吸烟变化对芬兰慢性支气管炎流行率 45 年趋势的贡献。
Contribution of smoking change to 45-year trend in prevalence of chronic bronchitis in Finland.
机构信息
Department of Public Health and Welfare, Finnish institute for Health and Welfare, Helsinki, Finland.
Individualized Drug Therapy Research Program, University of Helsinki, Helsinki, Finland.
出版信息
Scand J Public Health. 2023 Dec;51(8):1189-1195. doi: 10.1177/14034948221104351. Epub 2022 Jun 19.
AIMS
Tobacco smoking has been identified as the most important risk factor of chronic bronchitis. The aim of this study was to assess the contribution of smoking to the trends in prevalence of chronic bronchitis among men and women in Finland.
METHODS
For this purpose, we analysed questionnaires included in national FINRISK and FinHealth studies conducted between 1972 and 2017 in 5-year intervals. A total of 26,475 men and 28,684 women aged 30-59 years were included in the analysis. In addition to smoking, age and socioeconomic status were used as risk factors in the logistic regression model.
RESULTS
Smoking in Finland has declined from 51% to 23% in men between 1972 and 2017. In women, it increased from 11% in 1972 to 23% in 2002, with a following decrease to 16% in 2017. The prevalence of chronic bronchitis has generally followed the trend of smoking. The population attributable risk was 60% in men and 49% in women. A decrease in chronic bronchitis was observed in male never-smokers.
CONCLUSIONS
目的
吸烟已被确定为慢性支气管炎的最重要危险因素。本研究旨在评估吸烟对芬兰男女慢性支气管炎患病率变化趋势的影响。
方法
为此，我们分析了在 1972 年至 2017 年期间以 5 年为间隔进行的全国 FINRISK 和 FinHealth 研究中包含的问卷。共有 26475 名 30-59 岁男性和 28684 名女性纳入分析。除吸烟外，年龄和社会经济地位也被用作逻辑回归模型中的风险因素。
结果
芬兰男性的吸烟率从 1972 年的 51%下降到 2017 年的 23%。女性的吸烟率从 1972 年的 11%上升到 2002 年的 23%，随后在 2017 年下降到 16%。慢性支气管炎的患病率总体上随吸烟趋势而变化。人群归因风险在男性中为 60%，在女性中为 49%。男性从不吸烟者的慢性支气管炎患病率下降。
结论
Zotero 插件