Prevalence, Relationship to HDL and Impact on Coronary Events of Smoking in Turkish Adults

Prevalence of smoking habil was assessed in the 1 Oth year of follow-up survey of the Turkish Adult Risk Factor Study. In this representative sample of adults aged 30 or over, a total of 2455 men and women were evaluated for trends. In the period 1990- 2000, when adjusted for age, a reduction by 20% in men, and an increase by 14% in women was notedin the category of smoking. By comparison, the proportion of current smokers declined by ll% in men and rose by 1% in women. The !eel of HDL-cholesterol among smoking adults were Iower by 2.5 mg/di than nonsmokers, despite the fact that smokers were younger and slimmer. It was considered that, after adjustment for age and waist circumference, s ınaking might induce an HDL-variability by over 10%. Among participants free of coronary heart disease patients at baseline in 1990, in a prospective analysis by logictic regression of 9 baseline variables for coronary mortality, sınaking proved to be an independent determinant of borderline significance among men, exhibiting a relative risk of 1 .52.