Choi Kyu-Chul, Kim Sun A, Kim Nu Ri, Shin Min-Ho
Department of Emergency Medicine, Hwasun Chonnam National University Hospital, Hwasun, Korea.
Department of Preventive Medicine, Chonnam National University Medical School, Hwasun, Korea.
Chonnam Med J. 2018 Sep;54(3):184-189. doi: 10.4068/cmj.2018.54.3.184. Epub 2018 Sep 27.
Using a cross-sectional representative national survey, we evaluated the relationship between cigarette smoking and unintentional injuries among Korean adults. We used data from the 2009 Korean Community Health Survey. Smoking status was defined as never smokers, ex-smokers, and current smokers. Current smokers were categorized into light daily smokers (1-10 cigarettes/day), moderate daily smokers (11-20 cigarettes/day), or heavy daily smokers (≥21 cigarettes/day). We used the Poisson regression model with a robust variance estimation to estimate prevalence rate ratios (PRR) and corresponding 95% confidence interval (95% CI). After adjusting for demographic characteristics, socioeconomic variables, lifestyle variables, and health status variables, former smokers (PRR, 1.19, 95% CI 1.11-1.28), light daily smokers (PRR 1.22, 95% CI 1.13-1.32), moderate daily smokers (PRR 1.33, 95% CI 1.24-1.42), and heavy daily smokers (PRR 1.40, 95% CI 1.25-1.57) had an increased risk for unintentional injuries compared with non-smokers. In conclusion, cigarette smoking is associated with unintentional injuries in a dose-response manner in Korean adults. The findings suggest that community smoking cessation programs may reduce morbidity and mortality from unintentional injuries.
我们通过一项具有全国代表性的横断面调查,评估了韩国成年人中吸烟与意外伤害之间的关系。我们使用了2009年韩国社区健康调查的数据。吸烟状况分为从不吸烟者、曾经吸烟者和当前吸烟者。当前吸烟者又分为轻度每日吸烟者(每天1 - 10支香烟)、中度每日吸烟者(每天11 - 20支香烟)或重度每日吸烟者(每天≥21支香烟)。我们使用具有稳健方差估计的泊松回归模型来估计患病率比(PRR)及相应的95%置信区间(95%CI)。在对人口统计学特征、社会经济变量、生活方式变量和健康状况变量进行调整后,曾经吸烟者(PRR为1.19,95%CI为1.11 - 1.28)、轻度每日吸烟者(PRR为1.22,95%CI为1.13 - 1.32)、中度每日吸烟者(PRR为1.33,95%CI为1.24 - 1.42)和重度每日吸烟者(PRR为1.40,95%CI为1.25 - 1.57)与不吸烟者相比,意外伤害风险增加。总之,在韩国成年人中,吸烟与意外伤害呈剂量反应关系。研究结果表明,社区戒烟项目可能会降低意外伤害的发病率和死亡率。