Cigarette Smoking, Alcohol Consumption, and Risk of Alopecia Areata: A Population-Based Cohort Study in Taiwan
Background The effects of cigarette smoking and alcohol consumption on the risk of alopecia areata (AA) are unclear. Objective The aim was to examine the association of cigarette smoking and alcohol consumption with AA. Methods We collected participants from four rounds (2001, 2005, 2009, and 2013)...
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| Veröffentlicht in: | American journal of clinical dermatology 2020-12, Vol.21 (6), p.901-911 |
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| creator | Dai, Ying-Xiu Yeh, Fang-Yu Shen, Yi-Jung Tai, Ying-Hsuan Chou, Yiing-Jenq Chang, Yun-Ting Chen, Tzeng-Ji Li, Chung-Pin Wu, Chen-Yi |
| description | Background
The effects of cigarette smoking and alcohol consumption on the risk of alopecia areata (AA) are unclear.
Objective
The aim was to examine the association of cigarette smoking and alcohol consumption with AA.
Methods
We collected participants from four rounds (2001, 2005, 2009, and 2013) of the Taiwan National Health Interview Survey. Incident AA cases were identified from the National Health Insurance database.
Results
Of the 60,055 participants, 154 developed AA during the 647,902 person-years of follow-up. After controlling for confounders, current smokers had a higher risk of incident AA than never smokers [adjusted hazard ratio (aHR) 1.88; 95% confidence interval (CI) 1.22–2.88]. There was a trend toward an increased risk of AA with increasing numbers of years of smoking and cumulative pack-years of smoking among current smokers. The aHRs (95% CIs) of current smokers of > 5 and ≤ 15 cigarettes per day, > 10 and ≤ 20 years of smoking, ≤ 10, and > 10 and ≤ 20 pack-years of smoking were 2.03 (1.17–3.51), 2.25 (1.21–4.18), 1.86 (1.12–3.09), and 2.04 (1.04–4.01), respectively. Conversely, social and regular drinkers had significantly lower risks of AA than never drinkers [aHRs (95% CIs) 0.65 (0.43–0.98) and 0.49 (0.26–0.93), respectively].
Conclusion
Current smokers had an increased risk of developing AA, while alcohol consumption was associated with a decreased risk of AA. |
| doi_str_mv | 10.1007/s40257-020-00547-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2431815804</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2431815804</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-ca0604b32391cbacb0e6c46e04b81c9036e4405cd701aee00bdde790d34ddb453</originalsourceid><addsrcrecordid>eNp90U9LHDEYBvBBWtBav4CnQC89GPvmz0xmetsuthYEi6vnkEneXaOzyZjMIH77Zt2C0IOnhPB7XsL7VNUpg3MGoL5lCbxWFDhQgFoqqg6qI8ZUR1nbth9e7zWFumGH1aecH6BIDs1RFZZ-YxJOE5LVNj76sDkji8HG-ziQZQx53o6Tj-GMmODIjc-PJK4LiCNab8gioZnMd7Igf-I4D2ZH6Q-T0ZXwfUwTWU2zeyE-kFvjn034XH1cmyHjyb_zuLr7eXG7vKRX179-LxdX1IqaT9QaaED2gouO2d7YHrCxssHy1jLbgWhQSqitU8AMIkDvHKoOnJDO9bIWx9XX_dwxxacZ86S3PlscBhMwzllzKVjL6hZkoV_-ow9xTqH8rqiOC654I4rie2VTzDnhWo_Jb0160Qz0rgK9r0CXterXCrQqIbEP5YLDBtPb6HdSfwE834iC</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2492327263</pqid></control><display><type>article</type><title>Cigarette Smoking, Alcohol Consumption, and Risk of Alopecia Areata: A Population-Based Cohort Study in Taiwan</title><source>Springer Nature - Complete Springer Journals</source><creator>Dai, Ying-Xiu ; Yeh, Fang-Yu ; Shen, Yi-Jung ; Tai, Ying-Hsuan ; Chou, Yiing-Jenq ; Chang, Yun-Ting ; Chen, Tzeng-Ji ; Li, Chung-Pin ; Wu, Chen-Yi</creator><creatorcontrib>Dai, Ying-Xiu ; Yeh, Fang-Yu ; Shen, Yi-Jung ; Tai, Ying-Hsuan ; Chou, Yiing-Jenq ; Chang, Yun-Ting ; Chen, Tzeng-Ji ; Li, Chung-Pin ; Wu, Chen-Yi</creatorcontrib><description>Background
The effects of cigarette smoking and alcohol consumption on the risk of alopecia areata (AA) are unclear.
Objective
The aim was to examine the association of cigarette smoking and alcohol consumption with AA.
Methods
We collected participants from four rounds (2001, 2005, 2009, and 2013) of the Taiwan National Health Interview Survey. Incident AA cases were identified from the National Health Insurance database.
Results
Of the 60,055 participants, 154 developed AA during the 647,902 person-years of follow-up. After controlling for confounders, current smokers had a higher risk of incident AA than never smokers [adjusted hazard ratio (aHR) 1.88; 95% confidence interval (CI) 1.22–2.88]. There was a trend toward an increased risk of AA with increasing numbers of years of smoking and cumulative pack-years of smoking among current smokers. The aHRs (95% CIs) of current smokers of > 5 and ≤ 15 cigarettes per day, > 10 and ≤ 20 years of smoking, ≤ 10, and > 10 and ≤ 20 pack-years of smoking were 2.03 (1.17–3.51), 2.25 (1.21–4.18), 1.86 (1.12–3.09), and 2.04 (1.04–4.01), respectively. Conversely, social and regular drinkers had significantly lower risks of AA than never drinkers [aHRs (95% CIs) 0.65 (0.43–0.98) and 0.49 (0.26–0.93), respectively].
Conclusion
Current smokers had an increased risk of developing AA, while alcohol consumption was associated with a decreased risk of AA.</description><identifier>ISSN: 1175-0561</identifier><identifier>EISSN: 1179-1888</identifier><identifier>DOI: 10.1007/s40257-020-00547-7</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Alcohol ; Alcohol use ; Alopecia ; Baldness ; Cardiovascular disease ; Chronic obstructive pulmonary disease ; Cigarettes ; Codes ; Cohort analysis ; Dermatology ; Family income ; Health insurance ; Households ; Medicine ; Medicine & Public Health ; Original Research Article ; Pharmacology/Toxicology ; Pharmacotherapy ; Population ; Population-based studies ; Smoking</subject><ispartof>American journal of clinical dermatology, 2020-12, Vol.21 (6), p.901-911</ispartof><rights>Springer Nature Switzerland AG 2020</rights><rights>Copyright Springer Nature B.V. Dec 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-ca0604b32391cbacb0e6c46e04b81c9036e4405cd701aee00bdde790d34ddb453</citedby><cites>FETCH-LOGICAL-c352t-ca0604b32391cbacb0e6c46e04b81c9036e4405cd701aee00bdde790d34ddb453</cites><orcidid>0000-0002-8393-3900</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40257-020-00547-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40257-020-00547-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids></links><search><creatorcontrib>Dai, Ying-Xiu</creatorcontrib><creatorcontrib>Yeh, Fang-Yu</creatorcontrib><creatorcontrib>Shen, Yi-Jung</creatorcontrib><creatorcontrib>Tai, Ying-Hsuan</creatorcontrib><creatorcontrib>Chou, Yiing-Jenq</creatorcontrib><creatorcontrib>Chang, Yun-Ting</creatorcontrib><creatorcontrib>Chen, Tzeng-Ji</creatorcontrib><creatorcontrib>Li, Chung-Pin</creatorcontrib><creatorcontrib>Wu, Chen-Yi</creatorcontrib><title>Cigarette Smoking, Alcohol Consumption, and Risk of Alopecia Areata: A Population-Based Cohort Study in Taiwan</title><title>American journal of clinical dermatology</title><addtitle>Am J Clin Dermatol</addtitle><description>Background
The effects of cigarette smoking and alcohol consumption on the risk of alopecia areata (AA) are unclear.
Objective
The aim was to examine the association of cigarette smoking and alcohol consumption with AA.
Methods
We collected participants from four rounds (2001, 2005, 2009, and 2013) of the Taiwan National Health Interview Survey. Incident AA cases were identified from the National Health Insurance database.
Results
Of the 60,055 participants, 154 developed AA during the 647,902 person-years of follow-up. After controlling for confounders, current smokers had a higher risk of incident AA than never smokers [adjusted hazard ratio (aHR) 1.88; 95% confidence interval (CI) 1.22–2.88]. There was a trend toward an increased risk of AA with increasing numbers of years of smoking and cumulative pack-years of smoking among current smokers. The aHRs (95% CIs) of current smokers of > 5 and ≤ 15 cigarettes per day, > 10 and ≤ 20 years of smoking, ≤ 10, and > 10 and ≤ 20 pack-years of smoking were 2.03 (1.17–3.51), 2.25 (1.21–4.18), 1.86 (1.12–3.09), and 2.04 (1.04–4.01), respectively. Conversely, social and regular drinkers had significantly lower risks of AA than never drinkers [aHRs (95% CIs) 0.65 (0.43–0.98) and 0.49 (0.26–0.93), respectively].
Conclusion
Current smokers had an increased risk of developing AA, while alcohol consumption was associated with a decreased risk of AA.</description><subject>Alcohol</subject><subject>Alcohol use</subject><subject>Alopecia</subject><subject>Baldness</subject><subject>Cardiovascular disease</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Cigarettes</subject><subject>Codes</subject><subject>Cohort analysis</subject><subject>Dermatology</subject><subject>Family income</subject><subject>Health insurance</subject><subject>Households</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Research Article</subject><subject>Pharmacology/Toxicology</subject><subject>Pharmacotherapy</subject><subject>Population</subject><subject>Population-based studies</subject><subject>Smoking</subject><issn>1175-0561</issn><issn>1179-1888</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp90U9LHDEYBvBBWtBav4CnQC89GPvmz0xmetsuthYEi6vnkEneXaOzyZjMIH77Zt2C0IOnhPB7XsL7VNUpg3MGoL5lCbxWFDhQgFoqqg6qI8ZUR1nbth9e7zWFumGH1aecH6BIDs1RFZZ-YxJOE5LVNj76sDkji8HG-ziQZQx53o6Tj-GMmODIjc-PJK4LiCNab8gioZnMd7Igf-I4D2ZH6Q-T0ZXwfUwTWU2zeyE-kFvjn034XH1cmyHjyb_zuLr7eXG7vKRX179-LxdX1IqaT9QaaED2gouO2d7YHrCxssHy1jLbgWhQSqitU8AMIkDvHKoOnJDO9bIWx9XX_dwxxacZ86S3PlscBhMwzllzKVjL6hZkoV_-ow9xTqH8rqiOC654I4rie2VTzDnhWo_Jb0160Qz0rgK9r0CXterXCrQqIbEP5YLDBtPb6HdSfwE834iC</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Dai, Ying-Xiu</creator><creator>Yeh, Fang-Yu</creator><creator>Shen, Yi-Jung</creator><creator>Tai, Ying-Hsuan</creator><creator>Chou, Yiing-Jenq</creator><creator>Chang, Yun-Ting</creator><creator>Chen, Tzeng-Ji</creator><creator>Li, Chung-Pin</creator><creator>Wu, Chen-Yi</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8393-3900</orcidid></search><sort><creationdate>20201201</creationdate><title>Cigarette Smoking, Alcohol Consumption, and Risk of Alopecia Areata: A Population-Based Cohort Study in Taiwan</title><author>Dai, Ying-Xiu ; Yeh, Fang-Yu ; Shen, Yi-Jung ; Tai, Ying-Hsuan ; Chou, Yiing-Jenq ; Chang, Yun-Ting ; Chen, Tzeng-Ji ; Li, Chung-Pin ; Wu, Chen-Yi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-ca0604b32391cbacb0e6c46e04b81c9036e4405cd701aee00bdde790d34ddb453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Alcohol</topic><topic>Alcohol use</topic><topic>Alopecia</topic><topic>Baldness</topic><topic>Cardiovascular disease</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Cigarettes</topic><topic>Codes</topic><topic>Cohort analysis</topic><topic>Dermatology</topic><topic>Family income</topic><topic>Health insurance</topic><topic>Households</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Research Article</topic><topic>Pharmacology/Toxicology</topic><topic>Pharmacotherapy</topic><topic>Population</topic><topic>Population-based studies</topic><topic>Smoking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dai, Ying-Xiu</creatorcontrib><creatorcontrib>Yeh, Fang-Yu</creatorcontrib><creatorcontrib>Shen, Yi-Jung</creatorcontrib><creatorcontrib>Tai, Ying-Hsuan</creatorcontrib><creatorcontrib>Chou, Yiing-Jenq</creatorcontrib><creatorcontrib>Chang, Yun-Ting</creatorcontrib><creatorcontrib>Chen, Tzeng-Ji</creatorcontrib><creatorcontrib>Li, Chung-Pin</creatorcontrib><creatorcontrib>Wu, Chen-Yi</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of clinical dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dai, Ying-Xiu</au><au>Yeh, Fang-Yu</au><au>Shen, Yi-Jung</au><au>Tai, Ying-Hsuan</au><au>Chou, Yiing-Jenq</au><au>Chang, Yun-Ting</au><au>Chen, Tzeng-Ji</au><au>Li, Chung-Pin</au><au>Wu, Chen-Yi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cigarette Smoking, Alcohol Consumption, and Risk of Alopecia Areata: A Population-Based Cohort Study in Taiwan</atitle><jtitle>American journal of clinical dermatology</jtitle><stitle>Am J Clin Dermatol</stitle><date>2020-12-01</date><risdate>2020</risdate><volume>21</volume><issue>6</issue><spage>901</spage><epage>911</epage><pages>901-911</pages><issn>1175-0561</issn><eissn>1179-1888</eissn><abstract>Background
The effects of cigarette smoking and alcohol consumption on the risk of alopecia areata (AA) are unclear.
Objective
The aim was to examine the association of cigarette smoking and alcohol consumption with AA.
Methods
We collected participants from four rounds (2001, 2005, 2009, and 2013) of the Taiwan National Health Interview Survey. Incident AA cases were identified from the National Health Insurance database.
Results
Of the 60,055 participants, 154 developed AA during the 647,902 person-years of follow-up. After controlling for confounders, current smokers had a higher risk of incident AA than never smokers [adjusted hazard ratio (aHR) 1.88; 95% confidence interval (CI) 1.22–2.88]. There was a trend toward an increased risk of AA with increasing numbers of years of smoking and cumulative pack-years of smoking among current smokers. The aHRs (95% CIs) of current smokers of > 5 and ≤ 15 cigarettes per day, > 10 and ≤ 20 years of smoking, ≤ 10, and > 10 and ≤ 20 pack-years of smoking were 2.03 (1.17–3.51), 2.25 (1.21–4.18), 1.86 (1.12–3.09), and 2.04 (1.04–4.01), respectively. Conversely, social and regular drinkers had significantly lower risks of AA than never drinkers [aHRs (95% CIs) 0.65 (0.43–0.98) and 0.49 (0.26–0.93), respectively].
Conclusion
Current smokers had an increased risk of developing AA, while alcohol consumption was associated with a decreased risk of AA.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><doi>10.1007/s40257-020-00547-7</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-8393-3900</orcidid></addata></record> |
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| source | Springer Nature - Complete Springer Journals |
| subjects | Alcohol Alcohol use Alopecia Baldness Cardiovascular disease Chronic obstructive pulmonary disease Cigarettes Codes Cohort analysis Dermatology Family income Health insurance Households Medicine Medicine & Public Health Original Research Article Pharmacology/Toxicology Pharmacotherapy Population Population-based studies Smoking |
| title | Cigarette Smoking, Alcohol Consumption, and Risk of Alopecia Areata: A Population-Based Cohort Study in Taiwan |
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