Molarius A, Parsons R W, Dobson A J, Evans A, Fortmann S P, Jamrozik K, Kuulasmaa K, Moltchanov V, Sans S, Tuomilehto J, Puska P
National Public Health Institute (KTL), Helsinki, Finland.
Am J Public Health. 2001 Feb;91(2):206-12. doi: 10.2105/ajph.91.2.206.
This report analyzes cigarette smoking over 10 years in populations in the World Health Organization (WHO) MONICA Project (to monitor trends and determinants of cardiovascular disease).
Over 300,000 randomly selected subjects aged 25 to 64 years participated in surveys conducted in geographically defined populations.
For men, smoking prevalence decreased by more than 5% in 16 of the 36 study populations, remained static in most others, but increased in Beijing. Where prevalence decreased, this was largely due to higher proportions of never smokers in the younger age groups rather than to smokers quitting. Among women, smoking prevalence increased by more than 5% in 6 populations and decreased by more than 5% in 9 populations. For women, smoking tended to increase in populations with low prevalence and decrease in populations with higher prevalence; for men, the reverse pattern was observed.
These data illustrate the evolution of the smoking epidemic in populations and provide the basis for targeted public health interventions to support the WHO priority for tobacco control.
本报告分析了世界卫生组织(WHO)MONICA项目(监测心血管疾病趋势和决定因素)中人群10年来的吸烟情况。
超过30万名年龄在25至64岁之间的随机选取的受试者参与了在地理上界定的人群中进行的调查。
对于男性,在36个研究人群中的16个,吸烟率下降超过5%,在其他大多数人群中保持稳定,但在北京有所上升。在吸烟率下降的地方,这主要是由于较年轻年龄组中从不吸烟者的比例较高,而非吸烟者戒烟。对于女性,6个人群的吸烟率上升超过5%,9个人群的吸烟率下降超过5%。对于女性,吸烟率在低流行率人群中趋于上升,在高流行率人群中趋于下降;对于男性,则观察到相反的模式。
这些数据说明了人群中吸烟流行情况的演变,并为有针对性的公共卫生干预措施提供了依据,以支持WHO的烟草控制重点工作。