Chu N F, Ding Y A, Wang D J, Shieh S M
Department of Public Health, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
J Cardiovasc Risk. 1996 Apr;3(2):205-8.
To evaluate smoking status and cardiovascular risk factors in young male adults in Taiwan.
After cluster sampling, we performed a cross-sectional survey to assess smoking status, duration, and number of cigarettes smoked in 781 young adult males (mean age 20 years, range 18-24). Cardiovascular disease risk factors, including anthropometric factors, blood pressure, lipoproteins and apolipoprotein levels were also measured.
In total 211 subjects (27.0%) had never smoked, 38 subjects (4.9%) were ex-smokers, and 532 (68.1%) still smoked cigarettes. The prevalence of smoking was higher than in 1989 and 1990 (54.8 and 59.4%, respectively). Current smokers had significantly higher serum triglyceride and lower high-density lipoprotein-cholesterol levels than subjects who had never smoked (56.2 versus 46.9 and 55.6 versus 59.0 mg/dl, respectively; P < 0.05 for both). No difference was found in other cardiovascular risk actors among subjects in the different smoking groups or among current smokers who had smoked for different periods of time or who smoked different numbers of cigarettes.
These data suggest that the prevalence of smoking in young adult males in Taiwan has increased progressively. No differences were found in anthropometric factors or blood pressure among subjects of different smoking status. Abnormal lipoprotein levels (higher triglyceride and lower high-density lipoprotein cholesterol) were found in current smokers compared with non-smokers. A longer follow-up study will be needed to confirm whether the smoking status of these young adults can be correlated with the risk of cardiovascular disease.
评估台湾年轻成年男性的吸烟状况及心血管疾病风险因素。
采用整群抽样后，我们进行了一项横断面调查，以评估781名年轻成年男性（平均年龄20岁，范围18 - 24岁）的吸烟状况、吸烟时长及每日吸烟量。同时还测量了心血管疾病风险因素，包括人体测量学因素、血压、脂蛋白及载脂蛋白水平。
共有211名受试者（27.0%）从不吸烟，38名（4.9%）为已戒烟者，532名（68.1%）仍在吸烟。吸烟率高于1989年和1990年（分别为54.8%和59.4%）。与从不吸烟的受试者相比，当前吸烟者的血清甘油三酯水平显著更高，高密度脂蛋白胆固醇水平显著更低（分别为56.2对46.9以及55.6对59.0mg/dl；两者P均<0.05）。在不同吸烟组的受试者之间，或在不同吸烟时长及不同吸烟量的当前吸烟者之间，其他心血管疾病风险因素未发现差异。
这些数据表明台湾年轻成年男性的吸烟率呈逐渐上升趋势。不同吸烟状况的受试者在人体测量学因素或血压方面未发现差异。与不吸烟者相比，当前吸烟者存在脂蛋白水平异常（甘油三酯更高，高密度脂蛋白胆固醇更低）。需要进行更长时间的随访研究，以确认这些年轻成年人的吸烟状况是否与心血管疾病风险相关。
