2014 年美国烟草零售商可及性与慢性阻塞性肺疾病相关住院结局的关联
Associations of tobacco retailer availability with chronic obstructive pulmonary disease related hospital outcomes, United States, 2014.
机构信息
Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, 135 Dauer Drive, Chapel Hill, NC 27599-7440, USA.
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, 135 Dauer Drive, Chapel Hill, NC 27599-7435, USA; Lineberger Comprehensive Cancer Center, University of North Carolina, 101 Manning Drive, Chapel Hill, NC 27599-7295, USA.
出版信息
Health Place. 2021 Jan;67:102464. doi: 10.1016/j.healthplace.2020.102464. Epub 2020 Dec 1.
Abstract
There are associations between tobacco retailer density and smoking behaviors, but little is known about whether places with more tobacco retailers have more smoking-related health problems. Using cross-sectional data from 2014, we investigated the relationships between tobacco retailer density and chronic obstructive pulmonary disease (COPD) related outcomes in a sample of 1510 counties across the United States. Higher retailer density was associated with a 19% (IRR, 1.19; 95% CI, 1.12-1.27) higher COPD-related hospital discharge rate and 30% (IRR, 1.30; 95% CI 1.21-1.39) higher total COPD-related hospital costs per population. The tobacco retailer environment may be an important target for reducing smoking-related health burdens and costs.
摘要
烟草零售商密度与吸烟行为之间存在关联，但对于拥有更多烟草零售商的地方是否会出现更多与吸烟相关的健康问题知之甚少。本研究使用来自美国 2014 年的横截面数据，在一个包含 1510 个县的样本中，调查了烟草零售商密度与慢性阻塞性肺疾病（COPD）相关结局之间的关系。较高的零售商密度与 COPD 相关住院率升高 19%（IRR，1.19；95%CI，1.12-1.27）和 COPD 相关总住院费用升高 30%（IRR，1.30；95%CI，1.21-1.39）相关。烟草零售商环境可能是降低与吸烟相关的健康负担和成本的一个重要目标。
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