中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2013年
10期
958-962
,共5页
李淑娟%蔡乐%舒占坤%叶亚怀%冯锐%崔文龙%何建辉
李淑娟%蔡樂%舒佔坤%葉亞懷%馮銳%崔文龍%何建輝
리숙연%채악%서점곤%협아부%풍예%최문룡%하건휘
高血压%吸烟%烟草烟污染%经济负担%农村
高血壓%吸煙%煙草煙汙染%經濟負擔%農村
고혈압%흡연%연초연오염%경제부담%농촌
Hypertension%Smoking%Tobacco smoke pollution%Economic burden%Rural area
目的 分析云南省罗平县高血压与烟草暴露的相关关系,测算归因于高血压的直接经济负担.方法 采用按比例概率抽样法(PPS),于2011年4月在云南省罗平县12个乡镇中分别抽取当地18岁以上常住农村居民5000名,完成调查4611名.采用自行设计的调查问卷收集调查对象的一般情况、吸烟情况、因患高血压的门诊费、住院费、治疗费、药费、交通费、住宿费和营养费及健康相关行为等信息,测量其身高、体重、腰围、臀围和血压.同时计算高血压患者的直接经济负担.采用x2检验比较性别间高血压患病率、吸炯及被动吸烟率的差异；采用t检验比较性别、是否吸烟及是否被动吸烟之间高血压直接经济负担的差异；采用多因素logistic同归模型分析高血压患病的影响因素.结果 罗平县4611名调查对象的年龄为(46.90±16.74)岁,男性占49.8％(2294/4611),女性占50.2％ (2317/4611)；男性吸烟率[75.7％(1736/2294)]高于女性[1.6％ (38/2317)](x2=2669.21,P＜0.01)；男性被动吸烟率[10.0％ (230/2294)]低于女性[46.2％(1070/2317)](x2=744.27,P＜0.05)；男性非烟草暴露率[14.3％ (328/1537)]低于女性[52.2％ (1209/1537)](x2=744.37,P＜0.05).吸炯和被动吸烟者患高血压的风险均高于非烟草暴露者[OR(95％ CI)值分别为1.41 (1.15～1.71)、1.31(1.07 ～ 1.63)(P值均＜0.05)].高血压患者人均直接经济负担为(3444.09±3067.83)元,其中,烟草暴露者的人均直接经济负担为(4552.46±3189.05)元,高于非烟草暴露[(1907.71±1383.94)元](t=-3.81,P＜0.05),吸烟者为(6951.71±3422.87)元,高于被动吸烟者[(3128.09±2083.17)元](t=3.19,P＜0.05),男性为(5827.39±3240.50)元,高于女性[(2633.03±2569.01)元](=3.22,P＜0.05)其中归因于吸烟和被动吸烟的经济负担分别为0.41亿元和0.38亿元.结论 吸烟和被动吸烟对云南省罗平县高血压患病率及经济负担造成了影响.
目的 分析雲南省囉平縣高血壓與煙草暴露的相關關繫,測算歸因于高血壓的直接經濟負擔.方法 採用按比例概率抽樣法(PPS),于2011年4月在雲南省囉平縣12箇鄉鎮中分彆抽取噹地18歲以上常住農村居民5000名,完成調查4611名.採用自行設計的調查問捲收集調查對象的一般情況、吸煙情況、因患高血壓的門診費、住院費、治療費、藥費、交通費、住宿費和營養費及健康相關行為等信息,測量其身高、體重、腰圍、臀圍和血壓.同時計算高血壓患者的直接經濟負擔.採用x2檢驗比較性彆間高血壓患病率、吸炯及被動吸煙率的差異；採用t檢驗比較性彆、是否吸煙及是否被動吸煙之間高血壓直接經濟負擔的差異；採用多因素logistic同歸模型分析高血壓患病的影響因素.結果 囉平縣4611名調查對象的年齡為(46.90±16.74)歲,男性佔49.8％(2294/4611),女性佔50.2％ (2317/4611)；男性吸煙率[75.7％(1736/2294)]高于女性[1.6％ (38/2317)](x2=2669.21,P＜0.01)；男性被動吸煙率[10.0％ (230/2294)]低于女性[46.2％(1070/2317)](x2=744.27,P＜0.05)；男性非煙草暴露率[14.3％ (328/1537)]低于女性[52.2％ (1209/1537)](x2=744.37,P＜0.05).吸炯和被動吸煙者患高血壓的風險均高于非煙草暴露者[OR(95％ CI)值分彆為1.41 (1.15～1.71)、1.31(1.07 ～ 1.63)(P值均＜0.05)].高血壓患者人均直接經濟負擔為(3444.09±3067.83)元,其中,煙草暴露者的人均直接經濟負擔為(4552.46±3189.05)元,高于非煙草暴露[(1907.71±1383.94)元](t=-3.81,P＜0.05),吸煙者為(6951.71±3422.87)元,高于被動吸煙者[(3128.09±2083.17)元](t=3.19,P＜0.05),男性為(5827.39±3240.50)元,高于女性[(2633.03±2569.01)元](=3.22,P＜0.05)其中歸因于吸煙和被動吸煙的經濟負擔分彆為0.41億元和0.38億元.結論 吸煙和被動吸煙對雲南省囉平縣高血壓患病率及經濟負擔造成瞭影響.
목적 분석운남성라평현고혈압여연초폭로적상관관계,측산귀인우고혈압적직접경제부담.방법 채용안비례개솔추양법(PPS),우2011년4월재운남성라평현12개향진중분별추취당지18세이상상주농촌거민5000명,완성조사4611명.채용자행설계적조사문권수집조사대상적일반정황、흡연정황、인환고혈압적문진비、주원비、치료비、약비、교통비、주숙비화영양비급건강상관행위등신식,측량기신고、체중、요위、둔위화혈압.동시계산고혈압환자적직접경제부담.채용x2검험비교성별간고혈압환병솔、흡형급피동흡연솔적차이；채용t검험비교성별、시부흡연급시부피동흡연지간고혈압직접경제부담적차이；채용다인소logistic동귀모형분석고혈압환병적영향인소.결과 라평현4611명조사대상적년령위(46.90±16.74)세,남성점49.8％(2294/4611),녀성점50.2％ (2317/4611)；남성흡연솔[75.7％(1736/2294)]고우녀성[1.6％ (38/2317)](x2=2669.21,P＜0.01)；남성피동흡연솔[10.0％ (230/2294)]저우녀성[46.2％(1070/2317)](x2=744.27,P＜0.05)；남성비연초폭로솔[14.3％ (328/1537)]저우녀성[52.2％ (1209/1537)](x2=744.37,P＜0.05).흡형화피동흡연자환고혈압적풍험균고우비연초폭로자[OR(95％ CI)치분별위1.41 (1.15～1.71)、1.31(1.07 ～ 1.63)(P치균＜0.05)].고혈압환자인균직접경제부담위(3444.09±3067.83)원,기중,연초폭로자적인균직접경제부담위(4552.46±3189.05)원,고우비연초폭로[(1907.71±1383.94)원](t=-3.81,P＜0.05),흡연자위(6951.71±3422.87)원,고우피동흡연자[(3128.09±2083.17)원](t=3.19,P＜0.05),남성위(5827.39±3240.50)원,고우녀성[(2633.03±2569.01)원](=3.22,P＜0.05)기중귀인우흡연화피동흡연적경제부담분별위0.41억원화0.38억원.결론 흡연화피동흡연대운남성라평현고혈압환병솔급경제부담조성료영향.
Objective To analyze the association between hypertension and tobacco exposure Luoping county of Yunnan province and estimate the direct cost attributable to hypertension.Methods Using Probability proportional to size (PPS) sampling method,5000 rural residents aged over 18 years were selected from 12 townships in Luoping county,Yunnan province in April 2011,from which 4611 subjects completed the survey.Self-designed questionnaires were used to collect general information,smoking status,costs for outpatient consultation,inpatient,treatment,medication,travel,accommodation and extra-nutrition caused by hypertension as well as the information of health-related behavior.Their height,weight,waist circumference,hip circumference and blood pressure were measured.The direct economic burden of hypertension was calculated.Chi-square (x2) test was used to compare gender differences of hypertension prevalence,smoking and passive smoking.And t test was used to compare the differences of direct economic burden of hypertension among different gender,smoking and passive smoking status.Multivariable logistic regression model was used to analyze the influence factors of hypertension.Results Amongthe 4611subjects,the age was (46.90 ± 16.74) years old.Male accounted for 49.8％ (2294/4611) and female 50.2％ (2317/4611).The smoking rate was higher in males (75.7％ (1736/2294)) than in females (1.6％ (38/2317)) (x2 =2669.21,P ＜ 0.01).The passive smoking rate was lower in males (10.0％(230/2294)) than in females (46.2％ (1070/2317)) (x2 =744.27,P ＜ 0.05).Non-tobacco exposure rate in males (14.3％ (328/1537)) was lower than in females (52.2％ (1209/1537)) (x2 =744.37,P ＜0.05).The risk of hypertension in smokers and passive smokers were higher than those without tobacco exposure,OR(95％ CI)was 1.41 (1.15-1.71) (P ＜0.05) and 1.31(1.07-1.63) (P ＜0.05)respectively.The per capita direct cost of hypertension was (3444.09 ± 3067.83) Yuan.Of this,tobacco exposure (4552.46 ± 3189.05) Yuan was higher than non-tobacco exposure (1907.71 ± 1383.94) Yuan (t =-3.81,P ＜ 0.05).Moreover,smokers were (6951.71 ± 3422.87) Yuan higher than passive smokers (3128.09 ± 2083.17) Yuan(t =3.19,P ＜ 0.05) and males (5827.39 ± 3240.50) Yuan were higher than females (2633.03 ± 2569.01) Yuan (t =3.22,P ＜ 0.05).The total direct costs of hypertension attributable to smoking and SHS was 41 million and 38 million,respectively.Conclusion Both smoking and SHS had significant impact on prevalence and economic burden of hypertension in Luoping county.Implementing effective strategies to control tobacco exposure is useful to reduce the economic burden of hypertension in the study region.
