Ben Ayed H, Ben Hmida M, Ben Jemaa M, Trigui M, Jedidi J, Karray R, Mejdoub Y, Kassis M, Feki H, Yaich S, Damak J
Service de médecine communautaire et d'épidémiologie, CHU Hédi-Chaker, Sfax, Tunisie.
Service de médecine communautaire et d'épidémiologie, CHU Hédi-Chaker, Sfax, Tunisie.
Rev Mal Respir. 2019 Feb;36(2):171-178. doi: 10.1016/j.rmr.2018.02.011. Epub 2018 Sep 27.
Tobacco is the main preventable cause of death worldwide. Our study aimed to determine the role of tobacco in the occurrence of non-communicable diseases (NCDs).
We conducted a retrospective study including all NCDs patients during 2015-2016. NCDs include cardiovascular diseases (CVD), chronic respiratory diseases (CRD), cancers (CS) and diabetes mellitus (DM).
We identified 3643 cases of NCDs (43%) among 8478 hospitalizations, all diseases combined. Active smoking was found in 1076 cases (29.5%). Among the NCDs groups, CVD was the most common (65%). Tobacco was significantly associated with CVD (P<0.001), CRD (P=0.002), bronchopulmonary CS (P<0.001), haematological malignancy (P=0.023), and DM (P<0.001). Multivariate analysis performing binary logistic regression revealed that tobacco was an independent factor associated with CVD (OR=2.6, P<0.001), CRD (OR=1.5, P<0.001), bronchopulmonary CS (OR=1.8, P=0.013) and DM (OR=3.6, P<0.001).
Active smoking was a major risk factor in the occurrence of NCDs. Thus, smoking cessation represents the cornerstone for preventing the spread of these diseases, especially in countries with limited resources.
烟草是全球主要的可预防死亡原因。我们的研究旨在确定烟草在非传染性疾病（NCDs）发生中的作用。
我们进行了一项回顾性研究，纳入了2015 - 2016年期间所有的非传染性疾病患者。非传染性疾病包括心血管疾病（CVD）、慢性呼吸道疾病（CRD）、癌症（CS）和糖尿病（DM）。
在8478例住院病例中，我们共识别出3643例非传染性疾病患者（占43%），涵盖所有疾病类型。其中1076例（29.5%）为现吸烟者。在非传染性疾病组中，心血管疾病最为常见（占65%）。烟草与心血管疾病（P<0.001）、慢性呼吸道疾病（P = 0.002）、支气管肺部癌症（P<0.001）、血液系统恶性肿瘤（P = 0.023）和糖尿病（P<0.001）显著相关。进行二元逻辑回归的多变量分析显示，烟草是与心血管疾病（OR = 2.6，P<0.001）、慢性呼吸道疾病（OR = 1.5，P<0.001）、支气管肺部癌症（OR = 1.8，P = 0.013）和糖尿病（OR = 3.6，P<0.001）相关的独立因素。
现吸烟是发生非传染性疾病的主要危险因素。因此，戒烟是预防这些疾病传播的基石，尤其是在资源有限的国家。
