Health  Vol.3 No.6 , June 2011
Contemporary female smokers in the us are younger and of lower socioeconomic status
Abstract: Smoking is the most common cause of prema-ture cardiovascular disease in women, but con-temporary data is lacking. We sought to inves-tigate the differences between female smokers and nonsmokers in the US. Methods: Using a registry of almost 19,000 women who attended free public heart screenings sponsored by Sis-ter to Sister between 2008 and 2009 in 17 large US cities, we compared the means for lipid val-ues, cardiometabolic measures, and differences in sociodemographic information between smok-ers and nonsmokers. Secondary outcomes were age and race-adjusted odds for obesity, the metabolic syndrome, hypertension, a non-HDL > 160 mg/dl, and a serum glucose ≥ 126 mg/dl between smoking and nonsmoking women. Results: The final sample included 18,892 women (49.8 ± 14.3 years, 37% black, and 32% white, 14% Hispanic), with 1,216 (6.4%) current smokers. Smokers were younger than non-smokers (45.6 ± 13.0 vs 50.1 ± 14.4 years, p < 0.001), with lower HDL levels (55.5 ± 17.4 vs 58.6 ± 17.4, p < 0.001), and higher triglycerides (148.8 ± 103.7 vs 145.5 ± 93, p = 0.4082). There were no significant differences in LDL between smokers versus nonsmokers. There were more black and white women in the smoking group. Smoking women were more likely to meet criteria for the metabolic syndrome (OR 1.22; 95% CI 1.00 - 1.49) and have a non-HDL > 160 mg/dl (OR 1.19; 1.01 - 1.39). Insurance and income data showed a sig-nificant inverse relationship between smoking prevalence and increasing household income. Conclusions: In this richly diverse sample of women, female smokers were younger and of lower socioeconomic status than nonsmokers with significant differences in cardiometabolic risk factors.
Cite this paper: nullJarvie, J. , Wang, Y. , Johnson, C. and Foody, J. (2011) Contemporary female smokers in the us are younger and of lower socioeconomic status. Health, 3, 357-361. doi: 10.4236/health.2011.36060.

[1]   Carabollo, R., Malarcher, A. and National Center for Chronic Disease Prevention and Health Promotion. (2009) Cigarette smoking among adults and trend in smoking cessation—United States, 2008. Morbidity and Mortality Weekly Report, 58, 1227-1232.

[2]   Lloyd-Jones, D., Adams, R.J., Brown, T.M., et al. (2010) Heart disease and stroke statistics—2010 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation, 121, e46-e215. doi:10.1161/CIRCULATIONAHA.109.192667

[3]   Ali, S.M., Chaix, B., Merlo, J., Rosvall, M., Wamala, S. and Lindstrom, M. (2009) Gender differences in daily smoking prevalence in different age strata: A population-based study in southern Sweden. Scandinavian Journal of Public Health, 37,146-152. doi:10.1177/1403494808100274

[4]   Tilloy, E., Cottel, D., Ruidavets, J-B., et al. (2010) characteristics of current smokers, former smokers, and secondhand exposure and evolution between 1985 and 2007. European Journal of Cardiovascular Prevention and Rehabilitation, 17, 730-736. doi:10.1097/HJR.0b013e32833a9a0c

[5]   Grundy, S.M., Cleeman, J.I., Daniels, S.R., et al. (2005) diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation, 112, e285-2390. doi:10.1161/CIRCULATIONAHA.105.169405

[6]   Kawachi, I., Colditz, G.A., Stampfer, M.J., et al. (1993) Smoking cessation in relation to total mortality rates in women: A prospective cohort study. Annals of Internal Medicine, 119, 992-1000.

[7]   Cooney, M.T., Dudina, A., Bacquer, D.D., et al. (2009) HDL cholesterol protects against cardiovascular disease in both genders, at all ages and at all levels of risk. Atherosclerosis, 206, 611-616. doi:10.1016/j.atherosclerosis.2009.02.041

[8]   Ambrose, J.A. and Barua, R.S. (2004) The pathophysiology of cigarette smoking and cardiovascular disease: An update. Journal of the American College of Cardiology, 43, 1731-1737. doi:10.1016/j.jacc.2003.12.047

[9]   Craig, W.Y., Palomaki, G.E., Johnson, A.M. and Haddow, J.E. (1990) Cigarette smoking-associated changes in blood lipid and lipoprotein levels in teh 8 - 19 year old age group: A meta-analysis. Pediatrics, 85, 155-158.

[10]   Eliasson, B., Mero, N., Taskinen, M-R. and Smith, U. (1997) The insulin resistance syndrome and postprandial lipid intolerance in smokers. Atherosclerosis, 129, 79-88. doi:10.1016/S0021-9150(96)06028-5

[11]   Facchini, F.S., Hollenbeck, C.B., Jeppesen, J., Chen, Y-DI. and Reaven, G.M. (1992) Insulin resistance and cigarette smoking. Lancet, 339, 1128-1130. doi:10.1016/0140-6736(92)90730-Q

[12]   Rafalson, L., Donahue, R.P., Dmochowski, J., et al. (2009) Cigarette smoking is associated with conversion from normoglycemia to impaired fasting glucose: The western New York study. Annals of Epidemiology, 19, 365-371. doi:10.1016/j.annepidem.2009.01.013

[13]   US Department of Health and Human Services. (2004) The health consequences of smoking: A report of the surgeon general. CDC, Atlanta.

[14]   Kenfield, S.A., Stampfer, M.J., Rosner, B.A. and Colditz, G.A. (2008) Smoking and smoking cessation in relation to mortality in women. The Journal of American Medical Association, 299, 2037-2047. doi:10.1001/jama.299.17.2037

[15]   Bakhru, A. and Erlinger, T.P. (2005) Smoking cessation and cardiovascular disease risk factors: Results from the third national health and nutrition examination survey. PLoS Medicine, 2, e160. doi:10.1371/journal.pmed.0020160