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Arch Iran Med. 2020;23(5): 289-295.
doi: 10.34172/aim.2020.17
  Abstract View: 592
  PDF Download: 366

Original Article

Smoking Water-Pipe, Opium Use and Prevalence of Heart Disease: A Cross-sectional Analysis of Baseline Data from the Pars Cohort Study, Southern Iran

Ali Adib 1, Seyed Masoom Masoompour 2, Hossein Molavi Vardanjani 3 * , Abdullah Gondomkar 2, Hossein Poustchi 4, Alireza Salehi 2, Farhad Islami 5, Reza Malekzadeh 2,4

1 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
2 Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
3 School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
4 Liver, Pancreatic, and Biliary Diseases Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran
5 Surveillance and Health Services Research, American Cancer Society, Atlanta, GA, USA
*Corresponding Author: Hossein Molavi Vardanjani, PhD, MD; School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Phone No: +989133827260 Email: hosseinmolavi@ymail.com

Abstract

Background: Associations between hookah and opium use and an increased risk of ischemic heart disease (IHD) have been suggested in a few studies, but more research is needed on the nature of these associations. We aimed to investigate the association between hookah and opium use and the prevalence of IHD in a population with relatively high prevalence of these exposures in Iran.

Methods: Using baseline data from the Pars Cohort Study (PCS), a prospective study of individuals aged 40-75 years in Fars province, southern Iran, we calculated adjusted and crude odds ratios (ORs) and corresponding 95% confidence intervals (CIs) for the independent association of hookah and opium use with prevalence of IHD.

Results: Of 9248 participants, 10.2% (95% CI: 9.5, 10.9) had self-reported IHD. Prevalence of ever use of hookah and opium was 48.9% (95% CI: 44.6, 53.6) and 10.2% (95% CI: 8.3, 12.5) among those with IHD, and 37.0% (95% CI: 35.7, 38.3) and 8.1% (95% CI: 7.5, 8.7) among those without IHD, respectively. Adjusted OR for the association with prevalence of IHD was 1.26 (95% CI: 1.08, 1.46) for hookah use and 1.71 (95% CI: 1.30, 2.24) for opium abuse. No dose-response association was found between hookah and prevalence of IHD.

Conclusion: Hookah and opium abuse were associated with prevalent IHD in this study. Although more research is needed on these associations, particularly in prospective settings, reducing hookah and opium use could potentially reduce IHD risk.

Keywords: Hookah smoking, Ischemic heart disease, Opium use
Cite this article as: Adib A, Masoompour SM, Molavi Vardanjani H, Gondomkar A, Poustchi H, Salehi A, et al. Smoking waterpipe, opium use and prevalence of heart disease: a cross-sectional analysis of baseline data from the Pars Cohort Study, Southern Iran. Arch Iran Med. 2020;23(5):289–295. doi: 10.34172/aim.2020.17.
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Submitted: 11 May 2018
Accepted: 26 Jan 2020
ePublished: 01 May 2020
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