Was John Reid right? Smoking, class, and pleasure: A population-based cohort study in England
Was John Reid right? Smoking, class, and pleasure: A population-based cohort study in England
复制标题
DOI：
10.1016/j.puhe.2007.01.005
复制
发表时间：
2007-07-01
期刊：
影响因子：
5.2
通讯作者：
Melzer, D.
中科院分区：
文献类型：
--
作者：
Lang, I.;Gardener, E.;Melzer, D.
目的：评估在社会经济地位较低的群体（SES）中，吸烟与总体生活质量水平或生活质量愉悦域之间是否存在关系。研究设计：队列研究涉及9176名年龄在50岁及以上的人，他们参加了英格兰健康调查，并在2002年的英国老龄化纵向研究的第一轮中进行了随访。方法：我们将吸烟者分为从不吸烟者、戒烟者和当前吸烟者，并将家庭财富作为社会经济地位的标志。快乐是用CASP-19量表的快乐子量表来评估的，这是一个19分的生活质量衡量标准，涵盖了四个理论领域：控制、自主、自我实现和快乐。结果：我们发现，低社会经济地位的吸烟者体验低于中位数水平的快乐的比值比为1.42 (95% CI 1.16—1.74)，而所有吸烟者的比值比为1.33 （95% CI 1.17—1.51）。当结果为CASP-19总分或GHQ-12阳性评分时，发现了相同的关联模式。结论：我们没有发现证据支持吸烟与提高快乐水平有关的说法，无论是在社会经济地位低的人还是在普通人群中。事实上，我们的研究结果恰恰相反：吸烟与较低的快乐水平和较差的整体生活质量有关。有关吸烟的政策决定应考虑到它对生活质量和快乐以及健康的其他方面的潜在有害影响。(C) 2007年，皇家公共卫生研究所。Elsevier Ltd.出版。版权所有。
Objectives: To assess whether there is a relationship between smoking and levels of overall quality of life, or with the pleasure domain of quality of life, in lower socio-economic groups (SES).Study design: Cohort study involving 9176 individuals aged 50 years and over who participated in the Health Survey for England and were followed up in Wave 1 of the English Longitudinal Study of Ageing in 2002.Methods: We classified smokers as never-smokers, ex-smokers and current smokers, and used household wealth as a marker for socio-economic position. Pleasure was assessed using the pleasure subscale of the CASP-19 instrument, a 19-point measure of quality of life that covers four theoretical domains: control, autonomy, self-realization and pleasure.Results: We found that the odds ratio for experiencing lower than median levels of pleasure for smokers with low SES was 1.42 (95% CI 1.16--1.74), and for all smokers was 1.33 (95% CI 1.17-1.51). The same pattern of associations was found when the outcome was total CASP-19 score or positive GHQ-12 score.Conclusions: We found no evidence to support a claim that smoking is associated with heightened levels of pleasure, either in people with low SES or in the general population. In fact, our results suggest the opposite: that smoking is associated with lower levels of pleasure and poorer overall quality of life. Policy decisions on smoking should consider its potentially harmful effect on quality of life and pleasure as well as on other aspects of health. (C) 2007 The Royal Institute of Public Health. Published by Elsevier Ltd. All rights reserved.