Shang J, Zhang M, Zhao Z P, Huang Z J, Li C, Deng Q, Li Y C, Wang L M
National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Data Management Department, Clinical Research Institute, Peking University, Beijing 100191, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Apr 10;39(4):433-438. doi: 10.3760/cma.j.issn.0254-6450.2018.04.009.
To explore the relations between the prevalence of multiple chronic diseases and cigarette smoking behavior in the Chinese adults. Based on the from the 2013 Chronic Disease Risk Factor Surveillance (NCD Surveillance), 176 534 Chinese residents aged 18 years and above, covering 298 counties (districts) in 31 provinces, was randomly recruited, using the multi-stage stratified clustering sampling method. Information on demographics, cigarette smoking (status, quantity and period) was obtained through face-to-face interviews and questionnaires. Anthropometric data and blood samples were collected and properly stored for analysis. Results In total, 175 386 adults were included for statistical analyses, with 42.7% as males and 57.3% as females. The prevalence rates of hypertension, high total cholesterol and high triglycerides were 30.4%, 7.2% and 18.0% in male smokers, 35.6%, 14.0% 10.3% and 15.9% in female smokers respectively, which were all higher than those in the respective non-smokers. Male smokers were found under lower risk on hypertension, but 19% higher on total glycerides when compared with non-smokers of the same sex(=1.19, 95%:1.10-1.30), when multiple risk factors were under control. Male current smokers with more than 20 cigarettes per day have 41% (=1.41, 95%: 1.28-1.55) higher risk of high TG than non-smokers. Female smokers presented 40% (=1.40, 95%: 1.15-1.70) higher risk in high glycerides than the non-smokers. Specifically, women smoking longer than 20 years have 60% (=1.60, 95%: 1.31-1.95) higher risk of high TG than women smoking less than 20 years. Prevalence rates of certain chronic diseases were seen higher in smokers of both genders. People with longer history of smoking or being heavier smokers, appeared at advanced risk on developing chronic diseases.
探讨中国成年人多种慢性病患病率与吸烟行为之间的关系。基于2013年慢性病危险因素监测（NCD监测）的数据，采用多阶段分层整群抽样方法，随机招募了来自31个省份298个县（区）的176534名18岁及以上的中国居民。通过面对面访谈和问卷调查获取人口统计学信息、吸烟情况（状态、数量和时长）。收集人体测量数据和血液样本并妥善保存用于分析。结果 总计175386名成年人纳入统计分析，其中男性占42.7%，女性占57.3%。男性吸烟者中高血压、高总胆固醇和高甘油三酯的患病率分别为30.4%、7.2%和18.0%，女性吸烟者中分别为35.6%、14.0%、10.3%和15.9%，均高于各自的非吸烟者。在控制多种危险因素的情况下，发现男性吸烟者患高血压的风险较低，但与同性非吸烟者相比，甘油三酯总体水平高19%（比值比=1.19，95%置信区间：1.10 - 1.30）。每天吸烟超过20支的男性当前吸烟者患高甘油三酯的风险比非吸烟者高41%（比值比=1.41，95%置信区间：1.28 - 1.55）。女性吸烟者患高甘油三酯的风险比非吸烟者高40%（比值比=1.40，95%置信区间：1.15 - 1.70）。具体而言，吸烟超过20年的女性患高甘油三酯的风险比吸烟少于20年的女性高60%（比值比=1.60，95%置信区间：1.31 - 1.95）。某些慢性病的患病率在男女吸烟者中均较高。吸烟史较长或吸烟量较大的人患慢性病的风险更高。
