Mortality attributable to cigarette smoking in Taiwan: a 12-year follow-up study
Mortality attributable to cigarette smoking in Taiwan: a 12-year follow-up study
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DOI：
10.1136/tc.7.2.141
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发表时间：
1998-06-01
期刊：
影响因子：
5.2
通讯作者：
Chen, CJ
中科院分区：
文献类型：
--
作者：
Liaw, KM;Chen, CJ
吸烟对死亡率的影响的评估有助于表明烟草控制在一个特定国家的重要性。目的-为了检查吸烟导致各种疾病死亡的相对风险，并估计台湾吸烟导致的年死亡率。设计-前瞻性队列研究，研究对象与设置-以1982年至1986年台湾12个乡镇及行政区14397名年龄在40岁或以上的男性与女性居民为研究对象。通过基于结构化问卷的标准化个人访谈，从当地卫生中心的每个受试者中收集有关吸烟的信息。他们定期随访以确定他们的生命状态，直到1994年。主要结果测量-Cox比例风险回归模型被用于推导当前吸烟者与从不吸烟者相比的原因特异性死亡率的相对风险，并检查各种原因死亡率与几种吸烟措施之间的剂量反应关系（每日消费量，持续时间，开始的年龄，和累积吸烟包年）。在男性中，吸烟与各种原因导致的死亡风险增加显著相关（相对风险（RR）= 1.3）;所有部位合并的癌症（RR 1.5）;胃癌（RR = 1.9）、肝脏（RR = 2.2）和肺（RR = 3.7）;缺血性心脏病（RR = 1.8）;其他心脏病（RR = 1.4）;和慢性阻塞性肺疾病（RR = 1.9）。在女性中，吸烟与所有原因合并（RR = 1.8），肺癌（RR = 3.6）和消化性溃疡（RR = 17.8）的死亡风险增加显著相关。1994年台湾因吸烟而死亡的估计人数为男性8161人（占总死亡人数的13.9%），女性1216人（占总死亡人数的3.3%）。在同一年，吸烟导致21.3%和2.9%的癌症死亡的男性和女性，分别在Taiwan.Conclusions-Cigarette吸烟有显着的影响，在台湾人口的整体死亡率和各种原因的死亡。应将烟草控制确立为台湾公共卫生规划的首要任务。
Background-Assessment of the impact of cigarette smoking on mortality helps to indicate the importance of tobacco control in a given country.Objectives-To examine the relative risk of dying from various diseases for cigarette smoking and to estimate annual mortality attributable to cigarette smoking in Taiwan.Design-Prospective cohort study,Subjects and setting-A cohort of 14 397 male and female residents aged 40 years or older recruited from 12 townships and precincts in Taiwan from 1982 to 1986. Information on cigarette smoking was collected from each subject at local health centres through a standardised personal interview based on a structured questionnaire. They were followed up regularly to determine their vital status until 1994.Main outcome measures-Cox's proportional hazards regression models were used to derive relative risks of cause-specific mortality for current cigarette smokers compared with never-smokers, and to examine dose-response relationships between mortality from various causes and several measures of cigarette smoking (daily consumption, duration, age of initiation, and cumulative smoking in pack-years).Results-A total of 2552 persons died during the study period. Among men, cigarette smoking was significantly associated with an increased risk of dying from all causes combined (relative risk (RR) = 1.3); cancer of all sites combined (RR 1.5); cancers of the stomach (RR = 1.9), liver (RR = 2.2), and lung (RR = 3.7); ischaemic heart disease (RR = 1.8); other heart diseases (RR = 1.4); and chronic obstructive pulmonary disease (RR 1.9). Among women, cigarette smoking was significantly associated with an increased risk of dying from all causes combined (RR = 1.8), cancer of the lung (RR = 3.6), and peptic ulcer (RR = 17.8). The estimated number of deaths attributable to cigarette smoking in Taiwan in 1994 was 8161 (13.9% of total deaths) for men and 1216 (3.3% of total deaths) for women. In the same year cigarette smoking caused 21.3% and 2.9% of cancer deaths in men and women, respectively, in Taiwan.Conclusions-Cigarette smoking has a striking impact on overall mortality and deaths from various causes in the Taiwanese population. Tobacco control should be established as the top priority in public health programmes in Taiwan.