100 支香烟标准在烟草调查中的起源和使用。

Origin and use of the 100 cigarette criterion in tobacco surveys.

机构信息

Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

出版信息

Tob Control. 2009 Aug;18(4):317-23. doi: 10.1136/tc.2008.027276. Epub 2009 Jun 1.

Abstract

Truly global standards and definitions will likely never exist for tobacco control surveillance. One difference across definitions of smoking status is whether or not a lifetime consumption of 100 cigarettes is a necessary criterion for ever and current smoking. Frequently asked questions about this measure demonstrate a need for information on its development and appropriateness in different settings. This commentary attempts to assemble information on the origin and adoption of this measure and provide some critical commentary on its usefulness. The question has been traced to Canadian and American mortality cohort studies from the mid-1950s. From there it has spread to inconsistent use in many settings. To our knowledge, it was not originally (or since) empirically defined as a threshold of exposure related to health consequences or future smoking risk when used in youth. Anecdotal evidence over several decades, however, shows the question has pragmatic utility in self-report data collection. It is a useful, if somewhat arbitrary, screener for "never regular" tobacco use among adults, where never smoking needs to be defined in data collection. Use of the criterion may lower prevalence estimates somewhat. Definitions must always be considered when creating time-trends or international comparisons. There are also circumstances where it is inappropriate to exclude individuals who do not meet this criterion from further data collection, or reports. For research in youth, the criterion typically should be used only with more detailed information about experimentation, but it may be a useful additional indicator of established smoking.

摘要

真正的全球性标准和定义可能永远不会存在于烟草控制监测中。吸烟状况定义的一个区别是,是否将终生消费 100 支香烟作为曾经和当前吸烟的必要标准。关于这一衡量标准的常见问题表明,需要了解其在不同环境下的发展和适当性。本评论试图收集有关该措施的起源和采用的信息,并对其有用性进行一些批判性评论。这个问题可以追溯到 20 世纪 50 年代中期加拿大和美国的死亡率队列研究。从那时起,它就在许多不同的环境中被不一致地使用。据我们所知,当它在年轻人中用于与健康后果或未来吸烟风险相关的暴露阈值时,它最初(或之后)并没有(或没有)经验定义。然而,几十年来的一些轶事证据表明,这个问题在自我报告数据收集方面具有实际的实用价值。对于成年人中“从不定期”使用烟草的情况,它是一个有用的(如果有点随意的)筛选器,其中在数据收集时需要定义从不吸烟。使用该标准可能会使流行率估计值略有降低。在创建时间趋势或国际比较时,必须始终考虑定义。在某些情况下,不将不符合该标准的人排除在进一步的数据收集或报告之外是不合适的。对于青年研究,该标准通常只应与关于实验的更详细信息一起使用,但它可能是已确立吸烟的有用的附加指标。

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