在中国和亚洲人群中,与活跃吸烟相关的中风风险比较
Ze Min Cai1, Xiao Jing Guo1, Xiao Zhang1
1Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences (CAMS) and School of Basic Medicine, Peking Union Medical College (PUMC), Beijing 100005, China;State Key Laboratory of Respiratory Health and Multimorbidity, Beijing 100005, China.
Biomedical and environmental sciences : BES
|January 26, 2026
概括
在亚洲,吸烟对中风的风险很大. 这项研究发现,在中国和其他亚洲人口之间,吸烟导致的中风风险没有显著差异,尽管中国的男性常吸烟者风险低于其他亚洲国家.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管疾病研究研究
背景情况:
- 脑卒中是全球主要的死亡原因,亚洲的发病率很高.
- 吸烟是中风的主要可改变的风险因素,特别是在中国和其他亚洲地区.
- 现有的数据缺乏明确的比较,以吸烟为由的中风风险在中国和更广泛的亚洲人口之间.
研究的目的:
- 为了比较吸烟导致的中风的相对风险 (RR),中国人与其他亚洲人群相比.
- 评估不同亚洲人群中吸烟相关的中风风险估计的潜在差异.
- 提供关于亚洲戒烟的有针对性的公共卫生干预措施的证据.
主要方法:
- 进行了全面的文献搜索,截至2022年9月10日.
- 分析了聚合的相对风险 (RRs),按吸烟状态 (以前,现在,以前) 和性别分层.
- 对中国,其他亚洲国家和整个亚洲进行了子组分析,包括偏见和敏感性分析.
主要成果:
- 包括37项针对中国人群的研究和15项针对其他亚洲人群的研究.
- 对于经常吸烟者来说,亚洲其他国家的男性的RR (2.31) 比中国 (1.21) 高,特别是在发病率小组 (3.76).
- 在中国和整个亚洲的任何吸烟群体 (曾经,现在,前吸烟者) 之间,在性别上没有发现RR的统计学上显著差异.
结论:
- 在中国,曾经吸烟过的男性中吸烟引起的中风的相对风险低于其他亚洲国家,但与整个亚洲地区的相比并没有显著差异.
- 在将中国与其他亚洲国家或亚洲整体相比较时,没有观察到其他吸烟群体 (曾经吸烟,目前吸烟,前吸烟) 的中风风险有显著差异.
- 研究结果表明,需要对特定子组进行进一步研究,特别是男性常吸烟者,以完善亚洲人群中风风险评估.
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