天津市2016年35~79岁居民吸烟归因死亡及戒烟效果分析

李威; 王德征; 张辉; 徐忠良; 薛晓丹; 江国虹

Abstract

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].Chinese journal of Epidemiology,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

Received:March 13, 2017

DOI：10.3760/cma.j.issn.0254-6450.2017.11.019

KeyWord: 吸烟归因死亡戒烟病例对照研究

English Key Word: Smoking Attributed death Smoking cessation Case-control study

FundProject:

Author Name	Affiliation	E-mail
Li Wei	Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China
Wang Dezheng	Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China
Zhang Hui	Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China
Xu Zhongliang	Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China
Xue Xiaodan	Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China
Jiang Guohong	Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China	jiangguohongtjcdc@126.com

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Abstract:

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。

English Abstract:

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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