某烟草种植县吸烟现状及与高血压的相关性研究  

The current situation of smoking and relationships with hypertension in a tobacco farming county

作　　者：张春宏[1] 赵江[2] 

机构地区：[1]昆明医科大学海源学院公共卫生系,云南昆明650106 [2]云南省疾病预防控制中心营养与食品卫生所,云南昆明650000

出　　处：《预防医学论坛》2016年第5期382-384,共3页Preventive Medicine Tribune

摘　　要：目的了解某烟草种植县村民的吸烟现状及与高血压的关系，为控烟和高血压预防工作提供理论依据。方法2015年1～6月采用多阶段抽样方法，首先整群抽取全县80个村委会，其次采用单纯随机抽样的方法在每个村委会中随机抽取40名村民进行问卷调查和体格检查。结果某烟草种植县村民总的吸烟率为33．99％，被动吸烟率为33．07％；年龄在35～44岁的人群吸烟人数最多，占总吸烟人数的46．34％；文化程度在小学及以下、初中、高中或中专、大学及以上的吸烟人数分别占总吸烟人数的43．22％、39．55％、11．22％、6．00％。吸烟类别主要以吸过滤嘴香烟为主（89．82％）；尝试过戒烟（次数1次）的人数占总吸烟者的17．65％。吸烟者的高血压患病率为21．06％，不吸烟者的高血压患病率为19．47％，吸烟与不吸烟者高血压患病率无统计学意义（P〉0．05）。被动吸烟者中高血压患病率为27．28％，无被动吸烟者中高血压患病率为15．69％，有无被动吸烟其高血压患病率差异有统计学意义（P〈0．05）。经多因素Logistic回归分析得，被动吸烟是高血压的危险因素（OR=2．12）。结论某烟草种植县村民中，吸烟现象普遍，有无被动吸烟其高血压患病率有差异，被动吸烟是高血压的危险因素。Objective To understand the current situation of smoking and relationships with hypertension among farmers in a tobacco farming county of Yunnan province,so as to provide basis for controlling tobacco use and preventing hypertension. Methods The multi-stage sampling method was used to collect 80 village committees in the county,and then the simple random sampling method was used to collect 40 villagers from each village committee for questionnaire survey and physical examination. Results The overall smoking rate of residents was 33.99% in the tobacco farming county. The passive smoking rate was 33.07% . People aged 35-44 years were the most among the smoking population,accounting for 46.34% . People with educational levels of primary school or below,junior high school, senior high school, college degree or above respectively accounted for 43.2%, 39.6%, 11.2% ,and 6.0%. The type of smoking was mainly filtertipped cigarette （89.82% ）. The number of people who have ever tried to quit smoking （1 time） was 17.65% .The preva lence rate of hypertension in smokers was 21.06% ,whereas it was 19. 470/00 in nonsmokers （ P 〉0.05）. The prevalence rate of hypertension in passive smokers was 27.28% ,and it was 15.69% in nonpassive smokers（ P 〈0.05）. Passive smoking was the risk factor of hypertension by multivariable logistic regression analysis. Conclusion Smoking is common among villagers in a tobacco farming county. There is a difference in the prevalence of hypertension among passive or non-passive smokers. Passive smoking is the risk factor of hypertension.

关 键 词：吸烟 被动吸烟 高血压 

分 类 号：R544.1[医药卫生—心血管疾病]