吸烟、饮酒与胃癌死亡关系的前瞻性队列研究  

A PROSPECTIVE COHORT STUDY OF THE RELATIONSHIP BETWEEN TOBACCO SMOKING,ALCOHOL DRINKING AND THE MORTALITY OF GASTRIC CARCINOMA.

作　　者：杨家红[1] 范宗华[2] 

机构地区：[1]四川省德阳市卫校,618000 [2]华西医科大学流行病教研室,610041

出　　处：《现代预防医学》2000年第3期322-324,共3页Modern Preventive Medicine

摘　　要：目的 :对吸晒烟、饮酒与胃癌死亡关系的研究。方法 :选择晒烟产区四川什邡市某农村社区 35岁以上的所有农民 30 5 2 5人进行了 10年的前瞻性队列研究。结果 :累计吸晒烟量为 36 0 kg～、 5 40 kg～以上时 ,其 RR分别为 3.342 9、3.1387;调整后的 RR为 3.10 6 0、 2 .7431。累计饮白酒量为 15 0 kg～、 30 0 kg以上时 ,其 RR为 3.45 81、 2 .6 0 15 ;调整后的RR为 2 .475 6、 1.72 81。吸烟史或饮酒史达 30年以上时 ,其 RR分别为 1.76 2 4、 1.6 490。结论 :吸晒烟、饮酒是该农村社区人群胃癌发生的两个重要危险因素。建议对该人群应加强戒烟、节制饮酒的宣传 ,指导他们建立良好的卫生习惯和合理饮食习惯 。Objective:To study the relationship between sun cured tobacco smoking,alcohol drinking and the mortality of gastric carcinoma.Methods:A 10 years prospective cohort study of all the 30525 farmers aged over 35 years old was conducted in the rural area of Shifang in Sichuan.Results:When the cumulative sun cured tobacco consumption was 360kg~、over 540kg,RR was respectively 3 3429、3 1387;adjusted RR was 3 1060、2 7431.When the cumulative alcoholic consumption was 150kg~、over 300kg,RR was respectively 3 4581、2 6015;adjusted RR was 2 4756、1 7281.When smoking history of drinking history has lasted for over 30 years,RR was 1 7624、1 6490,respectively.Conclusion:Both sun cured tobacco smoking and alcohol drinking are the two important risk factors of gastric carcinoma in that area.So it is suggested that the propaganda of health education should be reinforced to make people give up smoking and control alcohol drinking,to make them cultivate good healthy dietary habits for decreasing the incidence and mortality of gastric carcinoma.

关 键 词：吸烟 饮酒 胃癌 死亡 前瞻性队列研究 

分 类 号：R735.2[医药卫生—肿瘤]