Smoking prevalence, smoking-related lung diseases, and national tobacco control legislation
Smoking prevalence, smoking-related lung diseases, and national tobacco control legislation
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DOI：
10.1378/chest.126.6.1825
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发表时间：
2004-12-01
期刊：
影响因子：
9.6
通讯作者：
Rantanen, J
中科院分区：
文献类型：
--
作者：
Heloma, A;Nurminen, M;Rantanen, J
目的：对吸烟率进行回顾、统计，分析国家控烟法规的实施是否与吸烟率有关。设计：吸烟患病率(1960-2000)。肺癌发病率(1980年至2000年)和呼吸系统疾病死亡率(1980年至1998年)是从芬兰国家调查和登记中获得的。结果：从1960年到2000年，男性每日吸烟率从58年持续下降到289；c。1965年至1971年间，男性肺癌发病率仍在上升，但自1971年以来，从每10万人中有80人下降到32人。在研究期间，男性呼吸道疾病死亡率急剧下降。从1960年到1973年。女性吸烟率从12%上升到20%。在1975年提出烟草控制法案时。增幅趋于平稳，女性吸烟率略有下降。但在1985年后再次上升，保持在20%。女性肺癌发病率在整个研究期间呈上升趋势，但曲线的梯度在20世纪80年代有所下降。结论：国家立法行动与女性吸烟流行率从线性上升到平台期的变化有关。目前的研究结果表明，吸烟流行率的降低与肺癌的发生之间存在着非常强的相关性。
Objectives: To reviews, statistics on smoking prevalence and to analyze whether the implementation of national tobacco control legislation had an association with the prevalence of smoking. and thereby, with the occurrence of smoking-related lung diseases.Design: Smoking prevalence rates (from 1960 to 2000). lung cancer incidence rates (from 1980 to 2000), and respiratory disease mortality rates (from 1980 to 1998) were obtained from Finnish national survey's and registers. Regression models with 20-year lag times for disease occurrence were applied in the statistical analysis.Results: Daily smoking prevalence among men decreased continuously from 58 to 289;c in the period from 1960 to 2000. Between 1965 and 1971, male lung cancer incidence as still on the increase, but from 1971 it decreased from 80 to 32 per 100,000 men. The male respiratory disease mortality rate declined steeply during the study period. From 1960 to 1973. women's smoking prevalence increased from 12 to 20%. At the introduction of the tobacco control bill in 1975. the increase leveled off and female smoking prevalence slightly decreased. but then rose again after 1985 to remain at 20%. Lung cancer incidence among women increased throughout the study period, but the gradient of the curve lowered in the 1980s.Conclusions: National legislative actions were found to be associated with a change in smoking prevalence among women from a linear rise to a plateau. The results of the present study showed a very strong association between reduced smoking prevalence and the occurrence of lung cancer.