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Association of smoking with risk of stroke in middle-aged and older Chinese: Evidence from the China National Stroke Prevention Project

机译:中老年人吸烟与中风风险的关联:来自中国预防中风项目的证据

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Although the impacts of smoking on health are well established, it is unclear on how they affect the Chinese population aged ≥40 years. This study aimed to investigate the association between smoking and risk of stroke in middle-aged and older Chinese adults, based on the data from the China National Stroke Prevention Project. A community-based cross-sectional study with 12,704 (5681 men, 7023 women) Chinese adults aged ≥40 years was conducted to examine the association of smoking with stroke . Multivariable logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs). Among the study population, a total of 524 stroke survivors were identified. The age-adjusted prevalence of stroke was 4.06% for both sexes, 2.95% for women, and 5.38% for men. The multivariate-adjusted ORs (95% CI) of stroke associated with current cigarette smoking and former cigarette smoking were 1.67 (1.24–2.25) and 1.93 (1.29–2.87), respectively. Compared with those who were never-smokers, the multivariate-adjusted OR of stroke (95% CI) were 1.48 (0.96 to –2.29), 1.75 (1.20–2.56), and 2.37 (1.20 to –4.68) for those who smoked 1 to 10, 11 to 20, and ≥21 cigarettes per day; and 0.51 (0.19 to –1.42), 1.90 (1.36 to –2.67), and 2.01 (1.17 to –3.46) for those who smoked 1 to 19, 20 to 39, and ≥40 years, respectively (both P 60 years old, or without family history of stroke than their counterparts. This study suggests the increased odds of stroke in current cigarette smokers with a graded increase in prevalent risk that depended on how many cigarettes and how many years were smoked. Moreover, quitting smoking appears to decrease this excess risk substantially.
机译:尽管吸烟对健康的影响是众所周知的,但尚不清楚吸烟如何影响≥40岁的中国人口。这项研究的目的是根据中国预防中风项目的数据,调查中国中老年人吸烟与中风风险之间的关系。一项基于社区的横断面研究对12岁以上40岁以上的中国成年人进行了研究,调查了12704名(5681名男性,7023名女性)吸烟与中风的关系。多变量逻辑回归用于计算比值比(OR)和95%置信区间(CIs)。在研究人群中,总共鉴定出524名中风幸存者。年龄调整后的中风患病率,男女均为4.06%,女性为2.95%,男性为5.38%。与当前吸烟和以前吸烟相关的中风的多元校正OR(95%CI)分别为1.67(1.24–2.25)和1.93(1.29–2.87)。与不吸烟者相比,吸烟者的中风多元校正后OR(95%CI)为1.48(0.96至–2.29),1.75(1.20–2.56)和2.37(1.20至–4.68)每天10到11到20支和≥21支香烟;吸烟年龄分别为1至19岁,20至39岁和40岁以上(均为P 60岁)的人分别为0.51(0.19至–1.42),1.90(1.36至–2.67)和2.01(1.17至–3.46)。这项研究表明,当前卷烟吸烟者的中风几率增加,流行风险的分级升高取决于卷烟的数量和吸烟年数。大大增加了风险。

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