江苏省18~69岁男性自报慢性病与戒烟行为关系

管芳; 覃玉; 苏健; 吕淑荣; 潘晓群; 陶然; 周金意; 武鸣

doi:10.16462/j.cnki.zhjbkz.2019.10.014

江苏省18~69岁男性自报慢性病与戒烟行为关系

doi: 10.16462/j.cnki.zhjbkz.2019.10.014

管芳¹,
覃玉^2, ,,
苏健²,
吕淑荣²,
潘晓群²,
陶然²,
周金意²,
武鸣²

1.
210009 南京, 江苏省疾病预防控制中心杂志编辑部
2.
210009 南京, 江苏省疾病预防控制中心慢性非传染病防制所

详细信息

通讯作者:
覃玉, E-mail: qinyu@jscdc.cn

中图分类号: R163.1;R181
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出版历程
- 收稿日期: 2019-06-10
- 修回日期: 2019-08-08
- 刊出日期: 2019-10-10

Relationship between self-reported chronic disease and smoking behavior in men aged 18 to 69 in Jiangsu Province

1.
Editorial Department, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China
2.
Department of Chronic Non-communicable Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China

More Information

Corresponding author: QIN Yu, E-mail: qinyu@jscdc.cn

摘要

摘要: 目的探讨江苏省成年男性自报慢性病患病与戒烟行为的关系。方法分别于2007、2010、2013年采用多阶段分层整群抽样的方法，在江苏省14个成人慢性病及其危险因素监测点中抽取居民进行调查，以18~69岁男性为研究对象，分析慢性病患病与吸烟、戒烟行为的关系。结果 18~69岁男性共8 313名，自报心脑血管疾病、恶性肿瘤、哮喘和慢性阻塞性肺部疾病（chronic obstructive pulmonary disease，COPD）患病率分别为1.5%、1.1%、1.5%和2.8%。戒烟者4种慢性病自报患病率均高于现在吸烟和不吸烟者（均有P < 0.05）。多因素分析显示，患心脑血管疾病、恶性肿瘤、哮喘和COPD者戒烟率分别是未患者的3.356倍（95% CI：1.966~5.728）、3.864倍（95% CI：2.277~6.555）、2.103倍（95% CI：1.321~3.345）和2.586倍（95% CI：1.872~3.573）。结论患有慢性病者戒烟率高于未患病者，提示患病后会促进吸烟者的戒烟行为。
- 吸烟 /
- 戒烟 /
- 自报慢性病 /
- 患病率
Abstract: Objective To explore the relationship between self-reported chronic disease and smoking behavior among adult males in Jiangsu Province. Methods In 2007, 2010, and 2013 respectively, a multistage stratified cluster sampling method was used to select residents from 14 adult chronic diseases and their risk factor surveillance sites in Jiangsu Province to investigate the relationship between the prevalence of chronic diseases, smoking and smoking cessation behaviors among men aged 18 to 69 years. Results A total of 8 313 men aged 18 to 69 years had a self-reported prevalence of 1.5%, 1.1%, 1.5%, and 2.8% for cardiovascular and cerebrovascular diseases, malignancies, asthma, and chronic obstructive pulmonary disease (COPD), respectively.The self-reported prevalence of all four chronic diseases was higher in ex-smokers than in current smokers and non-smokers (all P < 0.05).Multivariate analysis showed that the quit rate was of those suffering from cardiovascular and cerebrovascular diseases, malignancies, asthma, and COPD, respectively 3.356 times (95% CI: 1.966-5.728), 3.864 times (95% CI: 2.277-6.555), 2.103 times (95% CI: 1.321-3.345), and 2.586 times (95% CI: 1.872-3.573) higher, than those without. Conclusion Smoking cessation rates were significantly higher of those with chronic disease than those without, suggesting that illness would promote smoking cessation behaviors among smokers.
- Smoking /
- Smoking cessation /
- Self-reported chronic disease /
- Prevalence

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表 1 调查对象一般特征[n(%)]

Table 1. Basic characteristics of subjects[n(%)]

特征	2007年	2010年	2013年	合计
城乡
城市	1 073(54.7)	1 981(60.8)	2 046(66.1)	5 100(61.3)
农村	888(45.3)	1 276(39.2)	1 049(33.9)	3 213(38.7)
年龄(岁)
18~	955(48.7)	1 227(37.7)	1 056(34.1)	3 238(39.0)
45~	739(37.7)	1 346(41.3)	1 322(42.7)	3 407(41.0)
60~69	267(13.6)	684(21.0)	717(23.2)	1 668(20.1)
文化程度
小学及以下	559(28.5)	978(30.0)	868(28.0)	2 405(28.9)
初高中	1 234(62.9)	2 019(62.0)	1 911(61.7)	5 164(62.1)
大专及以上	168(8.6)	260(8.0)	316(10.2)	744(8.9)
吸烟行为
从不吸烟	610(31.1)	991(30.4)	1 058(34.2)	2 659(32.0)
现在吸烟	1 198(61.1)	1 934(59.4)	1 748(56.5)	4 880(58.7)
戒烟	153(7.8)	332(10.2)	289(9.3)	774(9.3)

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表 2 慢性病自报患病率[n(%)]

Table 2. The prevalence of self-reported chronic diseases[n(%)]

特征	心脑血管疾病	恶性肿瘤	哮喘	COPD
年份
2007	18(0.9)	9(0.5)	19(1.0)	56(2.9)
2010	-	26(0.8)	43(1.3)	106(3.3)
2013	58(1.9)	57(1.8)	63(2.0)	74(2.4)
χ_趋势²值	7.410	23.425	10.003	1.490
P值	< 0.05	< 0.001	0.002	0.222
城乡
城市	53(1.7)	62(1.2)	68(1.3)	122(2.4)
农村	23(1.2)	30(0.9)	57(1.8)	114(3.5)
χ²值	2.115	1.432	4.534	9.549
P值	0.146	0.231	0.033	0.002
年龄组(岁)
18~	2(0.1)	13(0.4)	15(0.5)	27(0.8)
45~	29(1.4)	47(1.4)	51(1.5)	95(2.8)
60~69	45(4.6)	32(1.9)	59(3.5)	114(6.8)
χ_趋势²值	82.761	26.225	66.944	136.135
P值	< 0.001	< 0.001	< 0.001	< 0.001
文化程度
小学及以下	38(2.7)	30(1.2)	56(2.3)	111(4.6)
初中或高中	35(1.1)	60(1.2)	64(1.2)	116(2.2)
大专及以上	3(0.6)	2(0.3)	5(0.7)	9(1.2)
χ_趋势²值	16.878	3.000	16.230	38.706
P值	< 0.001	0.083	< 0.001	< 0.001

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表 3 不同吸烟行为者自报慢性病患病率[n(%)]

Table 3. The prevalence of self-reported chronic diseases among people with different smoking behaviors[n(%)]

病种	从不吸烟	现在吸烟	戒烟	χ²值	P值
心脑血管疾病	16(1.0)	35(1.2)	25(5.6)	57.797	< 0.001
恶性肿瘤	31(1.2)	36(0.7)	25(3.2)	38.039	< 0.001
哮喘	36(1.4)	61(1.2)	28(3.6)	25.876	< 0.001
COPD	52(2.0)	120(2.5)	64(8.3)	92.805	< 0.001

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表 4 吸烟者中慢性病患病与戒烟行为关系的Logistic回归分析模型结果[n(%)]

Table 4. Logistic regression analysis of the relationship between chronic diseases and smoking cessation in smokers

病种	现在吸烟	戒烟	OR(95% CI)值	P值
心脑血管疾病
否	2 911(87.5)	417(12.5)	1.000
是	35(58.3)	25(41.7)	3.356(1.966~5.728)	< 0.001
恶性肿瘤
否	4 844(86.6)	749(13.4)	1.000
是	36(59.0)	25(41.0)	3.864(2.277~6.555)	< 0.001
哮喘
否	4 819(86.6)	746(13.4)	1.000
是	61(68.5)	28(31.5)	2.103(1.321~3.345)	0.002
COPD
否	4 760(87.0)	710(13.0)	1.000
是	120(65.2)	64(34.8)	2.586(1.872~3.573)	< 0.001

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