Systematic review of cigar smoking and all cause and smoking related mortality.
Systematic review of cigar smoking and all cause and smoking related mortality.
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DOI：
10.1186/s12889-015-1617-5
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发表时间：
2015-04-24
影响因子：
4.5
通讯作者：
Apelberg BJ
中科院分区：
文献类型：
--
作者：
Chang CM;Corey CG;Rostron BL;Apelberg BJ
鉴于自 20 世纪 60 年代以来美国和其他地区雪茄使用模式的变化，雪茄日益成为公共卫生问题。我们对已发表的有关当前吸雪茄以及全因和特定原因死亡风险的研究进行了系统回顾，为潜在的监管方法和未来的研究提供信息，以加强证据体系。通过使用 3 个不同的数据库和手工检索，我们确定了 2014 年 6 月之前发表的流行病学研究，这些研究检查了吸雪茄与全因死亡率和吸烟相关死亡率之间的关联。从每项选定的研究中提取或计算详细的研究特征以及关联级别特征，包括效果估计和 95% 置信区间。共确定了来自 16 个不同前瞻性队列的 22 项研究。原发性吸雪茄（目前只吸雪茄，以前没有吸过香烟或烟斗史）与全因死亡率、口腔癌、食道癌、胰腺癌、喉癌、肺癌、冠心病（CHD）和主动脉瘤有关。观察到口腔癌、食道癌、喉癌和肺癌的每日雪茄剂量和主要吸雪茄吸入水平的强烈趋势。在报告没有吸入雪茄的主要吸烟者中，口腔癌、食道癌和喉癌的相对死亡风险仍然很高。总之，吸雪茄会带来许多与吸香烟相同的健康风险。吸雪茄的死亡风险因每天吸雪茄和吸入水平所测量的暴露水平而异，可能与吸雪茄一样高或超过吸雪茄。未来的研究将加强证据体系，这些研究重点关注初级吸雪茄对健康的影响，并纳入更多当代和多样化的研究人群，以更好地反映美国当前的雪茄使用模式。理想情况下，这些研究还将收集有关雪茄类型、暴露水平以及暴露和潜在危害的生物标志物的详细信息。本文的在线版本 (doi:10.1186/s12889-015-1617-5) 包含补充材料，可供授权用户使用。
Cigars are a growing public health concern, given the changes in cigar use patterns in the US and elsewhere since the 1960s. We conducted a systematic review of published studies on current cigar smoking and all-cause and cause-specific mortality risks to inform potential regulatory approaches and future research that would strengthen the body of evidence. Using 3 different databases and handsearching, we identified epidemiological studies published prior to June 2014 that examined the association between cigar smoking and all-cause mortality and smoking-related mortality. Detailed study characteristics as well as association-level characteristics, including effect estimates and 95% confidence intervals, were abstracted or calculated from each selected study. A total of 22 studies from 16 different prospective cohorts were identified. Primary cigar smoking (current, exclusive cigar smoking with no history of previous cigarette or pipe smoking) was associated with all cause-mortality, oral cancer, esophageal cancer, pancreatic cancer, laryngeal cancer, lung cancer, coronary heart disease (CHD), and aortic aneurysm. Strong dose trends by cigars per day and inhalation level for primary cigar smoking were observed for oral, esophageal, laryngeal, and lung cancers. Among primary cigar smokers reporting no inhalation, relative mortality risk was still highly elevated for oral, esophageal, and laryngeal cancers. In summary, cigar smoking carries many of the same health risks as cigarette smoking. Mortality risks from cigar smoking vary by level of exposure as measured by cigars per day and inhalation level and can be as high as or exceed those of cigarette smoking. The body of evidence would be strengthened by future studies that focus on the health effects of primary cigar smoking and incorporate more contemporary and diverse study populations to better reflect the current patterns of cigar use in the US. Ideally, these studies would also collect detailed information on cigar type, exposure level, and biomarkers of exposure and potential harm. The online version of this article (doi:10.1186/s12889-015-1617-5) contains supplementary material, which is available to authorized users.
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影响因子：
6.3
作者：
Haheim, LL;Holme, I;Leren, P
通讯作者：
Leren, P
影响因子：
120.7
作者：
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通讯作者：
FREEMAN, DH
影响因子：
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作者：
DOLL, R;PETO, R
通讯作者：
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影响因子：
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作者：
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通讯作者：
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在美国青年，年轻人和成年人中，偏爱调味雪茄品牌。
影响因子：
5.2
作者：
Delnevo CD;Giovenco DP;Ambrose BK;Corey CG;Conway KP
通讯作者：
Conway KP