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2005 - 2013年美国成年人当前吸烟情况

Current cigarette smoking among adults--United States, 2005-2013.

作者信息

Jamal Ahmed, Agaku Israel T, O'Connor Erin, King Brian A, Kenemer John B, Neff Linda

出版信息

MMWR Morb Mortal Wkly Rep. 2014 Nov 28;63(47):1108-12.

Abstract

Tobacco use is the leading cause of preventable disease and death in the United States, resulting in more than 480,000 premature deaths and $289 billion in direct health care expenditures and productivity losses each year. Despite progress over the past several decades, millions of adults still smoke cigarettes, the most commonly used tobacco product in the United States. To assess progress made toward the Healthy People 2020 target of reducing the proportion of U.S. adults who smoke cigarettes to ≤12.0% (objective TU-1.1), CDC used data from the 2013 National Health Interview Survey (NHIS) to provide updated national estimates of cigarette smoking prevalence among adults aged ≥18 years. Additionally, for the first time, estimates of cigarette smoking prevalence were assessed among lesbian, gay, or bisexual persons (LGB) using NHIS data. The proportion of U.S. adults who smoke cigarettes declined from 20.9% in 2005 to 17.8% in 2013, and the proportion of daily smokers declined from 16.9% to 13.7%. Among daily cigarette smokers, the proportion who smoked 20-29 cigarettes per day (CPD) declined from 34.9% to 29.3%, and the proportion who smoked ≥30 CPD declined from 12.7% to 7.1%. However, cigarette smoking remains particularly high among certain groups, including adults who are male, younger, multiracial or American Indian/Alaska Native, have less education, live below the federal poverty level, live in the South or Midwest, have a disability/limitation, or who are LGB. Proven population-based interventions, including tobacco price increases, comprehensive smoke-free policies in worksites and public places, high-impact anti-tobacco mass media campaigns, and easy access to smoking cessation assistance, are critical to reducing cigarette smoking and smoking-related disease and death among U.S. adults, particularly among subpopulations with the greatest burden.

摘要

在美国,吸烟是可预防疾病和死亡的首要原因,每年导致超过48万人过早死亡,直接医疗保健支出和生产力损失达2890亿美元。尽管在过去几十年中取得了进展,但仍有数百万成年人吸烟,香烟是美国最常用的烟草产品。为评估在实现《健康人民2020》目标(将美国吸烟成年人比例降至≤12.0%,目标TU-1.1)方面取得的进展,美国疾病控制与预防中心(CDC)利用2013年全国健康访谈调查(NHIS)的数据,提供了≥18岁成年人吸烟率的最新全国估计数。此外,首次利用NHIS数据评估了女同性恋、男同性恋或双性恋者(LGB)的吸烟率。美国吸烟成年人的比例从2005年的20.9%降至2013年的17.8%,每日吸烟者的比例从16.9%降至13.7%。在每日吸烟者中,每天吸20 - 29支香烟(CPD)的比例从34.9%降至29.3%,每天吸≥30支CPD的比例从12.7%降至7.1%。然而,在某些群体中吸烟率仍然特别高,包括男性、年轻、多种族或美国印第安/阿拉斯加原住民、受教育程度较低、生活在联邦贫困线以下、生活在南部或中西部、有残疾/受限,或LGB群体的成年人。已证实的基于人群的干预措施,包括提高烟草价格、在工作场所和公共场所实施全面无烟政策、高影响力的反烟草大众媒体宣传活动,以及方便获得戒烟援助,对于减少美国成年人,特别是负担最重的亚人群体中的吸烟及与吸烟相关的疾病和死亡至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c65e/5779518/6e28bb4ebc85/1108-1112f1.jpg

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