Research Article

The Prognostic Value of Combined Smoking and Alcohol Consumption Habits for the Estimation of Cause-Specific Mortality in Middle-Age and Elderly Population: Results from a Long-Term Cohort Study in Lithuania

Table 1

Hazard ratios (HR) and subdistribution hazard ratios for cause-specific mortality according to the risk factors in men group (univariate analyses).

CharacteristicsAll-cause deathsCVD CancerExternal causes of death
EventsHR (95% CI)EventsSHR (95% CI)EventsSHR (95% CI)EventsSHR (95% CI)

Age, years12921.08 (1.07–1.09)<0.00015021.08 (1.06–1.09)<0.00013391.07 (1.05–1.08)<0.00011150.99 (0.97–1.01)0.459
Smoking habits
 Never43011731921521
 Former3031.38 (1.19–1.60)<0.00011221.42 (1.13–1.78)0.003721.45 (1.06–1.97)0.019170.58 (0.33–0.99)0.049
 Current5591.65 (1.45–1.87)<0.00012071.36 (1.11–1.66)0.0031752.18 (1.70–2.81)<0.0001460.97 (0.65–1.44)0.868
Alcohol consumption category
 None1331381241101
 1–14 units/week10070.63 (0.52–0.75)<0.00014030.80 (0.53–1.12)0.1932711.08 (0.71–1.65)0.722860.81 (0.42–1.57)0.533
 >14 units/week1520.84 (0.67–1.06)0.149611.03 (0.68–1.54)0.896441.44 (0.87–2.38)0.159191.41 (0.65–3.05)0.385
Alcohol consumption category
 None1331.59 (1.33–1.91)<0.0001381.25 (0.89–1.74)0.193240.93 (0.61–1.42)0.722101.23 (0.64–2.39)0.533
 1–14 units/week1007140312711861
 >14 units/week1521.34 (1.13–1.59)0.001611.29 (0.98–1.68)0.070441.33 (0.97–1.83)0.077191.74 (1.06–2.85)0.029
Total cholesterol, mmol/L12921.05 (1.0–1.10)0.055021.13 (1.05–1.21)0.0013390.96 (0.87–1.07)0.4741150.98 (0.80–1.20)0.838
SBP, mmHg12921.02 (1.01–1.02)<0.00015021.02 (1.02–1.03)<0.00013391.00 (0.99–1.01)0.1321150.99 (0.99–1.01)0.632
BMI, kg/m212921.02 (1.01–1.03)0.0075021.06 (1.04–1.09)<0.00013390.95 (0.92–0.99)0.0051150.89 (0.84–0.94)<0.0001
Diabetes mellitus type 2
 No12481488133311101
 Yes442.67 (1.98–3.61)<0.0001142.12 (1.22–3.67)0.00760.89 (0.39–2.03)0.78752.23 (0.92–5.40)0.076
Education level
 Incomplete secondary585123111661461
 Secondary4580.54 (0.48–0.61)<0.00011630.52 (0.42–0.63)<0.00011130.52 (0.41–0.66)<0.0001500.83 (0.55–1.23)0.352
 University or college2490.41 (0.35–0.47)<0.00011080.48 (0.38–0.61)<0.0001600.40 (0.30–0.54)<0.0001190.47 (0.28–0.80)0.005
Marital status
 Married1175145513181991
 Single331.02 (0.72–1.44)0.923131.03 (0.57–1.79)0.92991.00 (0.51–1.94)0.98920.69 (0.17–2.80)0.607
 Widowed312.48 (1.74–3.55)<0.0001142.69 (1.54–4.71)<0.000150.98 (0.40–2.39)0.96342.41 (0.88–6.55)0.086
 Divorced531.25 (0.95–1.65)0.108201.17 (0.74–1.86)0.49470.56 (0.26–1.19)0.133102.74 (1.44–5.24)0.002

CI: confidence interval, CVD: cardiovascular diseases, BMI: body mass index, SBP: systolic blood pressure, and SD: standard deviation. CVD excluded those with previous CVD at the entry. SHR: subdistribution hazard risk; follow-up, years, mean (SD) 20.1 (8.75).