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美国退伍军人中部署相关的吸烟行为和肺功能
Jennifer R Maccarone1,2, Olivia R Sterns1, Andrew Timmons3
1Pulmonary, Allergy, Sleep and Critical Care Medicine Section VA Boston Healthcare System, West Roxbury, MA 02132, USA.
Military medicine
|March 27, 2024
概括
在部署期间吸烟会对9/11后退伍军人的肺功能产生负面影响. 即使是适度的吸烟,包括部署相关的包年,也显示出与肺功能减弱 (FEV1和FEV1/FVC) 的明显关联.
科学领域:
- 环境健康 环境健康
- 职业健康 职业健康 职业健康
- 肺部医学 肺部医学
背景情况:
- 在9/11事件后吸烟对肺功能的影响,在高颗粒物环境中部署的退伍军人尚未完全理解.
- 了解这些影响对于退伍军人健康和有针对性的干预措施至关重要.
研究的目的:
- 评估911后退伍军人的累积,部署相关和非部署相关吸烟和肺功能之间的关联.
- 量化吸烟强度和持续时间对肺功能参数的影响.
主要方法:
- 来自VA合作研究计划#595.5的临时数据的分析.
- 包括1836名陆地部署的退伍军人,他们填写了问卷和精神测量.
- 多变量线性回归模型用于评估吸烟与肺功能之间的关联.
主要成果:
- 44.8%的参与者是常吸烟者,11%的人在部署期间开始吸烟.
- 与其他时期相比,在部署期间吸烟强度增加了50%.
- 累计包年与预测的FEV1%和预测的FEV1/FVC%相反相关,与部署相关和非部署相关的包年有类似的关联.
结论:
- 在这组退伍军人中,适度的累积吸烟与肺功能可检测的减少有关.
- 与部署相关的吸烟包年与非部署相关的包年显示出与肺功能有类似的负相关性.
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