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首页> 外文期刊>International Journal of Environmental Research and Public Health >Tobacco Use and Cardiovascular Disease among American Indians: The Strong Heart Study
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Tobacco Use and Cardiovascular Disease among American Indians: The Strong Heart Study

机译：美洲印第安人的烟草使用和心血管疾病：强心研究

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Tobacco use among American Indians has a long and complicated history ranging from its utilization in spiritual ceremonies to its importance as an economic factor for survival. Despite this cultural tradition and long history, there are few studies of the health effects of tobacco in this population. The Strong Heart Study is a prospective observational study of cardiovascular disease (CVD) in 13 American Indian tribes in Arizona, Oklahoma, and North and South Dakota with 4,549 participants. Baseline examinations were followed by two examinations at regular intervals and 16 years of morbidity and mortality follow-up. Hazard ratios (HRs) for non-fatal CVD for current smokers vs. non-smokers after adjusting for other risk factors were significant in women (HR = 1.94, 95% CI 1.54 to 2.45) and men (HR = 1.59, 95% CI 1.16 to 2.18). Hazard ratios for fatal CVD for current smokers vs. non-smokers after adjusting for other risk factors were significant in women (HR = 1.64, 95% CI 1.04 to 2.58), but not in men. Individuals who smoked and who were diagnosed with diabetes mellitus, hypertension or renal insufficiency were more likely to quit smoking than those without these conditions. On average, American Indians smoke fewer cigarettes per day than other racial/ethnic groups; nevertheless, the ill effects of habitual tobacco use are evident in this population.
机译：在美洲印第安人中使用烟草具有悠久而复杂的历史，从其在精神仪式中的利用到其作为生存的经济因素的重要性，不一而足。尽管具有这种文化传统和悠久的历史，但很少有人研究烟草对该人群的健康影响。强心研究是一项前瞻性观察性研究，研究了亚利桑那州，俄克拉荷马州，北达科他州和南达科他州的13个美洲印第安部落的4,549名参与者。在进行基线检查之后，定期进行两次检查，并进行16年的发病率和死亡率随访。调整其他危险因素后，当前吸烟者与非吸烟者非致命性CVD的危险比（HRs）在女性（HR = 1.94，95％CI 1.54至2.45）和男性（HR = 1.59，95％CI）中均显着1.16至2.18）。调整其他危险因素后，当前吸烟者与非吸烟者的致命CVD危险比在女性中显着（HR = 1.64，95％CI 1.04至2.58），而在男性中则不然。与没有这些条件的人相比，吸烟的人和被诊断出患有糖尿病，高血压或肾功能不全的人更容易戒烟。平均而言，美洲印第安人每天吸烟量少于其他种族/族裔群体。但是，在该人群中，习惯吸烟的不良影响显而易见。

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