香港结核病与吸烟调查

被引：6

作者：

C.C.Leung

C.K.Chan

C.M.Tam

K.C.Chang

C.H.Chau

W.S.Law

W.W.Yew

C.H.Chau

C.W.Lam

K.S.Lau

贺晓新

机构：

[1] TBandchestService,DepartmentofHealth,HongKong,TBandchestService,DepartmentofHealth,HongKong,TBandchestService,DepartmentofHealth,HongKong,TBandchestService,DepartmentofHealth,HongKong,TBandchestService,DepartmentofHealth,HongKong,TBandchestService,Departme

来源：

结核与肺部疾病杂志(中文版) | 2003年 / 04期

关键词：

吸烟; 结核病; 男性; 年长者;

D O I：

暂无

中图分类号：

R52 [结核病];

学科分类号：

摘要：

目的:了解在香港人群中吸烟与结核病的联系。方法:利用间接调整法比较1996年报告登记的851例结核病人样本与一般人群的吸烟率。并利用分层单因素分析和多元logisitc回归分析方法比较了曾吸烟者与不吸烟者的临床特征。结果:与人群对照相比,结核病人的吸烟率较高。在16-64岁组,吸烟与结核病之间的比值比(OR)在男性和女性分别为2.44和2.08(Mantel-Haenszel加权OR=2.40,P<0.001);在65岁以上组,则分别为 2.09和2.83(Mantel-Haenszel加权 OR=2.19,P<0.001)。男性、65岁以上、发病时仍在工作、经常饮酒、吸毒以及无结核病接触史等与吸烟有关(P<0.05)。曾吸烟者的咳嗽比例高(OR=1.69)、容易憋气(OR=1.84)、上肺区受累多(OR=1.67)、易发空洞(OR=1.76)和粟粒性肺结核(OR=2.77)以及痰菌培养阳性的概率较大(OR=1.43),但发生孤立肺外结核病的机会要小(OR=0.31),即使控制了背景因素的混杂作用后也如此(P<0.05)。结论:吸烟与结核病有关。严重类型的肺结核多见于曾吸烟者。

引用

页码：133 / 138

页数：6

共 6 条

[1] Tuberculosis in Older People: A Retrospective and Comparative Study from Hong Kong[J] . Chi C.Leung,Wing W.Yew,Chi K.Chan,Chi H.Chau,Cheuk M.Tam,Chak W.Lam,Wai O.Tam,Kam S.Lau,Wai T.Liu.Journal of the American Geriatrics Society . 2002 (7)
[2] Screening for tuberculosis upon admission to shelters and free-meal services
Solsona, J
Caylà, JA
Nadal, J
Bedia, M
Mata, C
Brau, J
Maldonado, J
Milà, C
Alcaide, J
Altet, N
Galdós-Tangüis, H
[J]. EUROPEAN JOURNAL OF EPIDEMIOLOGY, 2001, 17 (02) : 123 - 128
[3] Biomass cooking fuels and prevalence of tuberculosis in India[J] . Vinod K. Mishra,Robert D. Retherford,Kirk R. Smith.International Journal of Infectious Diseases . 1999 (3)
[4] Emerging Tobacco Hazards in China: 1. Retrospective Proportional Mortality Study of One Million Deaths[J] . Bo-Qi Liu,Richard Peto,Zheng-Ming Chen,Jillian Boreham,Ya-Ping Wu,Jun-Yao Li,T. Colin Campbell,Jun-Shi Chen.BMJ: British Medical Journal . 1998 (7170)
[5] Passive smoking and risk of pulmonary tuberculosis in children immediately following infection. A case-control study[J] . M.N. Altet,J. Alcaide,P. Plans,J.L. Taberner,E. Saltó,Ll. Folguera,Ll. Salleras.Tubercle and Lung Disease . 1996 (6)
[6] Mortality In Relation To Smoking: 40 Years' Observations On Male British Doctors[J] . Richard Doll,Richard Peto,Keith Wheatley,Richard Gray,Isabelle Sutherland.BMJ: British Medical Journal . 1994 (6959)

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