隐性女性吸烟对吸烟与哮喘关系的影响
2018/10/24
摘要
背景：吸烟和哮喘之间的联系仍然有争议。在我们之前的研究中，我们没有发现韩国成年人的哮喘和吸烟之间的联系。韩国的一项研究显示，女性成年人的吸烟史被低估了。本研究的目的是调查隐藏的女性吸烟对韩国成年人哮喘和吸烟之间的关系的影响。
方法：数据获得来自≥19岁的23483名男性和女性参加了韩国国家健康和营养调查(KNHANES)。
结果：哮喘患病率为1.5%，自报吸烟患病率为32.4%，经检测可替丁确定的吸烟患病率为30.3%。在经检测可替丁确定的男性吸烟者中，6.4%的人自称不吸烟(2.7%从不吸烟，3.7%戒烟)，而经检测可替丁确定的女性吸烟者中48.8%的人自称不吸烟(43.2%从不吸烟，5.6%戒烟)。在男性中，吸烟与哮喘相关性的调整优势比在自述中为0.738(置信区间，CI: 0.393-1.173)，在检测可替丁确定的吸烟者中为0.767 (CI: 0.515-1.143);在女性中，自我报告的调整优势比为1.945 (CI: 1.348-2.805)， 经检测可替丁确定的吸烟者调整优势比为1.531 (CI: 1.076-2.179)。
结论：我们的研究表明吸烟与女性哮喘有关，但与男性无关。
The Effect of Hidden Female Smoking on the Association between Smoking and Asthma.
Kim CH, Lee JS.
Abstract
BACKGROUND:The association between smoking and asthma remains controversial. In our previous study, we were not able to show an association between asthma and smoking in Korean adults. One Korean study demonstrated underreporting of smoking history by female adults. The aim of the present study was to investigate the effects of hidden female smoking on the association between asthma and smoking in Korean adults.
METHODS:Data were acquired from 23,483 men and women aged ≥19 years who participated in the Korean National Health and Nutrition Examination Surveys (KNHANES).
RESULTS:The prevalence of asthma was 1.5%, the self-reported smoking prevalence was 32.4%, and the cotinine-verified smoking prevalence was 30.3%. Of the male cotinine-verified smokers, 6.4% were self-reported nonsmokers (2.7% never smokers and 3.7% ex-smokers), whereas 48.8% of the female cotinine-verified smokers were self-reported nonsmokers (43.2% never smokers and 5.6% ex-smokers). In males, the adjusted odds ratio of the association between smoking and asthma was 0.738 (confidence interval, CI: 0.393-1.173) in self-reported and 0.767 (CI: 0.515-1.143) in cotinine-verified smoking; in females, the adjusted odds ratio was 1.945 (CI: 1.348-2.805) in self-reported and 1.531 (CI: 1.076-2.179) in cotinine-verified smoking.
CONCLUSIONS:Our study showed smoking was associated with asthma in females but not in males.
背景：吸烟和哮喘之间的联系仍然有争议。在我们之前的研究中，我们没有发现韩国成年人的哮喘和吸烟之间的联系。韩国的一项研究显示，女性成年人的吸烟史被低估了。本研究的目的是调查隐藏的女性吸烟对韩国成年人哮喘和吸烟之间的关系的影响。
方法：数据获得来自≥19岁的23483名男性和女性参加了韩国国家健康和营养调查(KNHANES)。
结果：哮喘患病率为1.5%，自报吸烟患病率为32.4%，经检测可替丁确定的吸烟患病率为30.3%。在经检测可替丁确定的男性吸烟者中，6.4%的人自称不吸烟(2.7%从不吸烟，3.7%戒烟)，而经检测可替丁确定的女性吸烟者中48.8%的人自称不吸烟(43.2%从不吸烟，5.6%戒烟)。在男性中，吸烟与哮喘相关性的调整优势比在自述中为0.738(置信区间，CI: 0.393-1.173)，在检测可替丁确定的吸烟者中为0.767 (CI: 0.515-1.143);在女性中，自我报告的调整优势比为1.945 (CI: 1.348-2.805)， 经检测可替丁确定的吸烟者调整优势比为1.531 (CI: 1.076-2.179)。
结论：我们的研究表明吸烟与女性哮喘有关，但与男性无关。
（中日友好医院呼吸与危重症医学科 禹汶伯 摘译 林江涛 审校）
（Int Arch Allergy Immunol. 2018;176(3-4):239-248.）
（Int Arch Allergy Immunol. 2018;176(3-4):239-248.）
The Effect of Hidden Female Smoking on the Association between Smoking and Asthma.
Kim CH, Lee JS.
Abstract
BACKGROUND:The association between smoking and asthma remains controversial. In our previous study, we were not able to show an association between asthma and smoking in Korean adults. One Korean study demonstrated underreporting of smoking history by female adults. The aim of the present study was to investigate the effects of hidden female smoking on the association between asthma and smoking in Korean adults.
METHODS:Data were acquired from 23,483 men and women aged ≥19 years who participated in the Korean National Health and Nutrition Examination Surveys (KNHANES).
RESULTS:The prevalence of asthma was 1.5%, the self-reported smoking prevalence was 32.4%, and the cotinine-verified smoking prevalence was 30.3%. Of the male cotinine-verified smokers, 6.4% were self-reported nonsmokers (2.7% never smokers and 3.7% ex-smokers), whereas 48.8% of the female cotinine-verified smokers were self-reported nonsmokers (43.2% never smokers and 5.6% ex-smokers). In males, the adjusted odds ratio of the association between smoking and asthma was 0.738 (confidence interval, CI: 0.393-1.173) in self-reported and 0.767 (CI: 0.515-1.143) in cotinine-verified smoking; in females, the adjusted odds ratio was 1.945 (CI: 1.348-2.805) in self-reported and 1.531 (CI: 1.076-2.179) in cotinine-verified smoking.
CONCLUSIONS:Our study showed smoking was associated with asthma in females but not in males.
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肥胖是否会增加哮喘病人的气道感染？
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在中欧斯洛伐克四十年来职业性哮喘的变化
