Forey B A, Lee P N, Fry J S
P N Lee Statistics and Computing Ltd, Sutton, Surrey, UK.
Thorax. 1998 Oct;53(10):875-8. doi: 10.1136/thx.53.10.875.
In 1993 we presented age and sex specific estimates of cumulative constant tar cigarette consumption (CCTCC) per adult for five year periods to 1986-90. These were derived from annual surveys conducted for the Tobacco Manufacturers' Association (TMA) since 1946, extrapolated back to 1891 for men and to 1921 for women and corrected for the decline in average (machine smoked) tar levels. We now provide estimates for 1991-5.
TMA surveys having ceased, 1991-5 estimates of manufactured cigarette consumption per adult (MCA) were derived from the General Household Survey (GHS) and corrected for the continuing decline in tar. These estimates were divided by 0.75 (men) and 0.80 (women), based on a comparison of GHS and TMA data for 1971-90, to allow accumulation with the TMA derived estimates prior to 1991.
For both sexes the GHS/TMA ratio of MCA varied little by age or five year period, justifying the use of the correction factors when adjusting GHS estimates for 1991-95. TMA estimates were higher than GHS estimates as only TMA sales-corrected their data for understatement of smoking and the surveys differed in questions on handrolled cigarette smoking. The 1991-95 data confirm the continuing decline in CCTCC at all ages in men. Women show a less steep decline for ages 30-64 and an increase for ages 65-84.
The GHS data can validly be used to update the CCTCC estimates. Some reservations about the use of CCTCC are discussed.
1993年,我们给出了截至1986 - 1990年每五年期间按年龄和性别划分的成年人累积常量焦油卷烟消费量(CCTCC)的估计值。这些估计值源自自1946年以来为烟草制造商协会(TMA)开展的年度调查,男性数据追溯至1891年,女性数据追溯至1921年,并针对平均(机器抽吸)焦油含量的下降进行了校正。我们现在提供1991 - 1995年的估计值。
由于TMA的调查已经停止,1991 - 1995年成年人制造卷烟消费量(MCA)的估计值源自综合住户调查(GHS),并针对焦油含量的持续下降进行了校正。基于对1971 - 1990年GHS和TMA数据的比较,这些估计值分别除以0.75(男性)和0.80(女性),以便与1991年之前TMA得出的估计值累加。
对于男性和女性,MCA的GHS/TMA比率在不同年龄或五年期间变化不大,这证明在调整1991 - 1995年GHS估计值时使用校正因子是合理的。TMA的估计值高于GHS的估计值,因为只有TMA对其数据进行了销售校正以弥补吸烟情况的低估,而且两项调查在关于手卷烟吸烟的问题上存在差异。1991 - 1995年的数据证实,男性各年龄段的CCTCC持续下降。女性在30 - 64岁年龄段下降幅度较小,在65 - 84岁年龄段有所增加。
GHS数据可有效地用于更新CCTCC估计值。文中讨论了对使用CCTCC的一些保留意见。