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Passive Smoke Exposure and Risk of Death From Coronary Heart Disease—Reply
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In Reply: Although we agree with Dr Jay that exposure to SHS may cause some misclassification in smoking status, it is unlikely to be a serious flaw for several reasons. The vast majority of patients in our review were men. Smoking prevalence was likely to have been lower in women at the time these studies took place, hence a smaller proportion of men quitting smoking would have had smoking wives. Furthermore, many studies have suggested that smokers are far more likely to quit if they have spouses who do not smoke, and the smoker who quits may also persuade other household members to reduce or stop smoking.1-2 Hence, significantly fewer patients with CHD who quit smoking are likely to have been exposed to SHS at home, compared with the general population. Although exposure in the workplace was possible, most patients in this review had experienced a myocardial infarction or cardiac . . . [Full Text of this Article]
Julia Critchley, Msc, DPhil;
Simon Capewell, MD, FRCPE
Department of Public Health
University of Liverpool
Liverpool, England
RELATED ARTICLE
Passive Smoke Exposure and Risk of Death From Coronary Heart Disease
Stephen J. Jay
JAMA. 2003;290(13):1708.
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