湘潭市城区居民咀嚼槟榔情况及其对健康的影响  

Study on Chewing Areca-nut and Its Health Effects Among Urban Residents of Xiangtan

作　　者：萧福元[1] 桂卓嘉[1] 袁晟[1] 周雪梅 刘自伟 

机构地区：[1]湖南省湘潭市疾病预防控制中心,湖南湘潭411100 [2]湘潭市卫生监督所 [3]湖南省槟榔食品行业协会

出　　处：《实用预防医学》2010年第10期1943-1946,共4页Practical Preventive Medicine

摘　　要：目的了解湘潭市城区居民咀嚼槟榔及其对健康的影响。方法按照分区整群抽样原则,随机抽取雨湖区平政街道、岳塘区社建村街道的1岁以上户籍居民、以及居住1年以上的常住居民为研究对象,采用现场调查和检查。结果居民咀嚼槟榔率为58.81%,男性高于女性（P〈0.01）;不论男女,咀嚼槟榔的年龄都以40岁年龄组为高峰（分别为72.73%与71.21%）,不同年龄组人群咀嚼率不同（P〈0.01）;警察、司机咀嚼率达到91%以上,远高于其他职业（P〈0.01）;50%的人每天咀嚼槟榔量为28.0470-54.3645 g;2006-2008年3年因口腔癌死亡18人,死亡率为0.70/10万-0.99/10万,居恶性肿瘤死因顺位10位以后;口腔粘膜下纤维性变（Oral submucous fibrosis,OSF）患病率为30.43%,与咀嚼槟榔时间、咀嚼槟榔量呈正相关关系（P〈0.05）。结论咀嚼槟榔与口腔癌的发生无明显关系,与OSF的发生有正相关关系。Objective To study the situation of chewing areca-nut and its health effects in the urban residents of Xiangtan.Methods With partition cluster sampling method,the household registration residents aged over 1-year and the residents lived local area over 1-year were randomly selected from Pingzheng Street of Yuhu District and Shejian Street of Yuetang District.All of them were surveyed by field-based investigation and examination.Results The rate of chewing areca-nut in the urban residents of Xiangtan was 58.81%,the areca-nut chewing rate of males was higher than that of females （P〈0.01）.The areca-nut chewing rates of the different age groups were different（P0.01）,and the areca-nut chewing rates of 40-year age group in males and females were the highest（72.73% and 71.21%,respectively）.The areca-nut chewing rates of policemen and drivers were both over 91%,which were both significantly higher than those of other occupations（P〈0.01）.50% of the residents chewed areca-nut each day,with the amount of 28.0470～54.3645 g.There were 18 death cases of oral cancer during the period of 2006～2008,with the mortality rate of 0.70/100,000～0.99/100,000, which was ranked 11th in the order of death causes of malignant tumors.The incidence rate of oral submucous fibrosis（OSF） was 30.43%,which was positively correlated with the time and quantity of chewing areca-nut（P〈0.05）. Conclusions No significant relationship is observed between chewing areca-nut and oral cancer in the urban residents of Xiangtan,but chewing areca-nut is positively correlated with the incidence of OSF.

关 键 词：槟榔 咀嚼率 口腔癌 口腔粘膜下纤维性变 

分 类 号：R155.5[医药卫生—营养与食品卫生学]