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吸烟增加了非洲裔美国人慢性病死亡风险
Srikanta Banerjee1, Jagdish Khubchandani2, W Sumner Davis1
1College of Health Sciences, Walden University, Minneapolis, Minn, United States of America.
American journal of medicine open
|July 22, 2024
概括
吸烟和慢性病 (CKD) 在非洲裔美国人 (AA) 成年人中显著增加死亡风险. 目前患有CKD的吸烟者面临心血管和全因死亡的风险更高,这凸显了戒烟计划的必要性.
科学领域:
- 公共卫生 公共卫生
- 腎臟病學 (nephrology) 是一種醫學專業.
- 流行病学 流行病学
背景情况:
- 非洲裔美国人 (AA) 成年人吸烟和慢性病 (CKD) 的比例很高.
- 吸烟和CKD对AA人口死亡率的综合影响尚未得到充分证实.
- 现有的研究缺乏关于吸烟如何影响AA成年人中CKD相关死亡率的具体数据.
研究的目的:
- 调查吸烟对非裔美国人 (AA) 成年人诊断为慢性病 (CKD) 的死亡率的影响.
- 量化与AA人口中吸烟和CKD同时发生的过度死亡风险.
主要方法:
- 使用了来自国家健康和营养检查调查 (NHANES,1999-2010) 的数据.
- 追踪了一组6108名非洲裔美国人 (AA) 成年人,预计死亡率至2019年12月31日.
- 从国家死亡指数 (NDI) 死亡证明记录中获得的死亡数据.
主要成果:
- 在患有CKD的AA成年人中,目前吸烟者与非吸烟者相比,心血管死亡风险增加了3.21倍.
- 当前吸烟者患有慢性病的AA成年人患有全因死亡风险增加5.54倍.
- 在研究样本中,吸烟的流行率为44.9%,CKD为6.3%.
结论:
- 吸烟和CKD很普遍,在非裔美国人 (AA) 中经常同时发生,导致死亡率升高.
- 戒烟干预措施至关重要,应该在协作和跨学科的护理模式中优先考虑吸烟的AA成年人.
- 解决吸烟问题是减轻这一高风险人群死亡风险的关键策略.
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