吸烟在全球和区域心血管疾病死亡率中的作用
Majid Ezzati1, S Jane Henley, Michael J Thun
1Harvard School of Public Health, 665 Huntington Ave, Boston, MA 02115, USA. mezzati@hsph.harvard.edu
Circulation
|July 20, 2005
概括
在2000年,吸烟导致全球160多万心血管疾病死亡,占所有心血管疾病死亡的11%. 这突显了吸烟是全球心脏病死亡的主要可预防风险因素.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 心血管疾病研究研究
背景情况:
- 吸烟是全球心血管疾病 (CVD) 死亡率的主要驱动因素.
- 关于吸烟对心血管疾病死亡率的具体贡献,在全球不同地区存在有限的数据,风险因素各不相同.
研究的目的:
- 为量化全球主要心血管疾病 (缺血性心脏病,脑血管疾病) 的吸烟死亡人数.
- 根据年龄,性别和地区对这些死亡进行分析,并根据其他风险因素进行调整.
主要方法:
- 利用美国癌症协会的癌症预防研究II (CPS II) 和世卫组织全球疾病负担死亡率数据库的数据.
- 用肺癌死亡率作为吸烟暴露的代理来估计全球14个子区域的吸烟死亡人数.
- 根据CPS-II数据中的关键共变量进行调整.
主要成果:
- 在2000年,吸烟导致全球估计有162万例心血管疾病死亡 (11%的心血管疾病死亡).
- 吸烟导致的心血管疾病死亡人数在男性 (117万) 比女性 (45万) 高.
- 缺血性心脏病 (54%) 和脑血管疾病 (25%) 是吸烟导致的心血管疾病死亡的主要原因.
结论:
- 2000年全球超过10%的心血管疾病死亡与吸烟有关.
- 吸烟是全球心血管疾病死亡的重要原因之一,也是可以预防的.
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