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Impact of secondhand smoke exposure in former smokers on their subsequent risk of coronary heart disease: evidence from the population-based cohort of the Tehran Lipid and Glucose Study
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Masoumeh Sadeghi, Maryam S. Daneshpour, Soheila Khodakarim, Amir Abbas Momenan, Mahdi Akbarzadeh, Hamid Soori
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Epidemiol Health. 2020;42:e2020009. Published online March 8, 2020
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DOI: https://doi.org/10.4178/epih.e2020009
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Abstract
OBJECTIVES Cigarette smoking is an established, strong, and modifiable risk factor for coronary heart disease (CHD). However, little research has investigated CHD risk in former smokers who continue to be exposed to others’ cigarette smoke (former & secondhand smokers).
METHODS In the Tehran Lipid and Glucose Study, a prospective population-based cohort (n=20,069) was followed up for a median period of 14.6 years. A subset of 8,050 participants of 30 years of age and older was analyzed, with first CHD events as the study outcome. Participants were categorized as never, former, current, secondhand, and former & secondhand smokers. Data on smoking intensity (cigarette/d) were also collected. A Cox proportional hazards regression model was applied to estimate the risk of CHD, taking into account the main potential confounders.
RESULTS The mean age of participants was 46.10 ±11.38 years, and they experienced 1,118 first CHD events (with most CHD cases in former smokers) during the follow-up period. The risk of CHD was highest in current smokers, followed in order by former & secondhand, former, and secondhand smokers (hazard ratio [HR], 1.99; 95% confidence interval [CI], 1.65 to 2.39; HR, 1.55; 95% CI, 1.15 to 2.08; HR, 1.39; 95% CI, 1.12 to 1.72; HR, 1.27; 95% CI, 1.07 to 1.51, respectively), compared to never smokers. The risk of CHD increased with smoking intensity, which has been proposed as a preferable measure of smoking, indicating a dose-response pattern.
CONCLUSIONS The elevated risk of CHD in former & secondhand smokers was a noteworthy finding, with possible implications for health policy; however, further research is needed.
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- Health effects associated with exposure to secondhand smoke: a Burden of Proof study
Luisa S. Flor, Jason A. Anderson, Noah Ahmad, Aleksandr Aravkin, Sinclair Carr, Xiaochen Dai, Gabriela F. Gil, Simon I. Hay, Matthew J. Malloy, Susan A. McLaughlin, Erin C. Mullany, Christopher J. L. Murray, Erin M. O’Connell, Chukwuma Okereke, Reed J. D. Nature Medicine.2024; 30(1): 149. CrossRef - Association of secondhand smoke exposure with all-cause mortality and cardiovascular death in patients with hypertension: Insights from NHANES
Dikang Pan, Julong Guo, Sensen Wu, Hui Wang, Jingyu Wang, Cong Wang, Yongquan Gu Nutrition, Metabolism and Cardiovascular Diseases.2024;[Epub] CrossRef - Advancements in Cardiovascular Disease Research Affected by Smoking
Miaoxin Fu, Aihua Mei, Xinwen Min, Handong Yang, Wenwen Wu, Jixin Zhong, Chunlei Li, Jun Chen Reviews in Cardiovascular Medicine.2024;[Epub] CrossRef - Predictive Value of Cardiovascular Health Score for Health Outcomes in Patients with PCI: Comparison between Life’s Simple 7 and Life’s Essential 8
Xueqin Gao, Xinrui Ma, Ping Lin, Yini Wang, Zhenjuan Zhao, Rui Zhang, Bo Yu, Yanhua Hao International Journal of Environmental Research and Public Health.2023; 20(4): 3084. CrossRef - A gender specific risk assessment of coronary heart disease based on physical examination data
Hui Yang, Ya-Mei Luo, Cai-Yi Ma, Tian-Yu Zhang, Tao Zhou, Xiao-Lei Ren, Xiao-Lin He, Ke-Jun Deng, Dan Yan, Hua Tang, Hao Lin npj Digital Medicine.2023;[Epub] CrossRef - The predictive accuracy of coronary heart disease risk prediction models in rural Northwestern China
Jiangwei Qiu, Zhenqi Chang, Kai Wang, Kexin Chen, Qingan Wang, Jiaxing Zhang, Juan Li, Chan Yang, Yi Zhao, Yuhong Zhang Preventive Medicine Reports.2023; 36: 102503. CrossRef - Risk factors for incident cardiovascular events among adults in low- and middle-income countries: A systematic review and meta-analysis of prospective cohort studies
Mulugeta Molla Birhanu, Sojib Bin Zaman, Amanda G. Thrift, Roger G. Evans, Ayse Zengin Preventive Medicine.2022; 158: 107036. CrossRef - Burden of current and past smoking across 28 European
countries in 2017: A cross-sectional analysis
Ayaka Teshima, Anthony Laverty, Filippos Filippidis Tobacco Induced Diseases.2022; 20(June): 1. CrossRef - Role of Air Pollution and rs10830963 Polymorphism on the Incidence of Type 2 Diabetes: Tehran Cardiometabolic Genetic Study
Fatemeh Jabbari, Anoushiravan Mohseni Bandpei, Maryam S. Daneshpour, Abbas Shahsavani, Seyed Saeed Hashemi Nazari, Hassanali Faraji Sabokbar, Amir abbas Momenan, Fereidoun Azizi Journal of Diabetes Research.2020; 2020: 1. CrossRef
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Associations between dietary risk factors and ischemic stroke: a comparison of regression methods using data from the Multi-Ethnic Study of Atherosclerosis
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Seyed Saeed Hashemi Nazari, Yaser Mokhayeri, Mohammad Ali Mansournia, Soheila Khodakarim, Hamid Soori
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Epidemiol Health. 2018;40:e2018021. Published online May 21, 2018
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DOI: https://doi.org/10.4178/epih.e2018021
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Abstract
OBJECTIVES We analyzed dietary patterns using reduced rank regression (RRR), and assessed how well the scores extracted by RRR predicted stroke in comparison to the scores produced by partial least squares and principal component regression models.
METHODS Dietary data at baseline were used to extract dietary patterns using the 3 methods, along with 4 response variables: body mass index, fibrinogen, interleukin-6, and low-density lipoprotein cholesterol. The analyses were based on 5,468 males and females aged 45-84 years who had no clinical cardiovascular disease, using data from the Multi-Ethnic Study of Atherosclerosis.
RESULTS The primary factor derived by RRR was positively associated with stroke incidence in both models. The first model was adjusted for sex and race and the second model was adjusted for the variables in model 1 as well as smoking, physical activity, family and sibling history of stroke, the use of any lipid-lowering medication, the use of any anti-hypertensive medication, hypertension, and history of myocardial infarction (model 1: hazard ratio [HR], 7.49; 95% confidence interval [CI], 1.66 to 33.69; p for trend=0.01; model 2: HR, 6.83; 95% CI, 1.51 to 30.87 for quintile 5 compared with the reference category; p for trend=0.02).
CONCLUSIONS Based primarily on RRR, we identified that a dietary pattern high in fats and oils, poultry, non-diet soda, processed meat, tomatoes, legumes, chicken, tuna and egg salad, and fried potatoes and low in dark-yellow and cruciferous vegetables may increase the incidence of ischemic stroke.
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- Trimethylamine N-oxide, β-alanine, tryptophan index, and vitamin B6-related dietary patterns in association with stroke risk
Dong Liu, Siyue Tan, Zhengyuan Zhou, Shujun Gu, Hui Zuo Nutrition, Metabolism and Cardiovascular Diseases.2024; 34(5): 1179. CrossRef - A comparison of principal component analysis, reduced-rank regression, and partial least–squares in the identification of dietary patterns associated with cardiometabolic risk factors in Iranian overweight and obese women
Fatemeh Gholami, Ahmadreza Hajiheidari, Bahareh Barkhidarian, Neda Soveid, Mir Saeid Yekaninejad, Zahra Karimi, Niki Bahrampour, Seyed Ali Keshavarz, Gholamali Javdan, Khadijeh Mirzaei BMC Medical Research Methodology.2024;[Epub] CrossRef - Comparison of data-driven identified hypertension-protective dietary patterns among Chinese adults: based on a nationwide study
Yuxiang Yang, Wei Piao, Shuya Cai, Kun Huang, Changzheng Yuan, Xue Cheng, Ling Zhang, Yuge Li, Liyun Zhao, Dongmei Yu European Journal of Nutrition.2023; 62(7): 2805. CrossRef - Associations between dietary patterns and cardiovascular disease risk in Canadian adults: a comparison of partial least squares, reduced rank regression, and the simplified dietary pattern technique
Svilena V Lazarova, Mahsa Jessri The American Journal of Clinical Nutrition.2022; 116(2): 362. CrossRef - Association Between Dietary Quality Indices and Atherosclerosis Risk: A Case-Control Study
Mahsa Samadani, Anahita Mansoori, Habib Haybar, Fatemeh Haidari, Majid Mohammadshahi Nutrition and Metabolic Insights.2022;[Epub] CrossRef - Visceral adiposity-related dietary patterns and the risk of cardiovascular disease in Iranian adults: A population-based cohort study
Nazanin Moslehi, Fatemeh Rahimi Sakak, Maryam Mahdavi, Parvin Mirmiran, Fereidoun Azizi Frontiers in Nutrition.2022;[Epub] CrossRef - Dietary patterns derived by reduced rank regression and non-communicable disease risk
Carmen Piernas, Min Gao, Susan A. Jebb Proceedings of the Nutrition Society.2022; : 1. CrossRef - Dietary patterns related to cardiovascular disease based on reduced rank regression analysis of healthy middle-aged Koreans: data from the community-based Korean Genome and Epidemiology Study (KoGES) cohort
Hye Ah Lee, Hyoin An, EunJin Lee The American Journal of Clinical Nutrition.2020; 111(6): 1159. CrossRef - Interaction between an ATP-Binding Cassette A1 (ABCA1) Variant and Egg Consumption for the Risk of Ischemic Stroke and Carotid Atherosclerosis: a Family-Based Study in the Chinese Population
Jing Song, Xia Jiang, Yaying Cao, Juan Juan, Tao Wu, Yonghua Hu Journal of Atherosclerosis and Thrombosis.2019; 26(9): 835. CrossRef
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The association between physical activity and atrial fibrillation applying the Heaviside function in survival analysis: the Multi-Ethnic Study of Atherosclerosis
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Yaser Mokhayeri, Seyed Saeed Hashemi-Nazari, Mohammad Ali Mansournia, Hamid Soori, Soheila Khodakarim
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Epidemiol Health. 2017;39:e2017024. Published online June 18, 2017
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DOI: https://doi.org/10.4178/epih.e2017024
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Abstract
OBJECTIVES Although the effect of physical activity (PA) on the incidence of atrial fibrillation (AF) has been studied, contradictory results have been reported. Such discrepancies may reflect the different effects of various types of PA upon AF, as well as gender interactions. Therefore, we aimed to evaluate the associations of PA types (total, moderate/vigorous, and intentional), as well as walking pace, with AF risk in men and women.
METHODS Using the Multi-Ethnic Study of Atherosclerosis Typical Week Physical Activity Survey, 3 PA measures and walking pace were calculated among 6,487 men and women aged 45-84 years. The incidence of AF over approximately 11 years of followup was ascertained. The association of each PA measure and walking pace with AF incidence was estimated using multivariable Cox proportional hazard models. An extended Cox model with Heaviside functions (hv) of time was used to estimate the effects of time-varying covariates.
RESULTS During 11 years of follow-up (49,557 person-years), 242 new AF cases occurred. The incidence rate of AF was 48.83 per 10,000 person-years. The proportional hazard (PH) assumption for total PA among women was not met; hence, we used the hv to calculate the hazard ratio. Total PA in women in the hv2 analysis was negatively associated with AF in all 3 models, although for hv1 no significant association was observed. The PH assumption for walking pace among men was not met, and none of the hv showed a statistically significant association between walking pace and AF in men.
CONCLUSIONS These results suggest that PA is inversely associated with AF in women.
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- Leisure-time and occupational physical activity and risk of cardiovascular disease incidence: a systematic-review and dose-response meta-analysis of prospective cohort studies
Asma Kazemi, Sepideh Soltani, Dagfinn Aune, Elham Hosseini, Zeinab Mokhtari, Zahra Hassanzadeh, Ahmad Jayedi, Francisco Pitanga, Masoumeh Akhlaghi International Journal of Behavioral Nutrition and Physical Activity.2024;[Epub] CrossRef - Impact of ventricular assist device use on pediatric heart transplant waitlist mortality: Analysis of the scientific registry of transplant recipients database
Arene Butto, Lydia K. Wright, Jameson Dyal, Chad Y. Mao, Richard Garcia, William T. Mahle Pediatric Transplantation.2024;[Epub] CrossRef - Weekly physical activity and incident atrial fibrillation in females – A dose-response meta-analysis
Ioannis Anagnostopoulos, Maria Kousta, Charalampos Kossyvakis, Eleni Lakka, Dimitrios Vrachatis, Spyridon Deftereos, Vassilios P. Vassilikos, Georgios Giannopoulos International Journal of Cardiology.2023; 370: 191. CrossRef - Self-Reported Walking Pace and Risk of Cardiovascular Diseases: A Two-Sample Mendelian Randomization Study
Lu Chen, Xingang Sun, Yuxian He, Liangrong Zheng Frontiers in Genetics.2022;[Epub] CrossRef - Sex-Specific Exposure–Effect Relationship Between Physical Activity and Incident Atrial Fibrillation in the General Population: A Dose–Response Meta-Analysis of 16 Prospective Studies
Qin Wan, Yue Zhou, Wengen Zhu, Xiao Liu Frontiers in Cardiovascular Medicine.2021;[Epub] CrossRef
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Decomposing Gender Disparity in Total Physical Activity among Iranian Adults
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Ebrahim Rahimi, Seyed Saeed Hashemi-Nazari, Koorosh Etemad, Hamid Soori
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Epidemiol Health. 2017;39:e2017044. Published online October 16, 2017
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DOI: https://doi.org/10.4178/epih.e2017044
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Abstract
OBJECTIVES While gender differences in physical activity (PA) have been reported, their origin is not well understood. The present study aimed to identify factors contributing to this disparity.
METHODS This was a population-based cross-sectional study based on the 2011 surveillance of risk factors of non-communicable diseases that was conducted among Iranian adults. Multi-staged sampling was performed to obtain the required study sample. The primary outcome was gender differences in the prevalence of sufficient physical activity (SPA). Total physical activity (TPA) was calculated as metabolic equivalents (MET) per minute during a typical week, as recommended by the World Health Organization. On this basis, achieving 600 MET-min/wk or more was defined as SPA. The nonlinear Blinder-Oaxaca decomposition technique was used to explain the disparity.
RESULTS The predicted gap was 19.50%. About one-third of the gap was due to differences in the level of observable covariates. Among them, work status contributed the most (29.61%). A substantial portion of the gap remained unexplained by such differences, of which about 40.41% was related to unobservable variables. The differential effects of standard of living, ethnicity, and smoking status made the largest contribution, accounting for 37.36, 35.47, and 28.50%, respectively.
CONCLUSIONS Interventions to reduce the gender gap in PA should focus on increasing TPA among housewives and women with chronic diseases, as well as those with a higher standard of living. In addition, it is essential to explore the impact of ethnicity and smoking status on women’s TPA in order to promote health.
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- Gender differences in cardiac rehabilitation participation and outcomes: an 18-year retrospective study in Iran
Marzieh Najafi, Zahra Teimouri-Jervekani, Marjan Jamalian, Hamidreza Roohafza, Mohammad Hossein Paknahad, Mohammad mahdi Hadavi, Neda Dorostkar, Masoumeh Sadeghi The Egyptian Heart Journal.2024;[Epub] CrossRef - Perioperative Exercise Intention and Influencing Factors: A Multi-Centered Cross-Sectional Study
Feng Lv, Yuxi Zhang, Su Min, Ping Li, Lihua Peng, Li Ren, Jian Yu, Bin Wang, Yiwei Shen, Shanshan Tong, Juying Jin, Xi Luo, Jing Chen, Yingrui Chen, Yuanyuan Li, Jin Chen, Xing Zeng, Fuquan Luo, Qiuju Xiong, Lei Zou, Yuanyuan Guo, Jun Cao, Qibin Chen, Bin Frontiers in Public Health.2021;[Epub] CrossRef - Health-Related Quality of Life and Physical Activity in a Community Setting
Marta Gil-Lacruz, Ana Isabel Gil-Lacruz, Paola Domingo-Torrecilla, Miguel Angel Cañete-Lairla International Journal of Environmental Research and Public Health.2021; 18(14): 7301. CrossRef - A detailed explanation and graphical representation of the Blinder-Oaxaca decomposition method with its application in health inequalities
Ebrahim Rahimi, Seyed Saeed Hashemi Nazari Emerging Themes in Epidemiology.2021;[Epub] CrossRef - Sex-related Disparities in Access of Patients with STEMI to PCI Hospitals in Brazil: The Contribution of Blinder–Oaxaca Decomposition Method
Marcos Antonio Almeida-Santos, Taciana Silveira Passos, Jeferson Cunha-Oliveira, Laís Costa Souza Oliveira, Ticiane Clair Remacre Munareto Lima, Larissa Andreline Maia Arcelino, Jussiely Cunha Oliveira, Antonio Carlos Sobral Sousa, José Augusto Soares Bar Journal of Health Management.2020; 22(1): 3. CrossRef
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Adjusting for reverse causation to estimate the effect of obesity on mortality after incident heart failure in the Atherosclerosis Risk in Communities (ARIC) study
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Maryam Shakiba, Hamid Soori, Mohammad Ali Mansournia, Seyed Saeed Hashemi Nazari, Yahya Salimi
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Epidemiol Health. 2016;38:e2016025. Published online June 4, 2016
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DOI: https://doi.org/10.4178/epih.e2016025
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Abstract
OBJECTIVES The lower mortality rate of obese patients with heart failure (HF) has been partly attributed to reverse causation bias due to weight loss caused by disease. Using data about weight both before and after HF, this study aimed to adjust for reverse causation and examine the association of obesity both before and after HF with mortality.
METHODS Using the Atherosclerosis Risk in Communities (ARIC) study, 308 patients with data available from before and after the incidence of HF were included. Pre-morbid and post-morbid obesity were defined based on body mass index measurements at least three months before and after incident HF. The associations of pre-morbid and post-morbid obesity and weight change with survival after HF were evaluated using a Cox proportional hazard model.
RESULTS Pre-morbid obesity was associated with higher mortality (hazard ratio [HR], 1.61; 95% confidence interval [CI], 1.04 to 2.49) but post-morbid obesity was associated with increased survival (HR, 0.57; 95% CI, 0.37 to 0.88). Adjusting for weight change due to disease as a confounder of the obesity-mortality relationship resulted in the absence of any significant associations between post-morbid obesity and mortality.
CONCLUSIONS This study demonstrated that controlling for reverse causality by adjusting for the confounder of weight change may remove or reverse the protective effect of obesity on mortality among patients with incident HF.
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- Prevalence and clinical characteristics of diabetic cardiomyopathy in patients with acute heart failure
Kenichi Matsushita, Kazumasa Harada, Takashi Kohno, Hiroki Nakano, Daisuke Kitano, Junya Matsuda, Makoto Takei, Hideaki Yoshino, Takeshi Yamamoto, Ken Nagao, Morimasa Takayama Nutrition, Metabolism and Cardiovascular Diseases.2024; 34(5): 1325. CrossRef - Impact of body mass index on cardiac adrenergic derangement in heart failure patients: a 123I-mIBG imaging study
Klara Komici, Leonardo Bencivenga, Stefania Paolillo, Paola Gargiulo, Roberto Formisano, Roberta Assante, Carmela Nappi, Fabio Marsico, Adriana D’Antonio, Giovanni De Simini, Antonio Cittadini, Dino Franco Vitale, Alberto Cuocolo, Pasquale Perrone Filardi European Journal of Nuclear Medicine and Molecular Imaging.2020; 47(7): 1713. CrossRef - Impact of prior bariatric surgery on outcomes of hospitalized patients with heart failure: a population-based study
Hedong Han, Tiantian Zhu, Yibin Guo, Yiming Ruan, Eyal Herzog, Jia He Surgery for Obesity and Related Diseases.2019; 15(3): 469. CrossRef - Body mass index and all-cause mortality in patients with atrial fibrillation: insights from the China atrial fibrillation registry study
Lu Wang, Xin Du, Jian-Zeng Dong, Wen-Na Liu, Ying-Chun Zhou, Song-Nan Li, Xue-Yuan Guo, Chen-Xi Jiang, Rong-Hui Yu, Cai-Hua Sang, Ri-Bo Tang, De-Yong Long, Nian Liu, Rong Bai, Laurent Macle, Chang-Sheng Ma Clinical Research in Cardiology.2019; 108(12): 1371. CrossRef - The Effects of Reverse Causality and Selective Attrition on the Relationship Between Body Mass Index and Mortality in Postmenopausal Women
Hailey R Banack, Jennifer W Bea, Jay S Kaufman, Andrew Stokes, Candyce H Kroenke, Marcia L Stefanick, Shirley A Beresford, Chloe E Bird, Lorena Garcia, Robert Wallace, Robert A Wild, Bette Caan, Jean Wactawski-Wende American Journal of Epidemiology.2019; 188(10): 1838. CrossRef
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Estimation of the population attributable fraction of road-related injuries due to speeding and passing in Iran
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Fatemeh Khosravi Shadmani, Hamid Soori, Kamyar Mansori, Manoochehr Karami, Erfan Ayubi, Salman Khazaei
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Epidemiol Health. 2016;38:e2016038. Published online August 29, 2016
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DOI: https://doi.org/10.4178/epih.e2016038
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OBJECTIVES Speeding and passing are considered to be the main human factors resulting in road traffic injuries (RTIs). This study aimed to estimate the population attributeable fraction (PAF) of speeding and passing in RTIs in rural Iran during 2012.
METHODS The contribution of speeding and passing to RTI-related morbidity and mortality was estimated using the PAF method. The prevalence of speeding and passing was obtained from the national traffic police data registry. A logistic regression model was used to measure the association between the above risk factors and RTIs.
RESULTS Speeding accounted for 20.96% and 16.61% of rural road-related deaths and injuries, respectively. The corresponding values for passing were 13.50% and 13.44%, respectively. Jointly, the PAF of these factors was 31.63% for road-related deaths and 27.81% for injuries.
CONCLUSIONS This study illustrates the importance of controlling speeding and passing as a high-priority aspect of public-health approaches to RTIs in Iran. It is recommended that laws restricting speeding and passing be enforced more strictly.
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- Human Risk Factors for Severity of Injuries in Urban and Suburban Traffic Accidents in Southern Iran: An Insight from Police Data
Meisam Abolvardi, Nader Sharifi, Karamatollah Rahmanian, Vahid Rahmanian International Journal of High Risk Behaviors and Addiction.2023;[Epub] CrossRef - Evaluation of the effect of fixed speed cameras on speeding behavior among Iranian taxi drivers through telematics monitoring
Hamed Tavolinejad, Mohammad-Reza Malekpour, Nazila Rezaei, Ayyoob Jafari, Naser Ahmadi, Ali Nematollahi, Elham Abdolhamidi, Elmira Foroutan Mehr, Milad Hasan, Farshad Farzadfar Traffic Injury Prevention.2021; 22(7): 559. CrossRef - Spousal violence against women and its association with sociodemographic factors and husbands’ controlling behaviour: the findings of Myanmar Demographic and Health Survey (2015–2016)
Tayzar Tun, Per-Olof Ostergren Global Health Action.2020;[Epub] CrossRef - Time Series Analysis of Mortalities Resulting from Car Accidents in the Injured Individuals Hospitalized in Shiraz Shahid Rajaee Hospital During 2010 - 2016
Haleh Ghaem, Mahmoud Hajipour, Hamid Reza Tababataee, Mahnaz Yadollahi, Fatemeh Izanloo Trauma Monthly.2017;[Epub] CrossRef
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