| 姜博,马爱娟,李航,方凯,董晶,谢瑾,祁琨,谢晨,周滢,赵越,董忠.北京市18~65岁慢性病患者吸烟状态、戒烟态度及危险因素分析[J].中华流行病学杂志,2018,39(4):505-509 |
| 北京市18~65岁慢性病患者吸烟状态、戒烟态度及危险因素分析 |
| Study on the current status of smoking, intention of tobacco concession and related risk factors among 18-65-year olds patients with chronic diseases in Beijing |
| 收稿日期:2017-08-30 出版日期:2018-04-18 |
| DOI：10.3760/cma.j.issn.0254-6450.2018.04.024 |
| 中文关键词: 吸烟 戒烟意愿 慢性病 |
| 英文关键词: Smoke Intention of tobacco concession Chronic disease |
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| 摘要点击次数: 2994 |
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| 中文摘要: |
| 目的 了解北京市18~65岁高血压、糖尿病、血脂异常、COPD、哮喘患者的吸烟状态、戒烟态度及危险因素。方法 数据来源于2014年北京市成人慢性病与危险因素监测，即在北京市16个区/县采用多阶段分层整群抽样方法抽取180个社区共19 815名调查对象，以其中18~65岁人群作为研究对象。结果 18 405例有效样本中，男性高血压、血脂异常患者现在吸烟比例均高于非患者（分别χ2=17.695，P<0.001；χ2=39.292，P<0.001）；女性高血压、COPD、哮喘患者现在吸烟者比例均高于非患者（分别χ2=6.649，P=0.010；χ2=6.276，P=0.012；χ2=8.245，P=0.004）。吸烟者中，高血压患者1年内想戒烟比例低于非高血压患者（χ2=20.487，P<0.001），COPD患者1年内想戒烟比例高于非COPD患者（χ2=6.085，P=0.048）。男性中糖尿病（χ2=9.219，P=0.010）、血脂异常（χ2=13.513，P=0.001）患者中已戒烟者控制情况好于现在吸烟者。多因素logistic回归结果显示，吸烟是高血压（OR=1.17）、血脂异常（OR=1.25）、COPD（OR=1.78）、哮喘（OR=1.57）的影响因素。结论 北京市18~65岁居民中部分慢性病患者现在吸烟比例高且戒烟意愿低；吸烟是高血压、血脂异常、COPD、哮喘的危险因素。 |
| 英文摘要: |
| Objective To understand the status, attitude and related risk factors on smoking among 18-65 years old patients with hypertension, diabetes, dyslipidemia, chronic obstructive pulmonary disease (COPD) or asthma in Beijing. Methods Data was gathered from the 2014 Beijing Non-communicable and Chronic Disease Surveillance Program. Multiple classified cluster sampling method was used and 19 815 participants aged 18-65 were sampled from 16 districts in Beijing. Results Among all the 18 405 participants, male hypertensive patients showed a higher rate on current smoking than the other groups (χ2=17.695, P<0.001). Male patients with dyslipidemia had higher current smoking rate than the other groups (χ2=39.292, P<0.001). However, female patients with COPD or with asthma showed higher rate on current smoking than the other groups (χ2=6.276, P=0.012), (χ2=8.245, P=0.004). Among the smokers, hypertensive patients presented lower rate (χ2=20.487, P<0.001) on intention of smoking concession, than the other groups. Patients with COPD showed greater intention in quitting smoking (χ2=6.085, P=0.048), than the other groups. Male patients with diabetes (χ2=9.219, P=0.010) or dyslipidemia (χ2=13.513, P=0.001) who had stopped smoking tobacco appeared having higher rates in keeping the current status. Results from logistic regression analyses showed that smoking was the risk factor for hypertension (OR=1.17), dyslipidemia (OR=1.25), COPD (OR=1.78), and asthma (OR=1.57). Conclusions Patients with certain kinds of chronic diseases showed higher rate of current smoking and lower rate of quitting. Cigarette consumption appeared an important risk factor for patients with hypertension, dyslipidemia, COPD, or asthma in Beijing. |
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