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Laryngeal pathologies in older Korean adults and their association with smoking and alcohol consumption

机译:韩国老年人的喉部病变及其与吸烟和饮酒的关系

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摘要

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], 1.01-4.67). 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, 1.22-8.88). Conclusions: Smoking and alcohol consumption may increase the risk of laryngeal diseases in later life.
机译:目的/假设:这项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年韩国国民健康与营养检查调查。研究对象为完成喉镜检查的65岁至84岁之间的663位老年人(261位男性和402位女性)。通过人口统计学特征,吸烟,饮酒,体重指数和自我报告的语音问题比较了喉部病理的加权患病率。进行了多个逻辑回归分析,以研究吸烟和饮酒对喉部病变的独立影响以及综合影响。结果:65岁至84岁的韩国老年人的喉部病变患病率为8.1%。喉部病变的患病率随年龄增长而增加,在男性,初中和高中毕业生,体力劳动者,现吸烟者,现饮酒者以及有自我报告的声音问题的人群中,患病率更高。调整协变量后,与不吸烟者相比,当前吸烟者更容易出现喉部病变(优势比[OR]为2.18; 95%置信区间[CI]为1.01-4.67)。当前的饮酒与喉部疾病没有独立的关系。但是,同时吸烟和饮酒与喉部病变的风险显着相关(OR,3.29; 95%CI,1.22-8.88)。结论:吸烟和饮酒可能增加以后患喉疾病的风险。

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