Secondhand smoke exposure is independently associated with stroke among non-smoking adults in West Africa.

Autor: Okekunle AP; Department of Medicine, University of Ibadan, Nigeria; Department of Food and Nutrition, Seoul National University, Republic of Korea. Electronic address: akinokekunle@gmail.com., Asowata OJ; Department of Epidemiology and Medical Statistics, University of Ibadan, Nigeria., Fakunle AG; Department of Medicine, University of Ibadan, Nigeria; Department of Public Health, Osun State University, Osogbo, Nigeria., Akpa OM; Department of Epidemiology and Medical Statistics, University of Ibadan, Nigeria; Institute of Cardiovascular Diseases, University of Ibadan, Nigeria., Sarfo FS; Kwame Nkrumah University of Science and Technology, Ghana., Akpalu A; Department of Medicine, University of Ghana Medical School, Accra, Ghana., Wahab K; Department of Medicine, University of Ilorin, Ilorin, Nigeria., Obiako R; Department of Medicine, Ahmadu Bello University, Zaria, Nigeria., Komolafe M; Obafemi Awolowo University, Ile-Ife, Nigeria., Owolabi L; Department of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria., Osaigbovo GO; Jos University Teaching Hospital Jos, Nigeria., Tiwari HK; University of Alabama at Birmingham, Birmingham, AL, USA., Akinyemi J; Department of Epidemiology and Medical Statistics, University of Ibadan, Nigeria., Jenkins C; Medical University of South Carolina, SC, USA., Arulogun O; Department of Health Promotion and Education, University of Ibadan, Nigeria., Ibinaiye P; Department of Medicine, Ahmadu Bello University, Zaria, Nigeria., Appiah L; Kwame Nkrumah University of Science and Technology, Ghana., Agunloye AM; Department of Radiology, University of Ibadan, Nigeria., Adeoye AM; Department of Medicine, University of Ibadan, Nigeria; Institute of Cardiovascular Diseases, University of Ibadan, Nigeria; Center for Genomic and Precision Medicine, University of Ibadan, Nigeria., Yaria J; Department of Medicine, University of Ibadan, Nigeria., Calys-Tagoe B; Department of Medicine, University of Ghana Medical School, Accra, Ghana., Uvere EO; Department of Medicine, University of Ibadan, Nigeria., Ogbole G; Department of Radiology, University of Ibadan, Nigeria., Agyekum F; Department of Medicine, University of Ghana Medical School, Accra, Ghana., Sanni TA; Federal Teaching Hospital, Ido-, Ekiti, Nigeria., Amusa GA; Jos University Teaching Hospital Jos, Nigeria., Ogunronbi M; Federal Medical Centre, Abeokuta, Nigeria., Olowookere S; Federal Medical Centre, Abeokuta, Nigeria., Balogun O; Department of Medicine, Ahmadu Bello University, Zaria, Nigeria., Ogunmodede JA; Department of Medicine, University of Ilorin, Ilorin, Nigeria., Olalusi OV; Department of Medicine, University of Ibadan, Nigeria., Samuel D; Department of Medicine, University of Ibadan, Nigeria., Mande A; Department of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria., Rabiu M; Department of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria., Adebayo P; Aga-Khan University Dar es Salaam, Tanzania., Sunday A; Department of Medicine, University of Ilorin, Ilorin, Nigeria., Imoh LC; Jos University Teaching Hospital Jos, Nigeria., Oguntade AS; Department of Medicine, University of Ibadan, Nigeria; Clinical Trial Service Unit & Epidemiological Studies Unit (CTSU), Big Data Institute, Oxford Population Health, University of Oxford, UK., Ajose A; Department of Medicine, University of Ibadan, Nigeria., Singh A; Kwame Nkrumah University of Science and Technology, Ghana., Adeegbe OT; Department of Medicine, University of Ibadan, Nigeria., Mensah Y; Department of Medicine, University of Ghana Medical School, Accra, Ghana., Fawale MB; Obafemi Awolowo University, Ile-Ife, Nigeria., Abdul S; Jos University Teaching Hospital Jos, Nigeria., Ikubor J; Delta State University Teaching Hospital, Oghara, Delta State, Nigeria., Tolulope A; Jos University Teaching Hospital Jos, Nigeria., Yahaya IS; Department of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria., Akisanya C; Federal Medical Centre, Abeokuta, Nigeria., Odo CJ; Department of Radiology, University of Ibadan, Nigeria., Efidi R; Department of Radiology, University College Hospital, Ibadan, Nigeria., Chukwuonye II; Federal Medical Centre, Umuahia, Nigeria., Shidali V; Federal Medical Center, Keffi, Nigeria., Adebowale A; Obafemi Awolowo University, Ile-Ife, Nigeria., Ohagwu KA; Federal Medical Centre, Umuahia, Nigeria., Adeleye OO; Federal Medical Centre, Abeokuta, Nigeria., Iheonye H; Department of Medicine, Federal Medical Centre, Lokoja, Nigeria., Akintunde A; Ladoke Akintola University of Technology/Teaching Hospital, Ogbomosho, Nigeria., Olabinri E; Federal Teaching Hospital, Ido-, Ekiti, Nigeria., Akpalu J; Department of Medicine, University of Ghana Medical School, Accra, Ghana., Adesina J; Federal Medical Centre, Abeokuta, Nigeria., Onyeonoro U; Federal Medical Centre, Umuahia, Nigeria., Onasanya A; Sacred Heart Hospital Lantoro, Abeokuta, Ogun State, Nigeria., Arnett DK; University of South Carolina, Columbia, SC, USA., Lackland D; Department of Neurology, Medical University of South Carolina, USA., Akinyemi R; Federal Medical Centre, Abeokuta, Nigeria; Center for Genomic and Precision Medicine, University of Ibadan, Nigeria; Institute for Advanced Medical Research and Training, College of Medicine, University of Ibadan, Ibadan, Nigeria., Ovbiagele B; Weill Institute for Neurosciences, University of California San Francisco, USA., Owolabi M; Department of Medicine, University of Ibadan, Nigeria; Center for Genomic and Precision Medicine, University of Ibadan, Nigeria. Electronic address: mayowaowolabi@yahoo.com.
Jazyk: angličtina
Zdroj: Journal of the neurological sciences [J Neurol Sci] 2022 Dec 15; Vol. 443, pp. 120489. Date of Electronic Publication: 2022 Nov 08.
DOI: 10.1016/j.jns.2022.120489
Abstrakt: Background: Stroke is a leading cause of disability and mortality worldwide, but little is known about the contribution of secondhand smoke exposure (SHSE) to stroke epidemiology among indigenous Africans.
Objective: To evaluate the association of SHSE with stroke among indigenous Africans.
Methods: We analyzed the relationship of SHSE with stroke among 2990 case-control pairs of adults who had never smoked (identified in the SIREN study) using conditional logistic regression at a two-sided P < 0.05.
Results: Multivariable-adjusted odds ratio and 95% confidence interval; 1.25 (1.04, 1.50; P = 0.02) revealed SHSE was positively associated with stroke independent of stroke subtypes.
Conclusion: Culturally relevant primary prevention strategies targeted at SHSE might be promising in preventing stroke among Africans.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. The SIREN study was a multi-centre case-control study among West Africans from Nigeria and Ghana. The overall coordinating Institutional Review Board (IRB) for the SIREN study was the University of Ibadan/University College Hospital Ibadan, Nigeria (UI/EC/13/0105). IRB at all study sites approved the study, and all respondents provided written informed consent before participation in the study.
(Copyright © 2022 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE