Disease burden of adult lung cancer and ischaemic heart disease from passive tobacco smoking in China
Disease burden of adult lung cancer and ischaemic heart disease from passive tobacco smoking in China
复制标题
DOI：
10.1136/tc.2007.021477
复制
发表时间：
2007-12-01
期刊：
影响因子：
5.2
通讯作者：
Hu, Teh-wei
中科院分区：
文献类型：
--
作者：
Gan, Quan;Smith, Kirk R.;Hu, Teh-wei
目的：为了解吸烟对中国非吸烟者的健康危害，估计中国成人被动吸烟对肺癌和缺血性心脏病（IHD）两种主要疾病的疾病负担。方法：根据过早死亡率和残疾调整生命年（DALYs）来估计疾病负担，DALYs是一种考虑死亡年龄和发病率严重程度的措施。结果：根据这些估计，2002年被动吸烟导致22000多人死于肺癌。如果将致残人数与死亡人数相加，则被动吸烟要为肺癌造成的近23万年的健康寿命损失负责。利用其他国家将IHD与被动吸烟联系起来的证据，我们估计2002年中国约有33800例IHD死亡可归因于被动吸烟。被动吸烟还导致IHD导致超过25万年的健康寿命损失。虽然主动吸烟造成的疾病负担大部分发生在男性身上，但女性承担了被动吸烟总负担的近80%。被动吸烟造成的妇女死亡人数大约是我们调查的两种疾病中吸烟造成的死亡人数的三分之二。结论：即使不考虑其他国家记录的被动吸烟对其他疾病和儿童的风险，被动吸烟对非吸烟者，特别是对中国的成年女性非吸烟者造成严重的健康危害，更加迫切需要立即采取措施保护非吸烟者的健康，遏制国家的烟草流行。
Objective: To address the health hazards tobacco smoking imposes upon non-smokers in China, this paper estimates the burden of diseases in adults from passive tobacco smoking for two major diseases-lung cancer and ischaemic heart disease (IHD).Methods: The disease burden was estimated in terms of both premature mortality and disability adjusted life years (DALYs), a measure that accounts for both the age at death and the severity of the morbidity.Results: Passive smoking caused more than 22 000 lung cancer deaths in 2002 according to these estimates. When the toll of disability is added to that of mortality, passive smoking was responsible for the loss of nearly 230 000 years of healthy life from lung cancer. Using the evidence from other countries that links IHD to passive smoking, we estimated that approximately 33 800 IHD deaths could be attributable to passive smoking in China in 2002. Passive smoking is also responsible for the loss of more than one quarter of a million years of healthy life from IHD. Although most of the disease burden caused by active smoking occurs among men, women bear nearly 80% of the total burden from passive smoking. The number of deaths among women caused by passive smoking is about two-thirds of that caused by smoking for the two diseases we examined.Conclusion: Even without considering the passive smoking risks for other diseases and among children that have been documented in other countries, passive smoking poses serious health hazards for non-smokers, especially for adult female non-smokers in China, adding more urgency to the need for measures to be taken immediately to protect the health of non-smokers and curb the nation's tobacco epidemic.