美国印第安人的中风发生率和吸烟:来自强心脏研究的更新
Taylor Niznik1, Jessica A Reese2, Jason F Deen3
1Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Journal of clinical medicine
|January 28, 2026
概括
吸烟显著增加了美国印第安人的中风风险. 戒烟对于降低中风发病率和改善这一群体的长期心血管健康结果至关重要.
科学领域:
- 心血管流行病学心血管流行病学
- 公共卫生研究 公共卫生研究
- 美国印第安人的健康美国印第安人的健康
背景情况:
- 强心研究 (SHS) 是一项纵向队列研究,研究美洲印第安人社区的心血管疾病.
- 调查吸烟和中风之间的联系至关重要,因为在这个人口群体中患病率和风险更高.
研究的目的:
- 确定吸烟与长期中风风险之间的关联.
- 分析SHS队伍中美洲印第安人参与者的中风结果.
主要方法:
- 这是一项基于人口的长度队列研究,在1989-1991年和2001-2003年期间招收了5802名参与者.
- 收集到2021年12月的年度监测数据,用于分析的Cox比例危险模型.
- 根据基线吸烟状态,人口统计数据和其他心血管风险因素评估发生中风风险.
主要成果:
- 开始时的吸烟率为38.3% (2220名参与者).
- 事故中风发生在7.9% (456名参与者) 的患者中,平均随访时间为19.54年.
- 与非吸烟者相比,目前吸烟者面临的中风风险是非吸烟者的2.23倍 (HR=2.23,95%CI=1.73-2.88).
结论:
- 在美洲印第安人中,吸烟仍然是中风的重要危险因素.
- 研究结果支持戒烟的好处,并强调需要量身定制的干预措施.
- 这项研究提供了扩展的随访和更广泛的年龄范围分析,对美国印第安人的吸烟和中风风险.
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