Prevalence, Recent Trend and Risk for Coronary death of Smoking Among Turkish Men and Women: 5-year Follow-up Data of Cohort

Among survivors of the nationwide cardiac survey conducted in the summer of 1990, 1102 women and 1058 men were followed up 5 years later in regard to the smoking habit. The same classification was adhered to during the interview with questionnaire in both surveys: never smoked, ex-smokers, current daily smokers of 1-10, 11-20 and over 20 cigarettes. In the cohort whose median age in 1995 was 44 in women and 45 in men, it was estimated that aging by 5 years would induce 31 men (or 34 women) per 1000 adults to reduce smoking by one category. In fact per I 000 men reduced smoking by a mean of 1.7 category which indicated that, after adjustment for agin, 36 per 1000 Turkish men reduced smoking in the preceding 5 years by 2 categories (equivalent to quitting for someone smoking close to a pack a day). By contrast, 43 per 1000 women started sm o king by a m ean of I .32 categories daily w hi ch, when age-adjusted, implies that 64 per 1000 Turkish 198 women increased smoking by an average of 1.5 categories. This trend was pronounced in the age group of average of I .5 categories. This trend w as pronounced in the age group of 25-34 years. Hence, it is estimated that between 1990 and I 995, total cigarette consumption by adults remained stable, smoking men currently numbering over 8 millions and women 3.6 millions. Among 575 nonsmokers aged 40 or over at baseline, 18 (3 .ı %) di ed from coronary heart disease over the subsequent 5 years, while 603 age-matched smokers and ex-smokers had 80 % excess risk (p<0.04), namely 5.6 percent The magnitude of the relative risk was in conformity with data obtained in industrialized populations.