烟草吸烟与胃癌风险之间的剂量反应关系:系统性审查和元分析
Matteo Rota1, Irene Possenti2, Valeria Valsassina2
1Department of Molecular and Translational Medicine, Università Degli Studi Di Brescia, Brescia, Italy.
概括
吸烟显著增加了胃癌的风险,特别是目前的吸烟者和胃心脏病患者. 风险随着吸烟强度增加至每天20支香烟和持续时间增加,在戒烟后降低.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 胃癌 (GC) 仍然是一个重大的全球健康问题.
- 吸烟是已知的危险因素,但精确的剂量反应关系需要更新量化.
- 了解这些关联对于有针对性的预防策略至关重要.
研究的目的:
- 量化吸烟与胃癌风险之间的剂量反应相关性.
- 分析这种关系的整体和胃癌子站点.
- 将现有证据与最新研究更新至2023年1月.
主要方法:
- 对病例控制和队列研究进行系统审查和元分析.
- 包括来自271个资格文章的205个原始研究.
- 根据吸烟状况,强度,持续时间和戒烟以来的时间,估计聚合相对风险 (RR).
主要成果:
- 与从未吸烟者相比,目前吸烟者的GC风险增加了1.53倍 (95% CI 1.44-1.62).
- 当前吸烟者的胃心脏病风险更高 (RR 2.08;95% CI 1.66-2.61).
- 随着吸烟强度增加到每天20支香烟,GC风险非线性增加,随着持续时间线性增加,在戒烟30年后降低.
结论:
- 吸烟已被证实是胃癌的独立风险因素.
- 胃心脏病的风险特别高,并且随着吸烟的强度和持续时间而增加.
- 戒烟会随着时间的推移显著降低胃癌的风险.
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