Gawlik Kate Sustersic, Melnyk Bernadette Mazurek, Tan Alai
1 Department of Nursing, The Ohio State University, Columbus, OH, USA.
Am J Health Promot. 2018 Jun;32(5):1221-1227. doi: 10.1177/0890117117706420. Epub 2017 May 2.
To present nationally representative data on the prevalence of "social" smoking and its relationship to cardiovascular health.
A population-based, cross-sectional survey on cardiovascular health and its risk factors across the United States.
Million Hearts cardiovascular screenings that took place in community settings.
De-identified data were collected on a convenient sample of 39, 555 participants.
Reported smoking status, blood pressure, and total cholesterol.
The prevalence of current smoking, social smoking, and non-smoking were cross-tabulated and stratified by sample characteristics. The adjusted estimates were derived from multiple logistic regression models, adjusting for demographics and other biometric measures.
Ten percent identified as social smokers. Social smokers were more likely to be aged between 21 and 40, male, and Hispanic. Social smokers had significantly higher risks of having hypertension (odds ratio [OR]: 2.08, 95% confidence interval [CI]: 1.80-2.41) and elevated cholesterol (OR: 1.53, 95% CI: 1.33-1.75) than non-smokers. There was no significant difference between social smokers and current smokers (OR = 0.94, 95% CI = 0.80-1.14 for hypertension and OR = 0.95, 95% CI = 0.81-1.11 for elevated cholesterol).
This is the first population health study to compare the blood pressure and cholesterol levels of people who self-identify as current verses social smokers. Although previous smoking behavior was not controlled for in the analysis, this study demonstrates there is no significant difference in the prevalence of elevated blood pressure or cholesterol among the 2 smoking groups.
呈现关于“社交性”吸烟的流行率及其与心血管健康关系的全国代表性数据。
一项基于全美国心血管健康及其风险因素的人群横断面调查。
在社区环境中进行的“百万心脏”心血管筛查。
对39555名参与者的便利样本收集了去识别化数据。
报告的吸烟状况、血压和总胆固醇。
将当前吸烟者、社交吸烟者和非吸烟者的流行率按样本特征进行交叉制表和分层。调整后的估计值来自多因素逻辑回归模型，对人口统计学和其他生物特征指标进行了调整。
10%的人被认定为社交吸烟者。社交吸烟者更可能年龄在21至40岁之间、为男性且是西班牙裔。与非吸烟者相比，社交吸烟者患高血压（优势比[OR]：2.08，95%置信区间[CI]：1.80 - 2.41）和胆固醇升高（OR：1.53，95% CI：1.33 - 1.75）的风险显著更高。社交吸烟者与当前吸烟者之间无显著差异（高血压的OR = 0.94，95% CI = 0.80 - 1.14；胆固醇升高的OR = 0.95，95% CI = 0.81 - 1.11）。
这是第一项比较自我认定为当前吸烟者与社交吸烟者的血压和胆固醇水平的人群健康研究。尽管分析中未控制既往吸烟行为，但本研究表明，这两个吸烟群体中血压升高或胆固醇升高的流行率无显著差异。
