Patterns of tobacco use in the United Arab Emirates Healthy Future (UAEHFS) pilot study
Patterns of tobacco use in the United Arab Emirates Healthy Future (UAEHFS) pilot study
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DOI：
10.1371/journal.pone.0198119
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发表时间：
2018-05-30
期刊：
影响因子：
3.7
通讯作者：
Sherman, Scott
中科院分区：
文献类型：
--
作者：
Al-Houqani, Mohammed;Leinberger-Jabari, Andrea;Sherman, Scott
阿拉伯联合酋长国自我报告的烟草使用情况是该地区最高的。使用香烟以外的烟草制品的情况很普遍，但对具体的行为使用模式知之甚少。目前还没有研究从生物化学角度证实吸烟状况。阿联酋健康未来研究（UAEHFS）旨在通过一项2万人队列研究了解非传染性疾病的原因。在研究试点期间，招募了517名阿联酋国民完成问卷调查，提供临床测量和生物样本。428名参与者有完整的吸烟数据。通过可替宁测试对399名参与者的吸烟状况进行验证，基于完整的问卷数据和匹配的尿液样本，使用200ng/ml的截止值来表明吸烟状况。结果样本中男性自报吸烟的比例为36%，女性为3%。然而，对吸烟状况的生化核查显示，42%的男性和9%的女性可替宁呈阳性，表明近期可能使用过烟草。双重和多用途烟草制品相当普遍，分别有32%和6%的样本报告。这是该地区首次对烟草使用自我报告数据进行生化验证的研究。在这项研究中，人们发现烟草的使用比以前认为的要高，尤其是在女性中。吸烟状况的错误分类比预期的更为普遍。多种烟草的使用也很普遍。需要进一步的研究来了解烟草使用行为以及人们可能暴露于被动烟草烟雾的程度。
IntroductionSelf-reported tobacco use in the United Arab Emirates is among the highest in the region. Use of tobacco products other than cigarettes is widespread, but little is known about specific behavior use patterns. There have been no studies that have biochemically verified smoking status.MethodsThe UAE Healthy Future Study (UAEHFS) seeks to understand the causes of non-communicable diseases through a 20,000-person cohort study. During the study pilot, 517 Emirati nationals were recruited to complete a questionnaire, provide clinical measurements and biological samples. Complete smoking data were available for 428 participants. Validation of smoking status via cotinine testing was conducted based on complete questionnaire data and matching urine samples for 399 participants, using a cut-off of 200ng/ml to indicate active smoking status.ResultsSelf-reported tobacco use was 36% among men and 3% among women in the sample. However, biochemical verification of smoking status revealed that 42% men and 9% of women were positive for cotinine indicating possible recent tobacco use. Dual and poly-use of tobacco products was fairly common with 32% and 6% of the sample reporting respectively.ConclusionsThis is the first study in the region to biochemically verify tobacco use self-report data. Tobacco use in this study population was found to be higher than previously thought, especially among women. Misclassification of smoking status was more common than expected. Poly-tobacco use was also very common. Additional studies are needed to understand tobacco use behaviors and the extent to which people may be exposed to passive tobacco smoke.