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Tob Control 10:383-388 doi:10.1136/tc.10.4.383
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How many deaths are caused by second hand cigarette smoke?

Table 4

Effects of varying key assumptions on estimates of future mortality caused by second hand smoke (SHS)

Assumption Alternative conditions Effect on number of future deaths per year
1. SHS raises risk of stroke death (RR for men 2.1, for women 1.7) SHS does not affect the risk of dying from stroke Decreased by 26% (new n=243.2)
2. Best estimate RR from meta-analyses or original papers Upper 95% confidence limit of all RRs Increased by 52% (n=490.4)
Lower 95% confidence limit of all RRs Decreased by 46% (n=174.6)
3. Ex-smokers susceptible to effects of SHS Ex-smokers not susceptible to effects of SHS: proportion of deaths among never smokers: heart disease 0.22 (males), 0.28 (females)12; stroke 0.3113 Decreased by 45% (n=180.0)
4. Current smokers not susceptible to SHS Regard all deaths from lung cancer, heart disease, and stroke as influenced by SHS Increased by 87% (n=606.8)
5. Workplace exposure to SHS affects risk of heart disease beyond age 65 Workplace exposure to SHS does not affect risk beyond age 65 Decreased by 6% (n=306.4)
6. Exposure to SHS at work excludes exposures at tea and lunch breaks,
pe = 0.135
Exposure at work defined as “more than 1 cigarette per day smoked around you at work, including lunch and tea breaks”, pe=0.356 (males), 0.246 (females)9 Increased by 16% (n=390.5)
7. No change in future exposures to SHS Prevalence of SHS exposure reduced by: 50% in the home; 90% at work Decreased by 55% (n=146.0)
8. Effect of exposure to SHS at home is independent of exposure at work Exposure to SHS at work does not add to risk of disease in those exposed also at home (effectively, prevalence of exposure at work reduced by 20%) Decreased by 4% (n=312.3)
  • RR, relative risk.

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