Zevallos Juan Carlos, Huang Philip, Smoot Monica, Condon Kenneth, Alo Celan
Texas Tech University Health Sciences Center at El Paso, 79902, USA.
Am J Public Health. 2004 Sep;94(9):1610-3. doi: 10.2105/ajph.94.9.1610.
We compared reports of deaths in which tobacco use was a contributing factor ("tobacco-associated deaths") before and after the addition to death certificates in Texas of a check-box question asking whether tobacco use contributed to an individual's death.
We examined Texas vital statistics files from 1987 to 1998. We calculated differences in percentages of reported tobacco-associated deaths (and 95% confidence intervals [CIs]) for the periods 1987 to 1992, before the addition of the check-box question, and 1993 to 1998, after the addition of the check-box.
Reports of tobacco-associated deaths were significantly less frequent before addition of the check-box question (0.7%; 95% CI = 0.4%, 1.0%) than after addition of the question (13.9%; 95% CI = 13.0%, 14.7%). From 1993 to 1998, percentages of tobacco-associated deaths reported on the check-box question increased steadily.
The addition of a tobacco-associated-death check box on Texas death certificates significantly increased reporting of tobacco use contributions to mortality.
我们比较了在得克萨斯州死亡证明上添加一个询问烟草使用是否导致个人死亡的复选框问题之前和之后,将烟草使用作为一个促成因素的死亡报告(“与烟草相关的死亡”)。
我们查阅了得克萨斯州1987年至1998年的人口动态统计文件。我们计算了在添加复选框问题之前的1987年至1992年期间以及添加复选框之后的1993年至1998年期间报告的与烟草相关的死亡百分比(以及95%置信区间[CI])的差异。
在添加复选框问题之前,与烟草相关的死亡报告频率显著低于添加问题之后(0.7%;95%CI = 0.4%,1.0%)(13.9%;95%CI = 13.0%,14.7%)。从1993年到1998年,在复选框问题上报告的与烟草相关的死亡百分比稳步上升。
在得克萨斯州死亡证明上添加与烟草相关死亡的复选框显著增加了对烟草使用导致死亡率的报告。