Table 2.
Cigarette smoking and mortality among current smokers in the National Health Interview Survey
| Never | Current daily | Current non-daily | ||||||
|---|---|---|---|---|---|---|---|---|
| Previously daily | Lifelong non-daily | |||||||
| All-cause mortality | ||||||||
| All participants (N = 70,913) | N | 36,013 | 15,419 | 2,039 | 1,127 | |||
| Death | 6,808 | 4,178 | 366 | 147 | ||||
| HR (95% CI)a | 1.00 | 2.50 (2.35 – 2.66) | 1.62 (1.35 – 1.93) | 1.72 (1.36 – 2.18) | ||||
| Excluding ever users of cigars, pipes, chewing tobacco, or snuff (N = 46,551)b | N | 25,483 | 9,859 | 1,178 | 816 | |||
| Death | 4,961 | 2,594 | 200 | 116 | ||||
| HR (95% CI) | 1.00 | 2.47 (2.29 – 2.68) | 1.75 (1.39 – 2.21) | 1.66 (1.22 – 2.26) | ||||
| Additionally adjusted for second-hand smoke exposure (N = 53,834)c | N | 27,049 | 11,993 | 1,419 | 917 | |||
| Death | 5,410 | 3,366 | 272 | 129 | ||||
| HR (95% CI) | 1.00 | 2.19 (2.01 – 2.39) | 1.41 (1.11 – 1.79) | 1.59 (1.21 – 2.08) | ||||
| Additionally adjusted for physical activity level (N =55,034)d | N | 28,027 | 12,004 | 1,633 | 826 | |||
| Death | 4,779 | 3,057 | 258 | 103 | ||||
| HR (95% CI) | 1.00 | 2.49 (2.34 – 2.65) | 1.62 (1.37 – 1.92) | 1.72 (1.34 – 2.21) | ||||
| Additionally adjusted for income and alcohol intake (N = 42,454)e | N | 21,343 | 9,457 | 1,124 | 673 | |||
| Death | 4,324 | 2,648 | 212 | 97 | ||||
| HR (95% CI) | 1.00 | 2.39 (2.25 – 2.54) | 1.61 (1.35 – 1.92) | 1.62 (1.26 – 2.09) | ||||
| First 5 years of follow-up (N = 70,913) | N | 36,013 | 15,419 | 2,039 | 1,127 | |||
| Death | 1,545 | 850 | 1,963 | 1,094 | ||||
| HR (95% CI) | 1.00 | 2.23 (1.95 – 2.55) | 1.47 (1.09 – 1.97) | 2.05 (1.32 – 3.19) | ||||
| After 5 years of follow-up (N = 66,991) | N | 34,382 | 14,568 | 1,963 | 1,094 | |||
| Death | 5,263 | 3,328 | 1,673 | 980 | ||||
| HR (95% CI) | 1.00 | 2.58 (2.41 – 2.75) | 1.66 (1.36 – 2.02) | 1.65 (1.26 – 2.17) | ||||
| Men (N = 29,943) | N | 12,607 | 7,236 | 902 | 517 | |||
| Death | 1,864 | 2,144 | 181 | 51 | ||||
| HR (95% CI) | 1.00 | 2.54 (2.33 – 2.77) | 1.47 (1.13 – 1.92) | 1.99 (1.39 – 2.86) | ||||
| Women (N = 40,970) | N | 23,406 | 8,183 | 1,137 | 610 | |||
| Death | 4,944 | 2,034 | 185 | 96 | ||||
| HR (95% CI) | 1.00 | 2.49 (2.31 – 2.68) | 1.81 (1.46 – 2.24) | 1.55 (1.12 – 2.14) | ||||
| Non-Hispanic white (N = 52,707) | N | 25,303 | 11,962 | 1,379 | 586 | |||
| Death | 5,277 | 3,306 | 245 | 68 | ||||
| HR (95% CI) | 1.00 | 2.69 (2.51 – 2.88) | 1.71 (1.42 – 2.06) | 1.38 (1.02 – 1.88) | ||||
| Non-Hispanic black (N = 9,140) | N | 5,007 | 2,124 | 368 | 259 | |||
| Death | 982 | 637 | 91 | 51 | ||||
| HR (95% CI) | 1.00 | 1.82 (1.56 – 2.12) | 1.27 (0.86 – 1.89) | 2.21 (1.47 – 3.32) | ||||
| Hispanic (N = 6,735) | N | 4,227 | 958 | 227 | 227 | |||
| Death | 420 | 162 | 22 | 23 | ||||
| HR (95% CI) | 1.00 | 2.14 (1.67 – 2.75) | 1.76 (0.91 – 3.41) | 2.05 (1.27 – 3.32) | ||||
| Non-Hispanic other (N = 2,082) | N | 1,329 | 320 | 60 | 49 | |||
| Death | 111 | 61 | 8 | 5 | ||||
| HR (95% CI) | 1.00 | 2.02 (1.30 – 3.15) | 2.19 (0.87 – 5.49) | 0.64 (0.28 – 1.45) | ||||
| Cause-specific mortality | ||||||||
| Cancer (Death = 4,114) | Death | 1,343 | 1,323 | 118 | 31 | |||
| HR (95% CI)a | 1.00 | 3.25 (2.89 – 3.66) | 2.37 (1.79 – 3.14) | 1.50 (0.96 – 2.34) | ||||
| Heart disease (Death = 3,830) | Death | 1,669 | 782 | 75 | 37 | |||
| HR (95% CI) | 1.00 | 2.06 (1.81 – 2.35) | 1.26 (0.92 – 1.73) | 1.69 (1.08 – 2.64) | ||||
| Cerebrovascular disease (Death = 1,121) | Death | 574 | 196 | 14 | 13 | |||
| HR (95% CI) | 1.00 | 1.86 (1.49 – 2.30) | 1.14 (0.58 – 2.24) | 1.82 (0.85 – 3.90) | ||||
| Respiratory disease (Death = 1,361) | Death | 319 | 480 | 43 | 7 | |||
| HR (95% CI) | 1.00 | 7.55 (6.13 – 9.29) | 6.06 (3.84 – 9.58) | 3.04 (1.14 – 8.07) | ||||
| Other cause (Death = 6,335) | Death | 2,903 | 1,397 | 116 | 59 | |||
| HR (95% CI) | 1.00 | 1.94 (1.77 – 2.12) | 1.07 (0.80 – 1.42) | 1.69 (1.18 – 2.41) | ||||
HR, hazard ratio; CI, confidence interval
HR and 95% CI adjusted for sex, race/ethnicity (non-Hispanic white, non-Hispanic black, Hispanic, non-Hispanic other, and missing), education (< high school, high school, some college, college or higher, and missing), and survey year (1991, 1992, and 1995); age as the underlying time metric; baseline hazards were stratified by 5-year birth cohort; never smokers were the referent group.
Participants of the 1991 or 1992 surveys after excluding 7,567 participants who reported having ever-used cigars at least 50 times, pipe at least 50 times, chewing tobacco at least 20 times, or snuff at least 20 times.
Participants of the 1991 or 1992 surveys who reported whether anybody in their household smoked cigarettes.
Participants of the 1991 or 1995 surveys who reported physical activity information. Additionally adjusted for physical activity (active, insufficient, and inactive).
Alcohol intake was assessed only in the 1991 survey.