Lundqvist Gunnar, Sandström Herbert, Ohman Ann, Weinehall Lars
Epidemiology and Public Health Sciences, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Scand J Public Health. 2009 Mar;37(2):161-7. doi: 10.1177/1403494808096169. Epub 2008 Nov 27.
To study longitudinal patterns of tobacco use over a 10-year period among middle-aged men and women in Vaösterbotten County, Northern Sweden.
The study is based on data from the 16,486 (8800 women and 7686 men) in the Vaösterbotten Intervention Programme (VIP) where people were invited to a health screening and counselling programme at 30, 40, 50 and 60 years of age.
Smoking decreased from 22.3% to 15.6% among women and from 18.5% to 12.7% among men. Use of snus (Swedish moist snuff) increased from 3.1% to 6.0% among women and from 24.6% to 26.3% among men. The number of people who used both snus and cigarettes was stable: 0.5% to 0.8% from baseline to follow-up for women, and 4.1% to 3.3% for men. The number of tobacco-free adults increased from 75.2% to 79.2% for women and from 61.1% to 64.3% for men. Of those who became smoke-free during the 10-year follow-up period, 80% of the women and 66% of the men quit smoking without transitioning to snus use.
The majority of middle-aged Swedish men and women in this cohort that quit smoking did so without becoming snus dependent. In spite of an increasing use of snus, overall there was a decline in the number of people using tobacco products.
研究瑞典北部韦斯特博滕郡中年男性和女性在10年期间的烟草使用纵向模式。
该研究基于韦斯特博滕干预计划（VIP）中的16486人（8800名女性和7686名男性）的数据，这些人在30岁、40岁、50岁和60岁时被邀请参加健康筛查和咨询计划。
女性吸烟率从22.3%降至15.6%，男性吸烟率从18.5%降至12.7%。使用鼻烟（瑞典湿鼻烟）的女性比例从3.1%增至6.0%，男性从24.6%增至26.3%。同时使用鼻烟和香烟的人数保持稳定：女性从基线到随访期间从0.5%至0.8%，男性从4.1%至3.3%。无烟成年人比例女性从75.2%增至79.2%，男性从61.1%增至64.3%。在10年随访期内戒烟的人群中，80%的女性和66%的男性戒烟后未转而使用鼻烟。
该队列中的大多数瑞典中年男性和女性戒烟后并未对鼻烟产生依赖。尽管鼻烟使用有所增加，但总体上使用烟草产品的人数有所下降。
