Abstract：Objective To quantitatively study the correlation between deaths due to respiratory diseases and tobacco exposure in population so as to provide a scientific basis for tobacco prevention and control. Methods Data from the database concerning monitoring of chronic diseases and their risk factors in 2015 were used as the baseline data. We actively performed follow-up of respiratory diseases and related general information among people over 40 years old in Cixi region, Zhejiang Province from 2016 to 2019. Attribution analysis and Cox proportional hazard model were used for statistical correlation analysis, and the population attributable risk percent (PAR%) and the hazard ratio (HR) of the tobacco-exposed population were obtained. Results From 2016 to 2019, the total mortality rate of respiratory diseases in Cixi, Zhejiang was 117.96/100,000, and the mortality rate was higher in males (148.86/100,000) than in females (87.07/100,000), showing a statistically significant difference (P=0.015). Among the diseases of respiratory system, PAR% of chronic obstructive pulmonary diseases (COPD) was 69.48% which was higher than those of other chronic respiratory diseases. The deaths from COPD and lower respiratory infections were positively correlated with tobacco exposure (P<0.05). Among the group aged 50-59 years, the risk of death in COPD increased by 13% for each 10-year increase in smoking index (HR=1.13, 95%CI: 1.08-1.24), and the risk of death in lower respiratory infections increased by 20% (HR=1.20, 95%CI:1.03-1.23). Conclusions Smoking is one of the main risk factors for the burden of respiratory diseases. Tobacco exposure has a clear correlation with death from respiratory diseases. The attributable risk percentage of COPD is the highest and should be given sufficient attention. The sensitivities of hazards from tobacco exposure among different gender and age populations are dissimilar; and hence, tobacco control work should be targeted.
戴晓, 董志君. 2016—2019年慈溪地区40岁以上人群呼吸系统疾病死亡与烟草暴露的相关性分析[J]. 实用预防医学, 2021, 28(1): 15-19.
DAI Xiao, DONG Zhi-jun. Correlation between deaths from respiratory diseases and tobacco exposure in people over 40 years old in Cixi region, 2016-2019. , 2021, 28(1): 15-19.
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