Association between tobacco consumption and alcohol, vegetable and fruit intake across urban and rural areas in Mozambique
Association between tobacco consumption and alcohol, vegetable and fruit intake across urban and rural areas in Mozambique
复制标题
DOI：
10.1136/jech.2009.099440
复制
发表时间：
2011-05-01
影响因子：
6.3
通讯作者：
Lunet, Nuno
中科院分区：
文献类型：
--
作者：
Padrao, Patricia;Silva-Matos, Carla;Lunet, Nuno
背景吸烟、饮酒和不健康饮食是众所周知的群集现象，但来自处于烟草流行早期阶段、文化、生活方式和烟草使用形式明显不同的发展中国家的证据很少。这项研究的目的是根据居住地（城市/农村），量化莫桑比克烟草消费（制造的卷烟、手卷卷烟和无烟烟草）与酒精、水果和蔬菜摄入量之间的关系。方法采用结构化问卷对2003年莫桑比克全国家庭调查中12902名25-64岁的代表性样本进行评估。计算年龄和受教育程度调整后的ORs，以估计烟草消费与酒精、水果和蔬菜摄入量之间的关系。结果烟草使用和总体饮酒呈正相关，与消费的烟草类型无关，但吸烟手卷烟和消费无烟烟草与喝啤酒呈负相关。吸人造香烟的人摄入水果的频率较低，但无烟烟草消费和手卷烟与摄入水果或蔬菜没有负相关。这种模式在不同性别和城市/农村地区相对一致，观察到的差异可能是性别或居住地之间烟草消费模式的随机变化或异质性。结论烟草消费与酒精饮料摄入量、蔬菜和水果摄入量之间存在很强的关联，但并非所有形式的烟草使用都存在这种关联。
Background Smoking, alcohol consumption and unhealthy diet are known to cluster, but evidence from developing countries at the early phases of the tobacco epidemics and with markedly different cultures, lifestyles and forms of tobacco use is scarce. The objective of this study was to quantify the association between tobacco consumption (manufactured cigarettes, hand-rolled cigarettes and smokeless tobacco) and alcohol, fruit and vegetable intake in Mozambique according to place of residence (urban/rural).Methods A representative sample of 12 902 Mozambicans aged 25-64 years was evaluated in a national household survey conducted in 2003 using a structured questionnaire. Age-and education-adjusted ORs were computed to estimate the association between tobacco consumption and alcohol, fruit and vegetable intake.Results Tobacco use and overall alcohol drinking were positively associated, regardless of type of tobacco consumed, but smoking of hand-rolled cigarettes and consumption of smokeless tobacco was negatively associated with beer drinking. Smokers of manufactured cigarettes had a less frequent intake of fruit, but smokeless tobacco consumption and hand-rolled cigarette smoking were not inversely related with intake of fruit or vegetables. This pattern was relatively consistent across genders and urban/rural areas, with the observed differences likely to be explained either by random variation or heterogeneity in tobacco consumption patterns across genders or places of residence.Conclusion Strong associations between tobacco consumption and the intake of alcoholic beverages, vegetable and fruit intake are found, but not consistently for all forms of tobacco use.