Rostron Brian L, Corey Catherine G, Gindi Renee M
Center for Tobacco Products, Food and Drug Administration, Beltsville, MD, United States of America.
National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD, United States of America.
Prev Med Rep. 2019 Feb 11;14:100821. doi: 10.1016/j.pmedr.2019.100821. eCollection 2019 Jun.
Cigar smoking causes many of the same health conditions as cigarettes, but less information is available on prevalence of use trends and the disease burden of cigar smoking in the US. To examine these issues, we analyzed cigar use and health condition data from the National Health Interview Survey from 2000, 2005, 2010, and 2015, estimating prevalence of use by year and over time. We also estimated the number of, and adjusted disease prevalence ratios for, US adults aged ≥35 years with self-reported history of heart disease, stroke, or cancer attributable to cigar smoking. We found that prevalence of current cigar smoking has remained generally stable at around 2.3% among US adults aged ≥18 years between 2000 and 2015 but has increased among female and non-Hispanic black adults. Former exclusive cigar smokers were more likely to report having had heart conditions (aPR = 1.33, 95% CI = 1.03-1.72), stroke (aPR = 2.42, 95% CI = 1.57-3.75), and cancer (aPR = 1.44, 95% CI = 1.09-1.88) than never cigar smokers. It is estimated that nearly 200,000 cardiovascular conditions and cancer cases among US adults are attributable to former exclusive cigar smoking. This analysis shows that prevalence of current cigar smoking has remained stable among US adults but has increased among certain demographic groups. Former exclusive cigar use is associated with increased prevalence of heart disease, stroke, and cancer, which may result in part from smoking cessation following disease onset.
抽雪茄导致的许多健康问题与抽香烟相同，但关于美国抽雪茄的使用趋势流行率和疾病负担的信息较少。为了研究这些问题，我们分析了2000年、2005年、2010年和2015年美国国家健康访谈调查中的雪茄使用情况和健康状况数据，按年份和时间段估算使用流行率。我们还估算了年龄≥35岁且有自我报告的因抽雪茄导致的心脏病、中风或癌症病史的美国成年人的病例数，并调整了疾病流行率比值。我们发现，2000年至2015年期间，年龄≥18岁的美国成年人中当前抽雪茄的流行率总体上保持在2.3%左右的稳定水平，但在女性和非西班牙裔黑人成年人中有所上升。与从不抽雪茄的人相比，曾经只抽雪茄的人更有可能报告患有心脏病（调整后风险比[aPR]=1.33，95%置信区间[CI]=1.03-1.72）、中风（aPR=2.42，95%CI=1.57-3.75）和癌症（aPR=1.44，95%CI=1.09-1.88）。据估计，美国成年人中近20万例心血管疾病和癌症病例可归因于曾经只抽雪茄。该分析表明，美国成年人中当前抽雪茄的流行率保持稳定，但在某些人口群体中有所上升。曾经只抽雪茄与心脏病、中风和癌症的患病率增加有关，这可能部分是由于疾病发作后戒烟所致。
