美国慢性胰腺炎患者中，黑人和白人终生饮酒和吸烟的趋势存在差异。
Divergent trends in lifetime drinking and smoking between Black and White Americans diagnosed with chronic pancreatitis.
机构信息
Cedars Sinai Cancer, Cedars-Sinai Medical Center, Los Angeles, CA, USA; Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Center for Research on Healthcare Data Center, University of Pittsburgh, Pittsburgh, PA, USA.
出版信息
Pancreatology. 2020 Dec;20(8):1667-1672. doi: 10.1016/j.pan.2020.10.031. Epub 2020 Oct 12.
BACKGROUND/OBJECTIVES: Black Americans are at increased risk of chronic pancreatitis (CP) compared to their White counterparts. We aimed to describe the race-specific smoking history and lifetime drinking in patients diagnosed with CP.
METHODS
We analyzed data on 334 Black and White CP participants of the North American Pancreatitis Study 2 Continuation and Validation Study and Ancillary Study. Lifetime drinking history and lifetime smoking history were collected through in-person interviews. Intensity, frequency, duration and current status of drinking and smoking were compared between Black and White CP participants, stratified by physician-defined alcohol etiology. In addition, drinking levels at each successive decades in life (20s, 30s, 40s) were compared by race and graphically portrayed as heat diagrams.
RESULTS
Among patients with alcoholic CP, current smoking levels were not different by race (67-70%), but a smaller proportion of Black patients reported having smoked 1 or more packs per day in the past (32%) as compared to White patients (58%, p < 0.0001). Black patients were more likely to report current consumption of alcohol (31%), as opposed to White patients (17%, p = 0.016). Black patients also reported more intense drinking at age 35 and 45 years as compared to White patients, while age at CP onset were similar between the two groups.
CONCLUSION
We found more intense drinking but less intense smoking history in Black CP patients as compared to White CP patients. Effective alcohol abstinence and smoking cessation program with sustained impact are needed in CP patients.
背景/目的：与白人相比，非裔美国人患慢性胰腺炎（CP）的风险增加。我们旨在描述确诊为 CP 的患者中特定种族的吸烟史和终生饮酒情况。
方法
我们分析了北美胰腺炎研究 2 延续和验证研究和辅助研究中 334 名黑人和白人 CP 参与者的数据。通过面对面访谈收集终生饮酒史和终生吸烟史。根据医生定义的酒精病因，比较黑人和白人 CP 参与者之间的饮酒强度、频率、持续时间和当前状态。此外，按种族比较生命中每个连续十年（20 多岁、30 多岁、40 多岁）的饮酒水平，并以热图形式图形表示。
结果
在酒精性 CP 患者中，目前的吸烟水平在不同种族之间没有差异（67-70%），但与白人患者（58%，p<0.0001）相比，较少比例的黑人患者报告过去每天吸烟 1 包或更多。黑人患者更有可能报告目前饮酒（31%），而白人患者为 17%（p=0.016）。与白人患者相比，黑人患者在 35 岁和 45 岁时的饮酒强度更高，而两组的 CP 发病年龄相似。
结论
与白人 CP 患者相比，黑人 CP 患者的饮酒更强烈，但吸烟史较轻。CP 患者需要有效的酒精戒断和戒烟计划，并持续产生影响。
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