Trends in smoking initiation in Australia over 70 years
Trends in smoking initiation in Australia over 70 years
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澳大利亚 70 年来开始吸烟的趋势
DOI：
10.1183/13993003.congress-2019.oa3312
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
A. Marcon
中科院分区：
文献类型：
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作者：
Gulser Caliskan;G. Pesce;M. Abramson;D. Bui;A. James;D. Jarvis;M. Knuiman;C. Minelli;A. Musk;S. Accordini;S. Dharmage;A. Marcon
评估吸烟的长期趋势有助于了解烟草流行和实施烟草控制政策。作为ALEC研究（EU Horizon 2020 Grant #633212）的一部分，我们评估了澳大利亚普通人群样本中开始吸烟的时间趋势。我们分析了1966-2005年塔斯马尼亚纵向健康研究（TAHS）和布塞尔顿健康研究（BHS）中收集的数据。我们回顾性地估计了1920年至1989年期间按性别和年龄组（11-15岁，16-20岁，21-35岁）的吸烟开始率（吸烟者人数除以总风险时间）的趋势。该数据集包括15089名男性（67986人-年）和15228名女性（64354人-年）。终生吸烟者占57.3%。1950年后，青少年早期（11-15岁）开始吸烟的比率急剧上升（图1）。在青春期后期（16-21岁）开始吸烟的男性在40年代达到顶峰，之后下降，而女性开始增加，直到70年代中期。在年轻人（21-35岁）中，男子的初次入学率下降，而妇女的初次入学率相对较低，几乎保持稳定。在80年代，男性和女性的入学率相似，在最年轻的年龄组中达到每年每1000人80人。我们的研究结果强调了澳大利亚青少年开始吸烟的急剧增加，这与欧洲的信息一致（Marcon，A et al. PLoS One. 2018; 13：e0201881）。
Assessing the long-term trends in smoking can help understand the tobacco epidemic and implement tobacco control policies. As part of the ALEC study (EU Horizon 2020 Grant #633212) we evaluated time trends in smoking initiation in samples of the Australian general population. We analysed data collected in the Tasmanian Longitudinal Health Study (TAHS) and Busselton Health Study (BHS) during 1966-2005. We retrospectively estimated trends in the rates of smoking initiation (number of incident smokers divided by total time at risk) between 1920 to 1989, by sex and age group (11-15, 16-20, 21-35 years). The dataset included 15089 males (67986 person-years) and 15228 females (64354 person-years). Lifetime smokers were 57.3%. The rates of smoking initiation during early adolescence (11-15 years) steeply increased after 1950 (Figure 1). Smoking initiation during late adolescence (16-21 years) peaked in the ‘40s for males and decreased afterwards, while in females initiation increased until the mid-‘70s. Among young adults (21-35 years), initiation rates decreased for men, whereas they were relatively low and almost stable among women. In the ‘80s, initiation rates were similar for males and females, and reached 80 per 1000/year in the youngest age group. Our findings highlight a sharp increase in smoking initiation among Australian young adolescents that is consistent with information available from Europe (Marcon, A et al. PLoS One. 2018; 13:e0201881).