Effects of passive smoking on hypertension in rural Chinese nonsmoking women
Effects of passive smoking on hypertension in rural Chinese nonsmoking women
复制标题
被动吸烟对中国农村不吸烟女性高血压的影响
DOI：
10.1097/hjh.0000000000000694
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发表时间：
2015-11-01
影响因子：
4.9
通讯作者：
Ye, Rongwei
中科院分区：
文献类型：
--
作者：
Li, Nan;Li, Zhiwen;Ye, Rongwei
背景资料：越来越多的证据表明，主动吸烟是高血压的一个危险因素，但对被动吸烟对这种情况的影响知之甚少。在中国，女性被动吸烟现象普遍而严重，因为男性吸烟比例很高，特别是在农村地区。本研究评估了被动吸烟是否与中国农村非吸烟妇女高血压风险增加有关。方法：采用横断面研究方法，对来自北方山西省某农村地区的392名非吸烟妇女进行调查。在面对面的访谈中收集了关于女性被动吸烟和其他已知影响高血压的因素的数据。在调整潜在混杂因素后，使用逻辑回归评估相关性分析。结果如下：392名参与者中共有162名高血压患者（41.3%）; 118名参与者（30.1%）报告暴露于被动吸烟，其中88.4%暴露于家中烟雾。在调整了年龄、BMI、教育、职业、饮酒状况、体力活动和绝经状况后，被动吸烟使高血压的风险增加约2倍（调整后的比值比= 1.99，95%置信区间1.16，3.39）。 被动吸烟暴露水平为每周1 - 3次、4 - 6次和6次以上的调整后比值比分别为1.01（0.39-2.62）、2.57（1.05-6.30）和2.59（1.18-5.69）。结论：在中国北方农村地区，女性家庭被动吸烟现象普遍。经常接触二手烟是非吸烟女性高血压的危险因素，这表明应采取措施预防这一人群的被动吸烟。
Background: Increasing evidence suggest that active smoking is a risk factor for hypertension, but little is known about the effects of passive smoking on this condition. In China, female passive smoking is widespread and severe due to the high proportion of men who smoke, particularly in rural areas. This study assessed whether passive smoking is associated with increased risk of hypertension among nonsmoking women in rural China. Methods: A total of 392 nonsmoking women from a rural area of Shanxi Province (northern China) participated in this cross-sectional study. Data on female passive smoking, and other factors known to influence hypertension, were collected during face-to-face interviews. Logistic regression was used to evaluate the association analyses after adjusting for potential confounders. Results: In total, 162 of the 392 participants were hypertensive (41.3%); 118 participants (30.1%) reported exposure to passive smoking, of whom 88.4% were exposed to smoke in the home. After adjusting for age, BMI, education, occupation, drinking status, physical activity, and menopause status, passive smoking conferred an approximately two-fold risk increase of hypertension (adjusted odds ratio = 1.99, 95% confidence interval 1.16, 3.39). The adjusted odds ratios for passive smoking exposure levels of one to three, four to six, and more than six occasions per week were 1.01 (0.39–2.62), 2.57 (1.05–6.30), and 2.59 (1.18–5.69), respectively. Conclusion: In rural areas of northern China, female passive smoking in the home is prevalent. Frequent exposure to secondhand smoke is a risk factor for hypertension among nonsmoking women, which suggests that measures should be taken to prevent passive smoking among this population.