无烟烟草的使用和棒球运动员的健康影响
V L Ernster1, D G Grady, J C Greene
1Department of Epidemiology and Biostatistics, School of Medicine, University of California, San Francisco 94143-0560.
JAMA
|July 11, 1990
概括
在棒球运动员中,无烟烟草的使用显著增加了口腔白血病和牙周病. 健康影响与使用时间和类型有关,吸烟者风险较高.
科学领域:
- 口腔病理学 口腔病理学
- 牙周病学 牙周病学
- 烟草研究 烟草研究
背景情况:
- 无烟烟草 (ST) 的使用在职业棒球中很普遍.
- 了解ST对这一群体的健康影响至关重要.
研究的目的:
- 调查职业棒球运动员中无烟烟草使用对口腔健康的影响.
- 为了确定与ST使用相关的口腔病变和牙周状况的患病率.
主要方法:
- 1988年春季训练期间对1109名职业棒球运动员进行的横截面研究.
- 数据收集包括ST使用习惯,口腔检查和针对可疑病变的穿孔活检.
- 统计分析比较了ST用户和非用户之间的健康结果.
主要成果:
- 39%的球员使用ST,在18岁左右开始使用,使用5年.
- 口腔白血病在ST使用者中 (46%) 比非使用者 (1.4%) 常见60倍.
- 使用ST与增加牙衰退和附着损失有关,但不是虫或牙炎.
结论:
- 棒球运动员使用无烟烟草与口腔白血病和局部牙周病有很强的联系.
- 吸烟和长时间的日常使用增加了白血病的风险.
- 虽然系统性健康标志物没有受到影响,但口腔健康后果是显著的.
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