Syamlal Girija, King Brian A, Mazurek Jacek M
MMWR Morb Mortal Wkly Rep. 2017 Oct 27;66(42):1130-1135. doi: 10.15585/mmwr.mm6642a2.
Cigarette smoking has declined considerably among U.S. adults over several decades (1); however, increases have occurred in the use of noncigarette tobacco products in recent years, and the use of multiple tobacco products has become common among current users of noncigarette tobacco products (2,3). Differences in tobacco use have also been observed across population subgroups, including among working adults (2,4). CDC analyzed National Health Interview Survey (NHIS) data for 2014-2016 to describe the most recent prevalence estimates of current (every day or some days) tobacco product use among working U.S. adults by industry and occupation. Among working adults, 22.1% (32.7 million) currently used any form of tobacco; 15.4% used cigarettes, 5.8% used other combustible tobacco (cigars, pipes, water pipes or hookahs, very small cigars, and bidis), 3.0% used smokeless tobacco, and 3.6% used electronic cigarettes (e-cigarettes); 4.6% (6.9 million) reported current use of two or more tobacco products. By industry, any tobacco use ranged from 11.0% among education services to 34.3% among construction workers; current use of two or more tobacco products was highest among construction workers (7.1%). By occupation, any tobacco use ranged from 9.3% among life, physical, and social science workers to 37.2% among installation, maintenance, and repair workers; current use of two or more tobacco products was highest among installation, maintenance, and repair workers (10.1%). Proven interventions to prevent and reduce tobacco product use, including current use of multiple products, among working adults are important (5,6). Workplace tobacco-control interventions have been especially effective in reducing cigarette smoking prevalence (7).
几十年来,美国成年人吸烟率大幅下降(1);然而,近年来非卷烟烟草制品的使用有所增加,多种烟草制品的使用在当前非卷烟烟草制品使用者中变得很普遍(2,3)。在包括在职成年人在内的不同人群亚组中也观察到了烟草使用的差异(2,4)。美国疾病控制与预防中心(CDC)分析了2014 - 2016年全国健康访谈调查(NHIS)的数据,以描述美国在职成年人按行业和职业划分的当前(每天或某些日子)烟草制品使用的最新患病率估计。在职成年人中,22.1%(3270万)目前使用任何形式的烟草;15.4%使用香烟,5.8%使用其他可燃烟草(雪茄、烟斗、水烟或水烟袋、小雪茄和比迪烟),3.0%使用无烟烟草,3.6%使用电子烟;4.6%(690万)报告当前使用两种或更多种烟草制品。按行业划分,任何烟草使用情况从教育服务行业的11.0%到建筑工人中的34.3%不等;建筑工人中当前使用两种或更多种烟草制品的比例最高(7.1%)。按职业划分,任何烟草使用情况从生命、物理和社会科学工作者中的9.3%到安装、维护和修理工人中的37.2%不等;安装、维护和修理工人中当前使用两种或更多种烟草制品的比例最高(10.1%)。在在职成年人中,包括当前使用多种产品在内,预防和减少烟草制品使用的已证实干预措施很重要(5,6)。工作场所烟草控制干预措施在降低吸烟率方面尤其有效(7)。