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A systematic review of epidemiological studies on the association between smokeless tobacco use and coronary heart disease

Rahman, Muhammad Aziz, Mahmood, Mohammad Afzal, Spurrier, Nicola, Rahman, Mahmudur and Leeder, Stephen 2011, A systematic review of epidemiological studies on the association between smokeless tobacco use and coronary heart disease, Journal of public health and epidemiology, vol. 3, no. 12, pp. 593-603, doi: 10.5897/JPHE11.175.

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Title A systematic review of epidemiological studies on the association between smokeless tobacco use and coronary heart disease
Author(s) Rahman, Muhammad AzizORCID iD for Rahman, Muhammad Aziz orcid.org/0000-0003-1665-7966
Mahmood, Mohammad Afzal
Spurrier, Nicola
Rahman, Mahmudur
Leeder, Stephen
Journal name Journal of public health and epidemiology
Volume number 3
Issue number 12
Start page 593
End page 603
Total pages 11
Publisher Academic Journals
Place of publication Ebène, Mauritius
Publication date 2011-12
ISSN 2141-2316
Keyword(s) smokeless tobacco
chewing tobacco
oral tobacco
coronary heart disease
cardiovascular diseases
Summary A systematic review was conducted of epidemiological studies focusing on the association between smokeless tobacco (SLT) use and coronary heart disease (CHD) in order to summarize the evidence and to identify scope for further study in South Asian countries. PubMed and ISI Web of Science databases were searched to find epidemiological studies (cohort, case-control and cross-sectional) published until 27 October, 2011. The search revealed 592 relevant references, from which 18 epidemiological studies were selected. Among the 18 studies, 11 studies were conducted in Sweden, 4 in the USA, 1 in India, 1 in Bangladesh, and 1 study was multi-centric involving 52 countries. Twelve studies included only men and six studies included both sexes. Three studies used South Asian SLT products. Nine studies found no statistically significant positive association between SLT use and CHD, while nine studies did find a positive association. Results of these studies differed according to age, gender, and SLT constituents. Currently published research does not provide conclusive evidence regarding the association between SLT use and CHD. SLT products and usage pattern in South Asia differ from those in Western settings, and cannot be extrapolated immediately to South Asian settings.
Language eng
DOI 10.5897/JPHE11.175
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 0 Not Applicable
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2011, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30083591

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.