PASSIVE SMOKING IN OBSTRUCTIVE RESPIRATORY-DISEASES IN AN INDUSTRIALIZED URBAN-POPULATION
PASSIVE SMOKING IN OBSTRUCTIVE RESPIRATORY-DISEASES IN AN INDUSTRIALIZED URBAN-POPULATION
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DOI：
10.1006/enrs.1994.1029
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发表时间：
1994-05-01
影响因子：
8.3
通讯作者：
TRIEFF, N
中科院分区：
文献类型：
--
作者：
DAYAL, HH;KHUDER, S;TRIEFF, N
我们研究了与室内空气中的烟草烟雾相关的阻塞性呼吸道疾病的风险，独立于主动吸烟、环境空气污染和住宅室内空气污染的其他一些来源。数据来自 1985 年至 1986 年对费城 9 个社区进行的概率抽样调查，获得了大约 4200 人的信息。虽然对于从不吸烟者来说，阻塞性呼吸系统疾病的患病率与环境中烟草烟雾的水平成正比，但二手烟并不是当前吸烟者中此类问题发生频率的一个因素。在一系列仅限于从不吸烟者的分析中，219 名阻塞性呼吸道疾病指标病例中的每一个都根据年龄、性别和社区与三个随机选择的对照进行匹配，其中按社区进行匹配有效控制了环境空气污染。匹配和不匹配的双样本分析均显示病例和对照之间在室内环境中烟草烟雾水平方面存在统计学显着差异（分别为 P = 0.019 和 0.016）。条件逻辑回归匹配分析显示，取暖和烹饪作为室内空气污染源与病例/对照状态无关。然而，在室内环境中每天被动吸烟超过一包的比值比为 1.86（95% CI，1.21-2.86）。结果表明，对于工业化城市人口中从不吸烟的人来说，被动吸烟是阻塞性呼吸道疾病的一个重要危险因素。 (C) 1994 年学术出版社
We examined the risk of obstructive respiratory disease associated with tobacco smoke in indoor air, independent of active smoking, ambient air pollution, and some of the other sources of residential indoor air pollution. Data came from a probability sample survey of nine neighborhoods in Philadelphia conducted in 1985-1986, leading to information on approximately 4200 individuals. While for never-smokers the prevalence of obstructive respiratory conditions was proportional to the level of environmental tobacco smoke, this secondhand smoke was not a factor in the frequency of such problems among current smokers. In a series of analyses restricted to never-smokers, each of the 219 index cases of obstructive respiratory disease was matched by age, gender, and neighborhood to three randomly selected controls where matching by neighborhood effectively controlled for ambient air pollution. Both matched and unmatched two-sample analyses showed a statistically significant difference (P = 0.019 and 0.016, respectively) between cases and controls with respect to the level of tobacco smoke in the indoor environment. A conditional logistic regression-matched analysis revealed that heating and cooking as sources of indoor air pollution were not associated with the case/control status. However, the odds ratio for passive smoking at a level of more than one pack per day in the house environment was 1.86 (95% CI, 1.21-2.86). The results show that passive smoking is a significant risk factor for obstructive respiratory disease for never-smokers in an industrialized urban population. (C) 1994 Academic Press, Inc.