Confirmations and surprises in the association of tobacco use with sinusitis
Confirmations and surprises in the association of tobacco use with sinusitis
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DOI：
10.1001/archotol.126.8.940
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发表时间：
2000-08-01
影响因子：
--
通讯作者：
Feinstein, AR
中科院分区：
文献类型：
--
作者：
Lieu, JEC;Feinstein, AR
目的：估计与吸烟或被动吸烟相关的成年人鼻窦炎患病率。设计：对 1988-1994 年第三次全国健康和营养检查调查的数据进行分析。背景：美国非机构化平民样本。参与者：总共 20 050 名 17 岁或以上的成年人。主要结果测量者自我报告的鼻窦炎或鼻窦炎的存在情况 结果：在美国，6600 万成年人（占成年人口的 35%）报告在过去 12 个月内至少患有一次鼻窦炎或鼻窦问题。女性、非西班牙裔白人或非西班牙裔黑人、较高的收入水平以及逐渐提高的教育水平与鼻窦炎患病率增加有关。急性和复发性或慢性鼻窦炎的患病率会随着直接吸烟和其他烟草的使用而增加，但不会随着被动暴露于香烟烟雾而增加。 结论：与其他呼吸系统疾病的数据一致，直接使用烟草会导致成年人患鼻窦炎的风险略有增加，但与预期相反，被动吸烟却不会。性别、种族/民族和教育水平等人口统计变量显示出与鼻窦炎患病率出乎意料的密切相关，应在未来的鼻窦炎研究中进行分析和控制。
Objective: To generate estimates of sinusitis prevalence for adults in association with the use of tobacco or passive smoke exposure.Design: Analysis of data from the Third National Health and Nutrition Examination Survey, 1988-1994.Setting: Sample of the noninstitutionalized civilian population of the United States.Participants: A total of 20 050 adults aged 17 years or older.Main Outcome Measurer Presence of self-reported sinusitis or sinus problems.Results: In the United States, 66 million adults, constituting 35% of the adult population, reported having sinusitis or sinus problems at least once during the previous 12 months. Female sex, non-Hispanic white or non-Hispanic black race, higher income levels, and progressively higher educational levels were associated with increased prevalence of sinusitis. The prevalence of both acute and recurrent or chronic sinusitis increased with direct cigarette and other tobacco use but did not rise with passive exposure to cigarette smoke.Conclusions: Consistent with data for other respiratory ailments, the direct use of tobacco confers a small increased risk of developing sinusitis in the adult population, but contrary to expectation, passive smoke does not. The demographic variables of sex, race/ethnicity, and educational level demonstrated unexpectedly strong associations with the prevalence of sinusitis and should be analyzed and controlled for in future studies of sinusitis.