Association of Husband Smoking With Wife's Hypertension Status in Over 5 Million Chinese Females Aged 20 to 49 Years.
Association of Husband Smoking With Wife's Hypertension Status in Over 5 Million Chinese Females Aged 20 to 49 Years.
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超过500万中国20至49岁女性中丈夫吸烟与妻子高血压状况的关系。
DOI：
10.1161/jaha.116.004924
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发表时间：
2017-03-20
影响因子：
5.4
通讯作者：
Ma X
中科院分区：
文献类型：
--
作者：
Yang Y;Liu F;Wang L;Li Q;Wang X;Chen JC;Wang Q;Shen H;Zhang Y;Yan D;Zhang M;He Y;Peng Z;Wang Y;Xu J;Zhao J;Zhang Y;Zhang H;Xin X;Wang Y;Liu D;Guo T;Dai Q;Ma X
二手烟，尤其是丈夫吸烟对妻子高血压的影响尚未得到很好的研究。本研究的目的是评估20至49岁女性中丈夫吸烟与妻子高血压的关系。本研究纳入了2014年在中国31个省份开展的国家免费孕前检查项目中的5 027 731名女性沿着她们的丈夫。通过标准问卷收集吸烟/被动吸烟状况，并在休息10分钟后通过电子设备测量血压。根据夫妻吸烟状况、丈夫吸烟量和丈夫吸烟累积暴露量估计女性高血压的比值比及其相应的95% CI。与不吸烟组相比，仅丈夫组、仅妻子组和混合组女性高血压的多变量校正比值比分别为1.28（1.27-1.30）、1.53（1.30-1.79）和1.50（1.36-1.67）。此外，患高血压的风险与丈夫吸烟量和累积暴露量有关。例如，与不吸烟者相比，多变量调整的比值比为1.22（1.19-1.25）、1.24（1.21-1.26）、1.32（1.26-1.37）、1.37（1.34-1.41），（1.64-1.87）（P <0.001）。亚组分析发现了相似的结果。丈夫吸烟与女性高血压患病率相关。以家庭为基础的吸烟限制策略可以减少男性吸烟，改善女性高血压控制。
The effect of second‐hand smoking, especially husband smoking, on wife's hypertension has not been well studied. The current study was aimed to assess the association of husband smoking with wife's hypertension among females aged 20 to 49 years. This study included 5 027 731 females along with their husbands from the National Free Pre‐pregnancy Checkup Projects conducted across 31 provinces in China in 2014. Smoking/passive smoking status was collected by a standard questionnaire and blood pressure was measured by an electronic device after 10 minutes rest. Odds ratios and their corresponding 95% CIs for female hypertension were estimated according to smoking status of husband and wife, husbands' smoking amount, and cumulative exposure to husband smoking. Compared with neither‐smoker group, the multivariable‐adjusted odds ratio for female hypertension was 1.28 (1.27–1.30), 1.53 (1.30–1.79), and 1.50 (1.36–1.67) in husband‐only, wife‐only, and mixed group, respectively. Furthermore, a higher risk of having hypertension was associated with amount and cumulative exposure of husband smoking. For example, compared with neither‐smoker, the multivariate‐adjusted odds ratio was 1.22 (1.19–1.25), 1.24 (1.21–1.26), 1.32 (1.26–1.37), 1.37 (1.34–1.41), and 1.75 (1.64–1.87) for females whose husband smoked 1 to 5, 6 to 10, 11 to 15, 16 to 20, and ≥21 cigarettes per day, respectively (P for trend<0.001). Subgroup analyses identified similar results. There were associations of husband smoking with female hypertension prevalence. A family‐based smoking restriction strategy may reduce smoking in males and improve hypertension control in females.