使用多项调查评估从不吸烟、当前吸烟和曾经吸烟人群的死亡率：20年间的变化情况。
Use of multiple surveys to estimate mortality among never, current, and former smokers: changes over a 20-year interval.
作者信息
Rosenbaum W L, Sterling T D, Weinkam J J
机构信息
Department of Computing Science, Simon Fraser University, Burnaby, BC, Canada.
出版信息
Am J Public Health. 1998 Nov;88(11):1664-8. doi: 10.2105/ajph.88.11.1664.
OBJECTIVES
This study sought to demonstrate how data from publicly available large-scale cross-sectional health surveys can be combined to analyze changes in mortality risks among never, current, and former smokers.
METHODS
Data from the 1966/68 and 1986 National Mortality Followback Surveys and the 1970 and 1987 National Health Interview Surveys were used to estimate the distribution of never, current, and former smokers among the US population at risk and decedents. Standardized mortality ratios and quotients of standardized mortality ratios were used to estimate mortality risks.
RESULTS
Generally, during the period from 1966 through 1986, mortality rates in the United States for most causes of death declined among all smoking groups. However, mortality rates from respiratory diseases increased for current and former smokers.
CONCLUSIONS
The reported changes in never and current smoker mortality risks are similar in magnitude and direction to those reported in a previous study based on longitudinal data. The use of combined data from the National Mortality Followback Survey and the National Health Interview Survey offers several advantages as an epidemiological tool.
目的
本研究旨在展示如何将公开可用的大规模横断面健康调查数据相结合，以分析从不吸烟者、当前吸烟者和既往吸烟者的死亡风险变化。
方法
利用1966/68年和1986年全国死亡率随访调查以及1970年和1987年全国健康访谈调查的数据，估计美国有死亡风险人群和死者中从不吸烟者、当前吸烟者和既往吸烟者的分布情况。使用标准化死亡率和标准化死亡率商数来估计死亡风险。
结果
总体而言，在1966年至1986年期间，美国所有吸烟群体中大多数死因的死亡率均有所下降。然而，当前吸烟者和既往吸烟者的呼吸道疾病死亡率有所上升。
结论
报告的从不吸烟者和当前吸烟者死亡风险的变化在幅度和方向上与之前一项基于纵向数据的研究报告相似。将全国死亡率随访调查和全国健康访谈调查的合并数据用作流行病学工具具有若干优势。
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