哮喘联盟

   摘要
   目的：本研究的目的在于对残疾青少年的烟草使用情况进行系统回顾。
   研究设计：系统回顾。
   方法：本研究纳入的文章为：PubMed数据库中2014年12月前发表的关于健康和残疾青少年吸烟率的英文文章。共纳入10项研究（均为横断面研究），其中6项研究比较了来自全国代表性样本的的青少年人群，4项研究基于便利抽样。对残疾队列的吸烟率进行汇集分析。
   结果：来自全国代表性样本的研究(n = 6 项研究)中，残疾青少年比健康青少年更易吸烟(汇集分析 = 29.7% vs 23.3%)。然而，非代表性数据中，残疾青少年比健康青少年更不易吸烟(汇集分析 = 22.7% vs 39.1%)。
   结论：残疾青少年比健康青少年的烟草使用风险增加。个性化的烟草使用预防和制止措施可能适用于这些高风险人群。未来的关于残疾青少年烟草使用相关因素的纵向研究应该考虑减少这些人群的不成比例的烟草使用。

 

（苏欣 审校）
PublicHealth. 2016Feb11.pii:S0033-3506(16)00008-1.doi:10.1016/j.puhe.2016.01.005. [Epub ahead of print]


 

A systematic review of tobacco use among adolescents with physical disabilities.
 

Nagarajan VD1, Okoli CT2.
 

Abstract
OBJECTIVE:To provide a systematic review of tobacco use among adolescents with physical disabilities.
STUDY DESIGN:A systematic review.
METHODS:A search was performed of English articles published prior to December 2014 in the PubMed database for studies examining smoking rates among adolescents with and without physical disabilities. Ten studies were retrieved (all cross-sectional surveys) of which six compared adolescent populations from nationally representative samples and four examined those based on convenience sampling. Pooled analyses of smoking rates by disability status were performed.
RESULTS:In studies from nationally representative samples (n = 6 studies), adolescents with physical disabilities were significantly more likely to use tobacco as compared to adolescents without (pooled analyses = 29.7% vs 23.3%). However, in studies from non-representative samples, adolescents with physical disabilities were less likely to use tobacco as compared to adolescents without (pooled analyses = 22.7% vs 39.1%).
CONCLUSIONS:Adolescents with physical disabilities may have an increased risk of tobacco use relative to those without disabilities. Tailoredtobacco use prevention and cessation strategies may be appropriate for this high-risk population. Future longitudinal studies which determine factors associated with tobacco use among adolescents with different disabilities should be considered to reduce the disproportionate tobacco use in this population.
 

PublicHealth. 2016Feb11.pii:S0033-3506(16)00008-1.doi:10.1016/j.puhe.2016.01.005. [Epub ahead of print]