Investigating the association of traditional and non-traditional tobacco product use with subclinical and clinical cardiovascular disease: The Cross-Cohort Collaboration- Tobacco working group rationale, design, and methodology

While the impact of combustible cigarette smoking on cardiovascular disease (CVD) is well-established, the longitudinal association of non-traditional tobacco products with subclinical and clinical CVD has not been fully explored due to: 1) limited data availability; and 2) the lack of well-phenotyp...

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Main Authors: Erfan Tasdighi, Kunal K. Jha, Zeina A. Dardari, Ngozi Osuji, Tanuja Rajan, Ellen Boakye, Michael E. Hall, Carlos J. Rodriguez, Andrew C. Stokes, Omar El Shahawy, Emelia J. Benjamin, Aruni Bhatnagar, Andrew P. DeFilippis, Michael J. Blaha
Format: Article
Language:English
Published: European Publishing 2023-07-01
Series:Tobacco Induced Diseases
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Online Access:https://www.tobaccoinduceddiseases.org/Investigating-the-association-of-traditional-and-non-traditional-tobacco-product,166517,0,2.html
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author Erfan Tasdighi
Kunal K. Jha
Zeina A. Dardari
Ngozi Osuji
Tanuja Rajan
Ellen Boakye
Michael E. Hall
Carlos J. Rodriguez
Andrew C. Stokes
Omar El Shahawy
Emelia J. Benjamin
Aruni Bhatnagar
Andrew P. DeFilippis
Michael J. Blaha
author_facet Erfan Tasdighi
Kunal K. Jha
Zeina A. Dardari
Ngozi Osuji
Tanuja Rajan
Ellen Boakye
Michael E. Hall
Carlos J. Rodriguez
Andrew C. Stokes
Omar El Shahawy
Emelia J. Benjamin
Aruni Bhatnagar
Andrew P. DeFilippis
Michael J. Blaha
author_sort Erfan Tasdighi
collection DOAJ
description While the impact of combustible cigarette smoking on cardiovascular disease (CVD) is well-established, the longitudinal association of non-traditional tobacco products with subclinical and clinical CVD has not been fully explored due to: 1) limited data availability; and 2) the lack of well-phenotyped prospective cohorts. Therefore, there is the need for sufficiently powered well-phenotyped datasets to fully elucidate the CVD risks associated with non-cigarette tobacco products. The Cross-Cohort Collaboration (CCC)-Tobacco is a harmonized dataset of 23 prospective cohort studies predominantly in the US. A priori defined variables collected from each cohort included baseline characteristics, details of traditional and non-traditional tobacco product use, inflammatory markers, and outcomes including subclinical and clinical CVD. The definitions of the variables in each cohort were systematically evaluated by a team of two physician-scientists and a biostatistician. Herein, we describe the method of data acquisition and harmonization and the baseline sociodemographic and risk profile of participants in the combined CCC-Tobacco dataset. The total number of participants in the pooled cohort is 322782 (mean age: 59.7 ± 11.8 years) of which 76% are women. White individuals make up the majority (73.1%), although there is good representation of other race and ethnicity groups including African American (15.6%) and Hispanic/Latino individuals (6.4%). The prevalence of participants who never smoked, formerly smoked, and currently smoke combustible cigarettes is 50%, 36%, and 14%, respectively. The prevalence of current and former cigar, pipe, and smokeless tobacco is 7.3%, 6.4%, and 8.6%, respectively. E-cigarette use was measured only in follow-up visits of select studies, totaling 1704 former and current users. CCC-Tobacco is a large, pooled cohort dataset that is uniquely designed with increased power to expand knowledge regarding the association of traditional and non-traditional tobacco use with subclinical and clinical CVD, with extension to understudied groups including women and individuals from underrepresented racial-ethnic groups.
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spelling doaj-art-bdc3cc5e672b4e25b0da6fdf26e743012025-01-24T15:26:37ZengEuropean PublishingTobacco Induced Diseases1617-96252023-07-0121July11710.18332/tid/166517166517Investigating the association of traditional and non-traditional tobacco product use with subclinical and clinical cardiovascular disease: The Cross-Cohort Collaboration- Tobacco working group rationale, design, and methodologyErfan Tasdighi0Kunal K. Jha1Zeina A. Dardari2Ngozi Osuji3Tanuja Rajan4Ellen Boakye5Michael E. Hall6Carlos J. Rodriguez7Andrew C. Stokes8Omar El Shahawy9Emelia J. Benjamin10Aruni Bhatnagar11Andrew P. DeFilippis12Michael J. Blaha13https://orcid.org/0000-0001-5138-9683Johns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease, Baltimore, United StatesJohns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease, Baltimore, United StatesJohns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease, Baltimore, United StatesJohns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease, Baltimore, United StatesJohns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease, Baltimore, United StatesJohns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease, Baltimore, United StatesAmerican Heart Association Tobacco Regulation and Addiction Center, Dallas, United StatesAmerican Heart Association Tobacco Regulation and Addiction Center, Dallas, United StatesAmerican Heart Association Tobacco Regulation and Addiction Center, Dallas, United StatesAmerican Heart Association Tobacco Regulation and Addiction Center, Dallas, United StatesAmerican Heart Association Tobacco Regulation and Addiction Center, Dallas, United StatesAmerican Heart Association Tobacco Regulation and Addiction Center, Dallas, United StatesAmerican Heart Association Tobacco Regulation and Addiction Center, Dallas, United StatesJohns Hopkins Ciccarone Center for Prevention of Cardiovascular Disease, Baltimore, United StatesWhile the impact of combustible cigarette smoking on cardiovascular disease (CVD) is well-established, the longitudinal association of non-traditional tobacco products with subclinical and clinical CVD has not been fully explored due to: 1) limited data availability; and 2) the lack of well-phenotyped prospective cohorts. Therefore, there is the need for sufficiently powered well-phenotyped datasets to fully elucidate the CVD risks associated with non-cigarette tobacco products. The Cross-Cohort Collaboration (CCC)-Tobacco is a harmonized dataset of 23 prospective cohort studies predominantly in the US. A priori defined variables collected from each cohort included baseline characteristics, details of traditional and non-traditional tobacco product use, inflammatory markers, and outcomes including subclinical and clinical CVD. The definitions of the variables in each cohort were systematically evaluated by a team of two physician-scientists and a biostatistician. Herein, we describe the method of data acquisition and harmonization and the baseline sociodemographic and risk profile of participants in the combined CCC-Tobacco dataset. The total number of participants in the pooled cohort is 322782 (mean age: 59.7 ± 11.8 years) of which 76% are women. White individuals make up the majority (73.1%), although there is good representation of other race and ethnicity groups including African American (15.6%) and Hispanic/Latino individuals (6.4%). The prevalence of participants who never smoked, formerly smoked, and currently smoke combustible cigarettes is 50%, 36%, and 14%, respectively. The prevalence of current and former cigar, pipe, and smokeless tobacco is 7.3%, 6.4%, and 8.6%, respectively. E-cigarette use was measured only in follow-up visits of select studies, totaling 1704 former and current users. CCC-Tobacco is a large, pooled cohort dataset that is uniquely designed with increased power to expand knowledge regarding the association of traditional and non-traditional tobacco use with subclinical and clinical CVD, with extension to understudied groups including women and individuals from underrepresented racial-ethnic groups.https://www.tobaccoinduceddiseases.org/Investigating-the-association-of-traditional-and-non-traditional-tobacco-product,166517,0,2.htmlcross-cohort collaborationtobacco smokingnon-cigarette tobaccoe-cigarettecardiovascular disease
spellingShingle Erfan Tasdighi
Kunal K. Jha
Zeina A. Dardari
Ngozi Osuji
Tanuja Rajan
Ellen Boakye
Michael E. Hall
Carlos J. Rodriguez
Andrew C. Stokes
Omar El Shahawy
Emelia J. Benjamin
Aruni Bhatnagar
Andrew P. DeFilippis
Michael J. Blaha
Investigating the association of traditional and non-traditional tobacco product use with subclinical and clinical cardiovascular disease: The Cross-Cohort Collaboration- Tobacco working group rationale, design, and methodology
Tobacco Induced Diseases
cross-cohort collaboration
tobacco smoking
non-cigarette tobacco
e-cigarette
cardiovascular disease
title Investigating the association of traditional and non-traditional tobacco product use with subclinical and clinical cardiovascular disease: The Cross-Cohort Collaboration- Tobacco working group rationale, design, and methodology
title_full Investigating the association of traditional and non-traditional tobacco product use with subclinical and clinical cardiovascular disease: The Cross-Cohort Collaboration- Tobacco working group rationale, design, and methodology
title_fullStr Investigating the association of traditional and non-traditional tobacco product use with subclinical and clinical cardiovascular disease: The Cross-Cohort Collaboration- Tobacco working group rationale, design, and methodology
title_full_unstemmed Investigating the association of traditional and non-traditional tobacco product use with subclinical and clinical cardiovascular disease: The Cross-Cohort Collaboration- Tobacco working group rationale, design, and methodology
title_short Investigating the association of traditional and non-traditional tobacco product use with subclinical and clinical cardiovascular disease: The Cross-Cohort Collaboration- Tobacco working group rationale, design, and methodology
title_sort investigating the association of traditional and non traditional tobacco product use with subclinical and clinical cardiovascular disease the cross cohort collaboration tobacco working group rationale design and methodology
topic cross-cohort collaboration
tobacco smoking
non-cigarette tobacco
e-cigarette
cardiovascular disease
url https://www.tobaccoinduceddiseases.org/Investigating-the-association-of-traditional-and-non-traditional-tobacco-product,166517,0,2.html
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