论文部分内容阅读
目的 :香港的卷烟消费比中国内地早 2 0年达到高峰 ,我们旨在研究香港当前与吸烟有关的死亡数字并预测中国内地 2 0年后的情况。设计 :病例对照研究。收集 1998年香港成年人死亡病例的既往吸烟习惯资料 ,由为死者登记死亡的人提供。地点 :香港的所有死亡登记处。参加者 :2 75 0 7死亡病例 (占所有登记死亡的81% )及 13 0 5 4生存对照 ;年龄≥ 3 5岁。主要结果测定指标 :总死亡及个别疾病死亡的风险比率。结果 :在 3 5～ 69岁男性 ,吸烟者比不吸烟者的调整后风险比率 ( 95 %可信区间 )是 :总死亡1 92 ( 1 70～ 2 16) ;总肿瘤死亡 2 2 2 ( 1 94～2 5 5 ) ;呼吸系统疾病 (含肺结核 ,风险比率 2 5 4 )死亡 2 60 ( 2 10～ 3 2 1) ;血管系统疾病死亡 1 68( 1 4 3～ 1 97) ;各项P值均 <0 0 0 0 1。在 3 5～ 69岁女性 ,以上各项风险比率是 :总死亡 1 62 ( 1 4 0～ 1 88) ;肿瘤死亡 1 60 ( 1 3 3～ 1 93 ) ;呼吸系统疾病死亡 3 13 ( 2 2 1～ 4 4 4 ) ;血管系统疾病死亡1 5 5 ( 1 2 0～ 1 99) ;各项P值均 <0 0 0 1。如果以上死亡与吸烟的关系全部或大部分是因果关系 ,那么 ,在 3 5～ 69岁所有已登记的死亡病例中 ,3 3 %男性死亡 ( 2 5 3 4 / 75 88)是由吸烟导致 ,女性为5 % ( 169/ 3 3 4 1)。此年龄组
PURPOSE: Hong Kong’s cigarette consumption has peaked by 20 years earlier than in mainland China. We aim to study the current smoking-related deaths in Hong Kong and predict the situation in Mainland China after 20 years. Design: Case-control study. Data on previous smoking habits of adult deaths in Hong Kong in 1998 were collected from those who registered deaths for the deceased. Location: All death registries in Hong Kong. Participants: 2 75 0 7 deaths (81% of all registered deaths) and 13 0 5 4 survivors; age ≥ 3 5 years. MAIN OUTCOME MEASUREMENT INDICATORS: Risk ratio of total deaths and deaths from individual diseases. Results: Adjusted risk ratios (95% confidence interval) for smokers from non-smokers aged 35 to 69 years were: total deaths of 1 92 (1 70 to 2 16); total tumor deaths of 2 2 2 (1 94 ~ 25 5 ) ; Respiratory diseases (including tuberculosis, risk ratio 2 5 4 ) 2 60 (2 10 - 3 2 1) deaths; vascular system disease deaths 1 68 ( 143 to 197); various P The values are <0 0 0 0 1. Among the 35-69-year-old women, the above risk ratios were: total deaths of 1 62 (140 to 188); tumor deaths of 1 60 (133 to 193); and respiratory disease deaths of 3 13 (2 of 2). 1 4 4 4 4 ); vascular system disease death 1 5 5 (120 ~ 1 99); each P value is <0 0 0 1. If all or most of the above-mentioned relationship between death and smoking is a causal relationship, among all registered deaths between ages 35 and 69, 33% of male deaths (2 5 3 4 / 75 88) are caused by smoking. The female is 5% (169/ 3 3 4 1). This age group