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Research Letter |

Menthol Cigarette Use and Stroke Risk Among US Smokers:  A Critical Reappraisal

Brian Rostron, PhD
JAMA Intern Med. 2014;174(5):808-809. doi:10.1001/jamainternmed.2013.9600.
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Vozoris1 recently reported that menthol cigarette use was associated with increased stroke risk compared with nonmenthol cigarette use among US smokers (odds ratio, 2.25; 95% CI, 1.33-2.78). These results, however, were not consistent across all demographic groups. For example, no increased risk was observed among African American smokers, a group with a high menthol smoking prevalence. I recently reported2 that menthol cigarette use was associated with lower lung cancer mortality among US smokers, although I found no difference in mortality risk for other causes. This study reexamines stroke risk among US menthol smokers using national health survey data and mortality follow-up.

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