进退两难：曼尼托巴省一个原住民社区的吸烟趋势

Between a rock and a hard place: Smoking trends in a Manitoba First Nation.

作者信息

Riediger Natalie D, Lukianchuk Virginia, Lix Lisa M, Elliott Lawrence, Bruce Sharon G

机构信息

Manitoba First Nations Centre for Aboriginal Health Research Department of Community Health Sciences University of Manitoba.

出版信息

Can J Public Health. 2015 Apr 29;106(4):e184-8. doi: 10.17269/cjph.106.4940.

DOI:10.17269/cjph.106.4940

PMID:26285188

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6972355/

Abstract

OBJECTIVES

The purpose of this study is to estimate and compare smoking prevalence over two time periods in a Manitoba First Nation community.

METHODS

Data fromtwo independent Diabetes Screening Studies in Sandy Bay First Nation, collected in 2002/2003 (n = 482) and 2011/2012 (n = 596),were used. Crude prevalence of current and ever smoking as well as current smoke exposure was estimated. Change over time was tested using a χ² statistic.

RESULTS

The crude prevalence of current smoking was 74.0% (95% confidence interval [CI]: 70.1, 78.0) in 2002/2003 and 80.0% (95% CI: 76.8, 83.2) in 2011/2012. The crude prevalence of ever smoking was 83.0% in 2002/2003 and 91.4% in 2011/2012. The prevalence of both current smoking status and ever smoking were significantly higher in 2011/2012 compared to 2002/2003 (p = 0.020 and p < 0.001 respectively). Among participants who were not current smokers, 58.5% (95% CI: 49.6, 67.4) and 76.5% (95% CI: 68.9, 84.1) reported at least one person who smoked in the home in 2002/2003 and 2011/2012 respectively (p = 0.003). In 2011/2012, 96.5% (95% CI: 94.8, 98.2) of those who reported having any children under the age of 18 living in the home were either a current smoker and/or reported that someone else smoked in the home.

CONCLUSION

Public health and policy initiatives are needed to address the increase in smoking prevalence in the study community.

摘要

目的

本研究旨在评估和比较马尼托巴省一个原住民社区两个时间段内的吸烟率。

方法

使用了桑迪湾原住民社区两项独立糖尿病筛查研究的数据，分别收集于2002/2003年（n = 482）和2011/2012年（n = 596）。估算了当前吸烟和曾经吸烟的粗患病率以及当前的烟雾暴露情况。使用χ²统计量检验随时间的变化。

结果

2002/2003年当前吸烟的粗患病率为74.0%（95%置信区间[CI]：70.1, 78.0），2011/2012年为80.0%（95%CI：76.8, 83.2）。曾经吸烟的粗患病率在2002/2003年为83.0%，2011/2012年为91.4%。与2002/2003年相比，2011/2012年当前吸烟状况和曾经吸烟的患病率均显著更高（分别为p = 0.020和p < 0.001）。在非当前吸烟者中，2002/2003年和2011/2012年分别有58.5%（95%CI：49.6, 67.4）和76.5%（95%CI：68.9, 84.1）报告家中至少有一人吸烟（p = 0.003）。在2011/2012年，报告家中有18岁以下子女的人中，96.5%（95%CI：94.8, 98.2）是当前吸烟者和/或报告家中有其他人吸烟。