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水管烟草 吸烟和癌症风险 死亡率
Ngoan Tran Le1,2,3, Can Van Phan3,4, Yen Thi-Hai Pham5,6
1Institute of Research and Development, Duy Tan University, Da Nang City, Vietnam.
JAMA oncology
|July 11, 2024
概括
单独或与香烟一起吸水管烟 (WTP) 在越南显著增加癌症死亡风险. 独家WTP吸烟者面临的风险最高,特别是肝癌,肺癌,鼻癌和胃癌.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 在瘤学瘤学.
背景情况:
- 包括水管烟草 (WTP) 在内的非烟草产品在全球范围内越来越多地使用.
- 虽然吸烟是已知的致癌物,但与WTP吸烟相关的癌症死亡风险仍未得到充分研究.
研究的目的:
- 调查吸水烟 (WTP) 吸烟与越南队列癌症死亡风险之间的关联.
主要方法:
- 在越南北部 (2007-2019) 进行的一项前性队列研究分析了来自15岁以上39,401名参与者的数据.
- 考克斯比例回归模型根据吸烟状况计算了癌症死亡风险比 (HR) (不包括WTP,不包括香烟,双重使用,从未吸烟者).
主要成果:
- 与从未吸烟者相比,仅吸烟WTP与癌症死亡风险最高 (HR,2.66) 相关.
- 吸烟增加了肝癌,肺癌,鼻癌和胃癌的死亡风险,特别是在男性中.
- 较高的频率,持续时间和较早开始吸烟的WTP与癌症死亡风险增加相关.
结论:
- 吸水烟 (WTP) 吸烟,无论是单独吸烟还是与香烟相结合,在越南显著增加癌症死亡风险.
- 针对WTP吸烟的公共卫生干预措施至关重要,特别是在低收入和中等收入国家.
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