Li W, Wang D Z, Zhang H, Xu Z L, Xue X D, Jiang G H
Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Nov 10;38(11):1533-1536. doi: 10.3760/cma.j.issn.0254-6450.2017.11.019.
To analyze the influence of smoking on deaths in residents aged 35-79 years and the effects of smoking cessation in Tianjin. The data of 39 499 death cases aged 35-79 years in 2016 in Tianjin were collected, the risks for deaths caused by smoking related diseases and excess deaths as well as effects of smoking cessation were analyzed after adjusting 5 year old age group, education level and marital status. Among the 39 499 deaths cases, 1 589 (13.56%) were caused by smoking, the percentage of the excess mortality of lung cancer caused by smoking was highest (47.60%); the risk of death due to lung cancer in smokers was 2.75 times higher than that in non-smokers (95: 2.47-3.06). Among the female deaths, 183 (7.29%) were caused by smoking, the percentage of the excess mortality of lung cancer was highest (28.90%); and the risk of death of lung cancer in smokers was 4.04 times higher than that in non-smokers (95: 3.49-4.68). The for disease in ex-smokers was 0.80 compared with 1.00 in smokers (95: 0.72-0.90). The in males who had quitted smoking for ≥10 years was lower (0.74, 95: 0.63-0.86) than that in those who had quitted smoking for 1-9 years (0.85, 95: 0.74-0.98), but the difference was not significant. Smoking is one of the most important risk factors for deaths in residents in Tianjin. Smoking cessation can benefit people's health.
分析吸烟对天津市35 - 79岁居民死亡的影响及戒烟效果。收集了天津市2016年39499例35 - 79岁死亡病例的数据,在调整了5岁年龄组、教育程度和婚姻状况后,分析了吸烟相关疾病导致死亡的风险、超额死亡情况以及戒烟效果。在39499例死亡病例中,1589例(13.56%)由吸烟导致,吸烟导致肺癌超额死亡率的百分比最高(47.60%);吸烟者因肺癌死亡的风险比不吸烟者高2.75倍(95%置信区间:2.47 - 3.06)。在女性死亡病例中,183例(7.29%)由吸烟导致,肺癌超额死亡率的百分比最高(28.90%);吸烟者肺癌死亡风险比不吸烟者高4.04倍(95%置信区间:3.49 - 4.68)。与吸烟者(比值比为1.00)相比,戒烟者疾病的比值比为0.80(95%置信区间:0.72 - 0.90)。戒烟≥10年男性的比值比(0.74,95%置信区间:0.63 - 0.86)低于戒烟1 - 9年男性(0.85,95%置信区间:0.74 - 0.98),但差异无统计学意义。吸烟是天津市居民死亡的最重要危险因素之一。戒烟有益健康。