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Interaction of smoking and social status on the risk of respiratory outcomes in a Swedish adult population : A Nordic Epilung study

Bashir, Muwada Bashir Awad ; Basna, Rani LU orcid ; Hedman, Linnea ; Backman, Helena ; Ekerljung, Linda ; Andersén, Heidi ; Wennergren, Göran ; Bhatta, Laxmi ; Lindberg, Anne and Lundbäck, Bo , et al. (2023) In Respiratory Medicine 211.
Abstract

Background: Evidence abounds on the independent roles of social class and smoking in relation to obstructive airway diseases, but data are sparse on the impact of their interaction. We evaluated whether and to what extent social class and smoking interact in relation to risk of respiratory diseases in adults. Methods: Data from the population-based studies, West Sweden Asthma Study (WSAS, n = 23,753) and Obstructive Lung Disease in Northern Sweden studies (OLIN, n = 6519), were used, constituting randomly selected adults aged 20–75 years. Bayesian network analysis was used to estimate the probability for the interaction between smoking and socioeconomic status in relation to respiratory outcomes. Results: Occupational and educational... (More)

Background: Evidence abounds on the independent roles of social class and smoking in relation to obstructive airway diseases, but data are sparse on the impact of their interaction. We evaluated whether and to what extent social class and smoking interact in relation to risk of respiratory diseases in adults. Methods: Data from the population-based studies, West Sweden Asthma Study (WSAS, n = 23,753) and Obstructive Lung Disease in Northern Sweden studies (OLIN, n = 6519), were used, constituting randomly selected adults aged 20–75 years. Bayesian network analysis was used to estimate the probability for the interaction between smoking and socioeconomic status in relation to respiratory outcomes. Results: Occupational and educational SES modified the association between smoking and the probability of allergic and non-allergic asthma. Former smokers who were at intermediate non manual employees and manual workers in service had higher probability of allergic asthma compared to professionals and executives. Furthermore, former smokers with primary education had higher probability of non-allergic asthma than those with secondary and tertiary education. Similarly, former smokers among professionals and executives had higher probability of non-allergic asthma than manual and home workers and primary educated. Likewise, allergic asthma due to former smoking was higher among highly educated compared to low educated. Conclusions: Beyond their independent roles, socioeconomic status and smoking interact in defining the risk of respiratory diseases. Clearer understanding of this interaction can help to identify population subgroups at most need of public health interventions.

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publishing date
type
Contribution to journal
publication status
published
keywords
Asthma, Bayesian analysis, COPD, Interaction, Smoking, Social class, Bayesian belief networks
in
Respiratory Medicine
volume
211
article number
107192
publisher
Elsevier
external identifiers
  • scopus:85150356770
  • pmid:36906185
ISSN
0954-6111
DOI
10.1016/j.rmed.2023.107192
language
English
LU publication?
no
additional info
Publisher Copyright: © 2023 The Authors
id
5fb988c8-6204-46da-a45e-ba951118fb75
date added to LUP
2024-05-31 18:25:41
date last changed
2024-06-14 19:11:15
@article{5fb988c8-6204-46da-a45e-ba951118fb75,
  abstract     = {{<p>Background: Evidence abounds on the independent roles of social class and smoking in relation to obstructive airway diseases, but data are sparse on the impact of their interaction. We evaluated whether and to what extent social class and smoking interact in relation to risk of respiratory diseases in adults. Methods: Data from the population-based studies, West Sweden Asthma Study (WSAS, n = 23,753) and Obstructive Lung Disease in Northern Sweden studies (OLIN, n = 6519), were used, constituting randomly selected adults aged 20–75 years. Bayesian network analysis was used to estimate the probability for the interaction between smoking and socioeconomic status in relation to respiratory outcomes. Results: Occupational and educational SES modified the association between smoking and the probability of allergic and non-allergic asthma. Former smokers who were at intermediate non manual employees and manual workers in service had higher probability of allergic asthma compared to professionals and executives. Furthermore, former smokers with primary education had higher probability of non-allergic asthma than those with secondary and tertiary education. Similarly, former smokers among professionals and executives had higher probability of non-allergic asthma than manual and home workers and primary educated. Likewise, allergic asthma due to former smoking was higher among highly educated compared to low educated. Conclusions: Beyond their independent roles, socioeconomic status and smoking interact in defining the risk of respiratory diseases. Clearer understanding of this interaction can help to identify population subgroups at most need of public health interventions.</p>}},
  author       = {{Bashir, Muwada Bashir Awad and Basna, Rani and Hedman, Linnea and Backman, Helena and Ekerljung, Linda and Andersén, Heidi and Wennergren, Göran and Bhatta, Laxmi and Lindberg, Anne and Lundbäck, Bo and Kankaanranta, Hannu and Rönmark, Eva and Nwaru, Bright I.}},
  issn         = {{0954-6111}},
  keywords     = {{Asthma; Bayesian analysis; COPD; Interaction; Smoking; Social class; Bayesian belief networks}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Respiratory Medicine}},
  title        = {{Interaction of smoking and social status on the risk of respiratory outcomes in a Swedish adult population : A Nordic Epilung study}},
  url          = {{http://dx.doi.org/10.1016/j.rmed.2023.107192}},
  doi          = {{10.1016/j.rmed.2023.107192}},
  volume       = {{211}},
  year         = {{2023}},
}