文章摘要
李威,王德征,张辉,徐忠良,薛晓丹,江国虹.天津市2016年35~79岁居民吸烟归因死亡及戒烟效果分析[J].中华流行病学杂志,2017,38(11):1533-1536
天津市2016年35~79岁居民吸烟归因死亡及戒烟效果分析
Study on smoking attributed death and effects of smoking cessation in residents aged 35-79 years in Tianjin, 2016
收稿日期:2017-03-13  出版日期:2017-11-11
DOI:10.3760/cma.j.issn.0254-6450.2017.11.019
中文关键词: 吸烟;归因死亡;戒烟;病例对照研究
英文关键词: Smoking;Attributed death;Smoking cessation;Case-control study
基金项目:
作者单位E-mail
李威 300011 天津市疾病预防控制中心  
王德征 300011 天津市疾病预防控制中心  
张辉 300011 天津市疾病预防控制中心  
徐忠良 300011 天津市疾病预防控制中心  
薛晓丹 300011 天津市疾病预防控制中心  
江国虹 300011 天津市疾病预防控制中心 jiangguohongtjcdc@126.com 
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中文摘要:
      目的 分析吸烟对天津市35~79岁居民死亡的影响以及戒烟效果。方法 收集2016年天津市35~79岁居民死亡病例39 499例,调整5岁年龄组、受教育程度、婚姻状况后,分析吸烟导致不同疾病死亡的风险和超额死亡,以及不同年份戒烟的效果。结果 35~79岁男性死亡者中,有13.56%(1 589例)的死亡是由于吸烟所引起,其中吸烟引起肺癌的超额死亡百分比最高(47.60%);吸烟者肺癌的死亡风险是不吸烟者的2.75(95% CI:2.47~3.06)倍;女性死亡中,有7.29%(183例)的死亡是由于吸烟所引起,其中吸烟引起肺癌的超额死亡百分比最高(28.90%);吸烟者肺癌的死亡风险是不吸烟者的4.04(95% CI:3.49~4.68)倍。男性死亡中,戒烟者患病的危险为吸烟者的0.80(95% CI:0.72~0.90)倍,男性戒烟≥ 10年者其OR值(0.74,95% CI:0.63~0.86)小于戒烟年限为1~9年者(OR=0.85,95% CI:0.74~0.98),差异无统计学意义。结论 吸烟是导致天津市居民死亡的重要危险因素之一。戒烟可以明显起到保护作用。
英文摘要:
      Objective To analyze the influence of smoking on deaths in residents aged 35-79 years and the effects of smoking cessation in Tianjin. Methods The data of 39 499 death cases aged 35-79 years in 2016 in Tianjin were collected, the risks for deaths caused by smoking related diseases and excess deaths as well as effects of smoking cessation were analyzed after adjusting 5 year old age group, education level and marital status. Results Among the 39 499 deaths cases, 1 589 (13.56%) were caused by smoking, the percentage of the excess mortality of lung cancer caused by smoking was highest (47.60%); the risk of death due to lung cancer in smokers was 2.75 times higher than that in non-smokers (95% CI:2.47-3.06). Among the female deaths, 183 (7.29%) were caused by smoking, the percentage of the excess mortality of lung cancer was highest (28.90%); and the risk of death of lung cancer in smokers was 4.04 times higher than that in non-smokers (95% CI:3.49-4.68). The OR for disease in ex-smokers was 0.80 compared with 1.00 in smokers (95% CI:0.72-0.90). The OR in males who had quitted smoking for ≥ 10 years was lower (0.74, 95% CI:0.63-0.86) than that in those who had quitted smoking for 1-9 years (0.85, 95% CI:0.74-0.98), but the difference was not significant. Conclusion Smoking is one of the most important risk factors for deaths in residents in Tianjin. Smoking cessation can benefit people's health.
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