Is neighbourhood access to tobacco outlets related to smoking behaviour and tobacco-related health outcomes and hospital admissions?
Is neighbourhood access to tobacco outlets related to smoking behaviour and tobacco-related health outcomes and hospital admissions?
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DOI：
10.1016/j.ypmed.2016.05.003
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发表时间：
2016-07-01
影响因子：
5.1
通讯作者：
Wood, Lisa
中科院分区：
文献类型：
--
作者：
Barnes, Rosanne;Foster, Sarah A.;Wood, Lisa
目标。尽管烟草使用的危害被广泛接受，但很少有研究研究烟草销售渠道与住院之间的关系。本研究旨在探讨邻里接触烟店、吸烟、住院与自述疾病之间的关系。西澳大利亚州12,270名成人参与者(2003-2009年)对吸烟行为做出了回应，并分别记录了与入院情况和地理位置有关的吸烟情况。社区获得烟草销售点的机会与现在吸烟者和过去吸烟者之间存在轻微的正相关。吸烟者获得烟草出口也与心脏病呈正相关，而非吸烟者则不是。对于吸烟者来说，家庭周围1600米范围内每增加一个出口，患心脏病的几率就会增加2%。更容易接触烟草销售点的吸烟者更有可能被诊断为心脏病或因心脏病住院。调节社区中烟草销售点的密度具有改善健康益处的巨大潜力，我们的结果促使未来需要进行纵向研究来证实这一假设。(C)2016 Elsevier Inc.保留所有权利。
Objectives. Although the harms of tobacco use are widely accepted, few studies have examined the relationship between access to tobacco outlets and hospital admissions. This study aimed to examine the relationship between neighbourhood access to tobacco outlets, smoking and hospital admissions and self-reported morbidity.Methods. Responses as to smoking behaviour were obtained from 12,270 adult participants in Western Australia (2003-2009) and individually record-linked to hospital admissions and geographically linked to tobacco outlets.Results. Neighbourhood access to tobacco outlets was marginally positively associated with being a current versus a past smoker. Tobacco outlet access was also positively associated with heart disease for smokers but not non-smokers. For smokers, each additional outlet within 1600 m of home was associated with a 2% increase in the odds of heart disease.Conclusion. Smokers with greater access to tobacco outlets were more likely to be diagnosed with or admitted to hospital for heart disease. Regulating the density of tobacco outlets in the community has immense potential to improve health benefits and our results motivate the need for future longitudinal studies to confirm this hypothesis. (C) 2016 Elsevier Inc. All rights reserved.