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Use of oral and nasal tobacco and asthma symptoms in a Nordic population

Randi Bertelsen, Ane Johannessen, Bryndis Benediktsdottir, Lennart Bråbäck, Shyamali C. Dharmage, Mathias Holm, Christer Janson, Rain Jogi, Jesus Moratalla, José Luis Sánchez-Ramos, Vivi Schlünssen, Torben Sigsgaard, Trude D. Skorge, Cecilie Svanes
European Respiratory Journal 2016 48: PA4610; DOI: 10.1183/13993003.congress-2016.PA4610
Randi Bertelsen
1Department of Clinical Science, University of Bergen, Bergen, Norway
2Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway
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Ane Johannessen
3Centre for Clinical Research, Haukeland University Hospital, Bergen, Norway
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Bryndis Benediktsdottir
4Faculty of Medicine, University of Iceland, Reykjavik, Iceland
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Lennart Bråbäck
5Occupational & Environmental Medicine, Department of Public Health and Clinical Medicine, Umeå, Sweden
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Shyamali C. Dharmage
6School of Population and Global Health, The University of Melbourne, Melbourne, Australia
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Mathias Holm
7Department of Occupational and Environmental Medicine, University of Gothenburg, Gothenburg, Sweden
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Christer Janson
8Department of Medical Sciences, Uppsala University, Uppsala, Sweden
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Rain Jogi
9Lung Clinic, Tartu University Clinics, Tartu, Estonia
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Jesus Moratalla
10Department of internal Medicine, Albacete University Hospital, Albacete, Spain
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José Luis Sánchez-Ramos
11Department of Nursing, University of Huelva, Huelva, Spain
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Vivi Schlünssen
12Department of Public Health, Aarhus University, Aarhus, Denmark
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Torben Sigsgaard
12Department of Public Health, Aarhus University, Aarhus, Denmark
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Trude D. Skorge
2Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway
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Cecilie Svanes
2Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway
13Centre for International Health, University of Bergen, Bergen, Norway
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Abstract

Background: Nicotine receptors are present in many organs including the lungs. It is therefore plausible that nicotine exposure (without cigarette smoke) has a negative impact on lung health.

Aim: To assess the association between use of nasal and oral moist tobacco (snus) and asthma symptoms.

Methods: We used data collected 2013-15 on lung health and tobacco habits from 7826 adult participants (mean age: 30.4 yrs; 42% men) from the RHINESSA study with populations from Northern Europe. Logistic regression models adjusted for age, sex, occupational status, parental smoking during childhood, and clustered by centre were used to assess association between use of snus (with or without cigarette smoking) and having 3 or more of the following symptoms: Wheezing, breathless when wheezing, wheezing when not having a cold, woken by tightness in chest, woken by shortness of breath, night cough, asthma attack, and current asthma medication.

Results: Current use of snus was most common in Norway (21%) and Sweden (17%), followed by Iceland (included oral and nasal tobacco: 7%), Estonia (4%) and Denmark (1%). In Norway and Sweden 40% of the snus users were women. The overall prevalence of ever-smoking was 31% (11% current smokers). The risk of ≥3 asthma symptoms was similar for the current smokers aOR: 1.54 (95% CI: 1.26, 1.87) and snus users aOR: 1.53 (95% CI: 1.26, 1.87), but highest for combined use of current snus and cigarette smoking aOR: 2.55 (95% CI: 1.72, 3.76) as compared to those never having used snus nor smoked (59%).

Conclusion: The use of snus is frequent in the Nordic countries and being a current snus-user as well combined use of snus and cigarette smoking is associated with having multiple asthma symptoms.

  • Asthma - mechanism
  • Epidemiology
  • Smoking
  • Copyright ©the authors 2016
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Use of oral and nasal tobacco and asthma symptoms in a Nordic population
Randi Bertelsen, Ane Johannessen, Bryndis Benediktsdottir, Lennart Bråbäck, Shyamali C. Dharmage, Mathias Holm, Christer Janson, Rain Jogi, Jesus Moratalla, José Luis Sánchez-Ramos, Vivi Schlünssen, Torben Sigsgaard, Trude D. Skorge, Cecilie Svanes
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4610; DOI: 10.1183/13993003.congress-2016.PA4610

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Use of oral and nasal tobacco and asthma symptoms in a Nordic population
Randi Bertelsen, Ane Johannessen, Bryndis Benediktsdottir, Lennart Bråbäck, Shyamali C. Dharmage, Mathias Holm, Christer Janson, Rain Jogi, Jesus Moratalla, José Luis Sánchez-Ramos, Vivi Schlünssen, Torben Sigsgaard, Trude D. Skorge, Cecilie Svanes
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4610; DOI: 10.1183/13993003.congress-2016.PA4610
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