The association between smoking or passive smoking and cardiovascular diseases using a Bayesian hierarchical model: based on the 2008-2013 Korea Community Health Survey.
The association between smoking or passive smoking and cardiovascular diseases using a Bayesian hierarchical model: based on the 2008-2013 Korea Community Health Survey.
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DOI：
10.4178/epih.e2017026
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发表时间：
2017
影响因子：
3.8
通讯作者：
Kim H
中科院分区：
文献类型：
--
作者：
Lee W;Hwang SH;Choi H;Kim H
吸烟和被动吸烟已被广泛报道为心血管发病率和死亡率的危险因素。尽管烟草中所含有害化学物质对心血管疾病（CVD）的影响存在生物学机制，但调查吸烟和被动吸烟与发病率之间关系的研究在韩国尚处于初级阶段。因此，本研究旨在评估吸烟和被动吸烟对国家和地区心血管发病率的风险。本研究利用2008-2013年韩国社区健康调查数据，计算了韩国253个社区卫生中心（si/gun/gu）的性别标准化和年龄标准化CVD患病率和吸烟指数。此外，贝叶斯层次模型用于估计吸烟和被动吸烟与国家和地区社区卫生中心心血管疾病患病率的关系。在全国范围内，吸烟与卒中（相对危险度[RR]， 1.060）和高血压（相对危险度[RR]， 1.016）患病率显著相关，而家庭和工作场所被动吸烟与卒中（相对危险度，1.037/1.013）、心绞痛（相对危险度，1.016/1.006）、高血压（相对危险度，1.010/1.004）患病率也显著相关。此外，吸烟和被动吸烟的影响在城市工业地区比在农村地区更大。这项研究的结果将为限制吸烟和被动吸烟的国家政策提供依据，并为心血管疾病高易感性人群的区域特定医疗保健政策提供依据。
Smoking and passive smoking have been extensively reported as risk factors of cardiovascular morbidity and mortality. Despite the biological mechanisms underlying the impact of hazardous chemical substances contained in tobacco in cardiovascular diseases (CVD), studies investigating the association between smoking and passive smoking with morbidity are at an inchoate stage in Korea. Therefore, this study aimed to estimate the risks of smoking and passive smoking on cardiovascular morbidity at the national and regional levels. This study calculated sex-standardized and age-standardized prevalence of CVD and smoking indices in 253 community health centers (si/gun/gu) in Korea using the 2008-2013 Korea Community Health Survey data. Furthermore, a Bayesian hierarchical model was used to estimate the association of smoking and passive smoking with the prevalence of CVD from the national and regional community health centers. At the national level, smoking was significantly associated with stroke (relative risk [RR], 1.060) and hypertension (RR, 1.016) prevalence, whilst passive smoking at home and work were also significantly associated with prevalence of stroke (RR, 1.037/1.013), angina (RR, 1.016/1.006), and hypertension (RR, 1.010/1.004). Furthermore, the effects of smoking and passive smoking were greater in urban-industrial areas than in rural areas. The findings of this study would provide grounds for national policies that limit smoking and passive smoking, as well as regionally serve as the basis for region-specific healthcare policies in populations with high CVD vulnerability.