卷烟和不卷烟的卷烟使用与偶然诊断的慢性慢性肺炎之间的关联:一项纵向队列研究
Steven Cook1, James H Buszkiewicz2, David T Levy3
1Department of Epidemiology, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109, USA. cookstev@umich.edu.
双重烟草使用,包括香烟和雪茄,显著增加患慢性阻塞性肺病 (COPD) 的风险. 单独吸烟也会增加COPD的风险,强调可燃烟草制品的危险性.
科学领域:
- 肺部医学 肺部医学
- 流行病学 流行病学
- 控制烟草的控制方式
背景情况:
- 烟草吸烟对健康的风险尚未得到充分了解,尤其是慢性阻塞性肺病 (COPD) 的风险.
- 之前的研究还没有充分描述单独或双重卷烟和香烟使用对COPD发展的影响.
研究的目的:
- 调查专用香烟使用,专用香烟使用和双香烟/香烟使用与自我报告诊断的COPD发生率之间的潜在关联.
- 澄清不同可燃烟草制品使用模式在COPD风险中的作用.
主要方法:
- 从人口烟草和健康评估 (PATH) 研究的第1-5波 (2013-2019) 纵向数据的分析.
- 包括40-79岁的美国成年人没有先前COPD诊断,使用时间变化的烟草暴露类别.
- 应用离散时间生存模型,对人口结构和其他风险因素进行多变量调整.
主要成果:
- 单独吸烟与被诊断为COPD的风险增加有关 (aHR=1.48).
- 卷烟和香烟的双重使用与COPD风险增加有更强的关联 (aHR=1.88).
- 与不使用相比,单独使用雪茄并没有显著增加COPD风险.
结论:
- 单独吸烟和双香烟/香烟使用都与被诊断的慢性肺炎的发病率更高有关.
- 雪茄和香烟的结合使用可能导致COPD健康结果较差.
- 需要进一步的研究来确定吸入雪茄烟是否会增加COPD的风险.
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