Symptoms of cough and shortness of breath among occasional young adult smokers
Symptoms of cough and shortness of breath among occasional young adult smokers
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DOI：
10.1093/ntr/ntp015
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发表时间：
2009-02-01
影响因子：
4.7
通讯作者：
Ahluwalia, Jasjit S.
中科院分区：
文献类型：
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作者：
An, Lawrence C.;Berg, Carla J.;Ahluwalia, Jasjit S.
认为吸烟对健康有负面影响是戒烟的常见动机，但关于年轻人偶尔吸烟对健康的直接影响的具体信息有限。为了研究吸烟与年轻人经常活动后的症状（a）咳嗽或喉咙痛和（B）呼吸急促或疲劳之间的关系，我们对随机抽样的25名年轻人进行了在线健康筛查，000名大学生。筛查调查评估了人口统计学特征、吸烟和相关健康行为以及过去30天内的呼吸道症状，应答率为26%（6，492/25，000）。在报告前30天不吸烟和1-4，5-10，11-20或21-30天吸烟的个体中，一天或多天咳嗽/咽喉痛的患病率分别从62.5%增加到68.3%，72.0%，71.4%和73.7%（p <0.001）。同样，呼吸短促/疲劳的患病率分别从42.7%增加到47.1%、56.2%、59.5%和64.6%（p < .001）。在控制人口统计学之后，其他重要的健康行为（例如，饮酒和睡眠充足的天数）和环境烟草烟雾（ETS）暴露，报告咳嗽/咽喉痛症状与吸烟至少21天相关，而呼吸急促/疲劳与吸烟5天或以上相关。在那些报告症状的人中，呼吸道症状天数的增加与大多数日子吸烟以及ETS暴露有关。总之，这项横断面研究发现，偶尔吸烟和ETS暴露与年轻人呼吸道症状（咳嗽/喉咙痛和呼吸急促/疲劳）的发生率增加有关。
The perception of negative health consequences is a common motive for quitting smoking, but specific information on the immediate health effects of occasional smoking among young adults is limited.To examine the relationship between cigarette use and symptoms of (a) cough or sore throat and (b) shortness of breath or fatigue after regular activities among young adults, we performed online health screening of a random sample of 25,000 college undergraduates. The screening survey assessed demographic characteristics, smoking and related health behaviors, and respiratory symptoms in the previous 30 days.The response rate was 26% (6,492/25,000). Among individuals reporting no smoking in the prior 30 days and smoking on 1-4, 5-10, 11-20, or 21-30 days, the prevalence of one or more days of cough/sore throat increased from 62.5% to 68.3%, 72.0%, 71.4%, and 73.7%, respectively (p < .001). Similarly, the prevalence of shortness of breath/fatigue increased from 42.7% to 47.1%, 56.2%, 59.5%, and 64.6%, respectively (p < .001). After controlling for demographics, other important health behaviors (e.g., days consuming alcohol and getting adequate sleep), and environmental tobacco smoke (ETS) exposure, reporting symptoms of cough/sore throat was associated with smoking on at least 21 days, whereas shortness of breath/fatigue was associated with smoking on 5 or more days. Among those reporting symptoms, increased number of days with respiratory symptoms was associated with smoking on most days as well as ETS exposure.In conclusion, this cross-sectional study found that occasional smoking and ETS exposure were associated with an increase in the rate of respiratory symptoms (cough/sore throat and shortness of breath/fatigue) among young adults.