Laryngeal pathologies in older Korean adults and their association with smoking and alcohol consumption
Laryngeal pathologies in older Korean adults and their association with smoking and alcohol consumption
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DOI：
10.1002/lary.23603
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发表时间：
2013-02-01
期刊：
影响因子：
2.6
通讯作者：
Lee, Yunhwan
中科院分区：
文献类型：
--
作者：
Byeon, Haewon;Lee, Yunhwan
目的/假设：本研究的目的是评估韩国老年人喉部病变的患病率，并研究吸烟和饮酒与喉部疾病的关系。研究设计：横断面研究。方法：数据来自2008年韩国国家健康和营养检查调查。受试者为663名年龄在65岁至84岁之间的老年人（261名男性和402名女性），他们完成了喉镜检查。喉部病变的加权患病率通过人口统计学特征、吸烟、饮酒、体重指数和自我报告的声音问题进行比较。多元逻辑回归分析进行检查的独立以及合并吸烟和饮酒对喉病变的影响。结果：65 ~ 84岁韩国老年人喉部疾病的患病率为8.1%。喉部病变的患病率随着年龄的增长而增加，在男性、初中和高中毕业生、体力劳动者、当前吸烟者、当前饮酒者和自我报告有声音问题的人中更高。调整协变量后，与不吸烟者相比，目前吸烟者更可能患有喉部病变（比值比[OR]，2.18; 95%置信区间[CI]，1.014.67）。目前饮酒与喉部疾病无关。然而，同时吸烟和饮酒与喉部病变的风险显著升高相关（OR，3.29; 95%CI，1.228.88）。结论：吸烟和饮酒可能会增加晚年喉部疾病的风险。
Objectives/Hypothesis: This study's objectives were to assess the prevalence rate of laryngeal pathologies in the Korean elderly, and to examine the association of smoking and alcohol consumption with laryngeal diseases. Study Design: Cross-sectional study. Methods: Data were from the 2008 Korea National Health and Nutritional Examination Survey. Subjects were 663 elderly persons (261 men and 402 women) between the ages of 65 and 84 years who completed the laryngoscopic examination. Weighted prevalence of laryngeal pathologies was compared by demographic characteristics, smoking, alcohol drinking, body mass index, and self-reported voice problems. Multiple logistic regression analyses were conducted to examine the independent as well as combined influence of smoking and alcohol consumption on laryngeal lesions. Results: The prevalence of laryngeal pathologies in the Korean elderly between the ages of 65 and 84 years was 8.1%. The prevalence of laryngeal lesions increased with age and was higher among men, middle school and high school graduates, manual workers, current smokers, current alcohol drinkers, and those with self-reported voice problems. Adjusting for covariates, current smokers, compared with nonsmokers, were more likely to have laryngeal pathologies (odds ratio [OR], 2.18; 95% confidence interval [CI], 1.014.67). Current alcohol drinking was not independently associated with laryngeal diseases. Concurrent smoking and alcohol drinking, however, were associated with a significantly higher risk of laryngeal pathologies (OR, 3.29; 95% CI, 1.228.88). Conclusions: Smoking and alcohol consumption may increase the risk of laryngeal diseases in later life.