Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, CDC.
MMWR Morb Mortal Wkly Rep. 2016 Nov 11;65(44):1205-1211. doi: 10.15585/mmwr.mm6544a2.
Tobacco use is the leading cause of preventable disease and death in the United States, and cigarettes are the most commonly used tobacco product among U.S. adults (1,2). To assess progress toward achieving the Healthy People 2020 target of reducing the proportion of U.S. adults who smoke cigarettes to ≤12.0% (objective TU1.1),* CDC assessed the most recent national estimates of cigarette smoking prevalence among adults aged ≥18 years using data from the 2015 National Health Interview Survey (NHIS). The proportion of U.S. adults who smoke cigarettes declined from 20.9% in 2005 to 15.1% in 2015, and the proportion of daily smokers declined from 16.9% to 11.4%. However, disparities in cigarette smoking persist. In 2015, prevalence of cigarette smoking was higher among adults who were male; were aged 25-44 years; were American Indian/Alaska Native; had a General Education Development certificate (GED); lived below the federal poverty level; lived in the Midwest; were insured through Medicaid or were uninsured; had a disability/limitation; were lesbian, gay, or bisexual; or who had serious psychological distress. Proven population-based interventions, including tobacco price increases, comprehensive smoke-free laws, anti-tobacco mass media campaigns, and barrier-free access to tobacco cessation counseling and medications, are critical to reducing cigarette smoking and smoking-related disease and death among U.S. adults, particularly among subpopulations with the highest smoking prevalences (3).
在美国,吸烟是可预防疾病和死亡的主要原因,香烟是美国成年人最常使用的烟草制品(1,2)。为了评估实现 2020 年健康人目标的进展情况,即把美国成年人吸烟比例降低到≤12.0%(目标 TU1.1)*,CDC 利用 2015 年全国健康访谈调查(NHIS)的数据评估了最近关于 18 岁及以上成年人吸烟流行率的全国估计数。美国成年人吸烟比例从 2005 年的 20.9%下降到 2015 年的 15.1%,每天吸烟的比例从 16.9%下降到 11.4%。然而,吸烟方面的差距仍然存在。2015 年,男性、年龄在 25-44 岁之间、美国印第安人/阿拉斯加原住民、有普通教育发展证书(GED)、生活在联邦贫困线以下、居住在中西部地区、通过医疗补助计划或没有医疗保险、有残疾/限制、是女同性恋、男同性恋、或双性恋、或有严重心理困扰的成年人吸烟比例更高。已证实的基于人群的干预措施,包括提高烟草价格、全面无烟法律、反烟草大众媒体宣传活动以及无障碍获得戒烟咨询和药物的机会,对于减少美国成年人的吸烟行为以及与吸烟有关的疾病和死亡至关重要,特别是对吸烟率最高的亚人群而言(3)。