Health effects associated with smoking: a Burden of Proof study

Nat Med. 2022 Oct;28(10):2045-2055. doi: 10.1038/s41591-022-01978-x. Epub 2022 Oct 10.

Abstract

As a leading behavioral risk factor for numerous health outcomes, smoking is a major ongoing public health challenge. Although evidence on the health effects of smoking has been widely reported, few attempts have evaluated the dose-response relationship between smoking and a diverse range of health outcomes systematically and comprehensively. In the present study, we re-estimated the dose-response relationships between current smoking and 36 health outcomes by conducting systematic reviews up to 31 May 2022, employing a meta-analytic method that incorporates between-study heterogeneity into estimates of uncertainty. Among the 36 selected outcomes, 8 had strong-to-very-strong evidence of an association with smoking, 21 had weak-to-moderate evidence of association and 7 had no evidence of association. By overcoming many of the limitations of traditional meta-analyses, our approach provides comprehensive, up-to-date and easy-to-use estimates of the evidence on the health effects of smoking. These estimates provide important information for tobacco control advocates, policy makers, researchers, physicians, smokers and the public.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Research Design
  • Risk Factors
  • Smoking Cessation*
  • Smoking* / adverse effects
  • Smoking* / epidemiology