Smoking Prevalence among US Veterans
Smoking Prevalence among US Veterans
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DOI：
10.1007/s11606-009-1160-0
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发表时间：
2010-02-01
影响因子：
5.7
通讯作者：
Brown, David W.
中科院分区：
文献类型：
--
作者：
Brown, David W.
背景/目的：吸烟是美国军队中一个重要的健康问题。2003-2007年行为风险因素监测系统（BRFSS）的数据被用来估计和比较美国退伍军人与未在美国武装部队服役的成年人的吸烟患病率。来自BRFSS的数据，这是一项由疾病控制和预防中心支持的基于州的随机数字拨号电话调查，用于估计报告曾在美国武装部队服役的成年人（年龄≥ 18岁）当前吸烟的流行率。我们比较了出生队列，年龄调整后的吸烟患病率退伍军人与成年人谁没有在military.RESULTS：共224,169美国退伍军人参加了2003-2007年。在此期间，退伍军人的年龄调整吸烟率为27.0%（标准误为0.36），非退伍军人为21%（0.12）。对于这两个群体，患病率逐年下降，退伍军人从2003年的29%（0.79）下降到2007年的25%（0.82），非退伍军人从2003年的23%（0.29）下降到2007年的20%（0.26）。在退伍军人中，1975-1984年出生的男性吸烟率最高（36%; 90%CI=33.7-37.5）和1985-1989年出生的人（37%; 90%CI=31.7-48.2），1945-1954年出生的男性患病率较低（26%; 90%CI=25.1-26.3），1955-1964年（33%; 90%CI= 32.3-34.3）和1965-1974年（27%; 90%CI=26.0-28.1）。吸烟率为43%自报患有冠心病（CHD）的退伍军人（90%CI=39.0-47.6），大于患有CHD的非退伍军人（31%; 90%CI=28.6-33.1）。尽管美国成年人的吸烟率有所下降，但仍有机会进一步减少美国退伍军人的吸烟率，特别是年轻的退伍军人，他们的吸烟率与20世纪60年代末/70年代初的美国成年人相似。有必要继续开展工作，以针对冠心病退伍军人的高吸烟率，这是一个戒烟特别重要的群体。
BACKGROUND/OBJECTIVE: Cigarette smoking is a significant health problem within the US military. Data from the 2003-2007 Behavioral Risk Factor Surveillance System (BRFSS) were used to estimate and compare the prevalence of smoking among US veterans with that of adults who did not serve in the US armed forces.METHODS: Data from the BRFSS, a state-based random-digit dialed telephone survey supported by the Centers for Disease Control and Prevention, were used to estimate the prevalence of current smoking among adults (aged >= 18 years) who reported ever serving on active duty in the United States Armed Forces. We compared, by birth cohort, age-adjusted smoking prevalence among veterans with that of adults who did not serve in the military.RESULTS: A total of 224,169 US veterans participated during 2003-2007. The age-adjusted prevalence of smoking during the period was 27.0% (standard error, 0.36) among veterans and 21% (0.12) among non-veterans. For both groups, the prevalence decreased across years from 29% (0.79) in 2003 to 25% (0.82) in 2007 among veterans and from 23% (0.29) in 2003 to 20% (0.26) in 2007 among non-veterans. Among veterans, smoking prevalence was highest among men born between 1975-1984 (36%; 90%CI=33.7-37.5) and those born between 1985-1989 (37%; 90%CI=31.7-48.2) with lower prevalences among men born between 1945-1954 (26%; 90%CI=25.1-26.3), 1955-1964 (33%; 90%CI= 32.3-34.3), and 1965-1974 (27%; 90%CI=26.0-28.1). The prevalence of smoking was 43% (90%CI=39.0-47.6) among veterans with self-reported coronary heart disease (CHD), greater than that for non-veterans with CHD (31%; 90%CI=28.6-33.1).CONCLUSIONS: Although the prevalence of smoking has declined among US adults, there are opportunities to further reduce smoking among US veterans, particularly young veterans for whom the prevalence of smoking is similar to that of the US adult population during the late 1960s/early 1970s. Continued work is necessary to target the high smoking prevalence among veterans with CHD, a group for which smoking cessation is especially important.