Sweden
CORRESPONDENCE: A. Langhammer, Nord-Trøndelag Health Study Research Centre, Norwegian University of Science and Technology, Neptunveien 1, N-7650 Verdal, Norway. Fax: 47 74075181. E-mail: arnulf.langhammer@medisin.ntnu.no
Keywords: lung function, respiratory symptoms, self-rated health, sex, tobacco smoking
Received: June 20, 2002
Accepted January 29, 2003
This
study was supported by the Norwegian Research Council and AstraZeneca.
Studies have indicated that females are more vulnerable to the deleterious
effect of tobacco smoking than males. The current study aimed to investigate
the associations between tobacco smoking and reported respiratory symptoms,
self-rated health, and lung function by sex.
In 19951997 65,225 subjects aged
Tobacco smoking was associated with increased prevalence of respiratory
symptoms, reduced lung function, and lower score on global self-rated
health (SRH). Adjusted for smoking burden and lung function, females
had a higher risk for reporting respiratory symptoms and lower SRH compared
with males. Further, smoking burden was associated with a larger relative
reduction in expiratory lung function in females than in males.
Females reported more symptoms and lower self-rated health compared
with males with similar smoking burden. Even if smoking in females was associated
with a larger reduction in per cent predicted lung function compared with
males, this does not fully explain the higher symptom prevalence in females.
20 yrs (71%
of invited) attended for screening within the Nord-Trøndelag
Health Study. Among these, 10,941 subjects selected randomly or because they
reported having asthma or asthma-related symptoms, participated in the
Bronchial Obstruction in Nord-Trøndelag study consisting of spirometry
and a personal interview.
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