Heuschmann Peter U, Heidrich Jan, Wellmann Jürgen, Kraywinkel Klaus, Keil Ulrich
Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany.
Eur J Cardiovasc Prev Rehabil. 2007 Dec;14(6):793-5. doi: 10.1097/HJR.0b013e32828da1b5.
Passive smoking is an established risk factor for coronary heart disease (CHD). Epidemiological studies suggest that passive smoking may also be associated with an increased risk of stroke. We estimate the burden of stroke due to passive smoking in Germany.
Frequency of passive smoking was derived from the German national health survey. Nonsmokers who reported exposure to environmental tobacco smoke (ETS) at home were considered for analyses. The relative risk for stroke and passive smoking was derived by means of a meta-analysis from available cohort studies. We computed attributable risks for passive smoking and used data from official statistics to estimate stroke mortality due to ETS. Attributable stroke morbidity was calculated using the WHO-Global-Burden-of-Disease approach.
Passive smoking may account for 774 stroke-related deaths and 1837 incident first ever strokes in Germany every year. More strokes owing to passive smoking occur among women (1248) than among men (589). The majority of strokes attributable to ETS happen at the age of 65-84 years.
ETS is a common exposure and stroke is a frequent disease. Though the relative risk of passive smoking on stroke mortality and morbidity is small, the impact on population health is substantial.
被动吸烟是冠心病（CHD）的既定危险因素。流行病学研究表明，被动吸烟也可能与中风风险增加有关。我们估算了德国因被动吸烟导致的中风负担。
被动吸烟频率来自德国全国健康调查。分析纳入报告在家中接触环境烟草烟雾（ETS）的非吸烟者。通过对现有队列研究进行荟萃分析得出中风与被动吸烟的相对风险。我们计算了被动吸烟的归因风险，并使用官方统计数据估算因ETS导致的中风死亡率。采用世界卫生组织全球疾病负担方法计算归因中风发病率。
在德国，被动吸烟每年可能导致7起与中风相关的死亡以及18起首次发生的中风事件。因被动吸烟导致的中风在女性中（12起）比在男性中（5起）更多。归因于ETS的中风大多发生在65 - 84岁年龄段。
ETS是一种常见的暴露因素，中风是一种常见疾病。尽管被动吸烟对中风死亡率和发病率的相对风险较小，但对人群健康的影响很大。
