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Prevalence of respiratory diseases in relation to smoking rate in adults living in four Chinese cities: a comparison between 2017–2018 and 1993–1996
BACKGROUND: The sustained high prevalence of smoking in China has contributed substantially to the burden of chronic diseases, including respiratory diseases. This study compared the prevalence of smoking and respiratory diseases in Chinese adults between two time periods spanning over 25 years. MET...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7656329/ https://www.ncbi.nlm.nih.gov/pubmed/33209471 http://dx.doi.org/10.21037/jtd-19-crh-aq-002 |
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author | Yan, Meilin Gong, Jicheng Liu, Qin Li, Wenyan Duan, Xiaoli Cao, Suzhen Li, Sai He, Lingyan Yin, Zixuan Lin, Weiwei Zhang, Junfeng Jim |
author_facet | Yan, Meilin Gong, Jicheng Liu, Qin Li, Wenyan Duan, Xiaoli Cao, Suzhen Li, Sai He, Lingyan Yin, Zixuan Lin, Weiwei Zhang, Junfeng Jim |
author_sort | Yan, Meilin |
collection | PubMed |
description | BACKGROUND: The sustained high prevalence of smoking in China has contributed substantially to the burden of chronic diseases, including respiratory diseases. This study compared the prevalence of smoking and respiratory diseases in Chinese adults between two time periods spanning over 25 years. METHODS: Cross-sectional surveys were performed in four Chinese cities of Chongqing, Lanzhou, Wuhan, and Guangzhou in 1993–1996 (Period 1) and in 2017–2018 (Period 2). Participants completed questionnaires asking smoking status, the presence of asthma and chronic bronchitis, education attainment and household characteristics. Logistic regression models were used to estimate the odds ratios of disease prevalence with regard to active smoking status for men and passive smoking status for women. RESULTS: Prevalence of asthma, prevalence of chronic bronchitis, and smoking rate, all decreased from Period 1 to Period 2. We observed strong evidence that active smoking increased prevalence for both asthma and chronic bronchitis in men during Period 1, with spatial heterogeneity and modifying effect by college-level education. Home exposure to passive smoking was associated with increased odds of having chronic bronchitis among female participants in Chongqing during Period 2, although the association was not statistically significant. CONCLUSIONS: The prevalence for asthma and chronic bronchitis were lower in 2017–2018 compared to 25 years ago in the same four Chinese cities. Decreased smoking rate may have contribution to the improvement of these respiratory diseases. Male smokers, especially those without college-level education, showed higher prevalence of chronic bronchitis compared to nonsmokers during Period 1. |
format | Online Article Text |
id | pubmed-7656329 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-76563292020-11-17 Prevalence of respiratory diseases in relation to smoking rate in adults living in four Chinese cities: a comparison between 2017–2018 and 1993–1996 Yan, Meilin Gong, Jicheng Liu, Qin Li, Wenyan Duan, Xiaoli Cao, Suzhen Li, Sai He, Lingyan Yin, Zixuan Lin, Weiwei Zhang, Junfeng Jim J Thorac Dis Original Article on Children's Respiratory Health and Air Quality BACKGROUND: The sustained high prevalence of smoking in China has contributed substantially to the burden of chronic diseases, including respiratory diseases. This study compared the prevalence of smoking and respiratory diseases in Chinese adults between two time periods spanning over 25 years. METHODS: Cross-sectional surveys were performed in four Chinese cities of Chongqing, Lanzhou, Wuhan, and Guangzhou in 1993–1996 (Period 1) and in 2017–2018 (Period 2). Participants completed questionnaires asking smoking status, the presence of asthma and chronic bronchitis, education attainment and household characteristics. Logistic regression models were used to estimate the odds ratios of disease prevalence with regard to active smoking status for men and passive smoking status for women. RESULTS: Prevalence of asthma, prevalence of chronic bronchitis, and smoking rate, all decreased from Period 1 to Period 2. We observed strong evidence that active smoking increased prevalence for both asthma and chronic bronchitis in men during Period 1, with spatial heterogeneity and modifying effect by college-level education. Home exposure to passive smoking was associated with increased odds of having chronic bronchitis among female participants in Chongqing during Period 2, although the association was not statistically significant. CONCLUSIONS: The prevalence for asthma and chronic bronchitis were lower in 2017–2018 compared to 25 years ago in the same four Chinese cities. Decreased smoking rate may have contribution to the improvement of these respiratory diseases. Male smokers, especially those without college-level education, showed higher prevalence of chronic bronchitis compared to nonsmokers during Period 1. AME Publishing Company 2020-10 /pmc/articles/PMC7656329/ /pubmed/33209471 http://dx.doi.org/10.21037/jtd-19-crh-aq-002 Text en 2020 Journal of Thoracic Disease. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Original Article on Children's Respiratory Health and Air Quality Yan, Meilin Gong, Jicheng Liu, Qin Li, Wenyan Duan, Xiaoli Cao, Suzhen Li, Sai He, Lingyan Yin, Zixuan Lin, Weiwei Zhang, Junfeng Jim Prevalence of respiratory diseases in relation to smoking rate in adults living in four Chinese cities: a comparison between 2017–2018 and 1993–1996 |
title | Prevalence of respiratory diseases in relation to smoking rate in adults living in four Chinese cities: a comparison between 2017–2018 and 1993–1996 |
title_full | Prevalence of respiratory diseases in relation to smoking rate in adults living in four Chinese cities: a comparison between 2017–2018 and 1993–1996 |
title_fullStr | Prevalence of respiratory diseases in relation to smoking rate in adults living in four Chinese cities: a comparison between 2017–2018 and 1993–1996 |
title_full_unstemmed | Prevalence of respiratory diseases in relation to smoking rate in adults living in four Chinese cities: a comparison between 2017–2018 and 1993–1996 |
title_short | Prevalence of respiratory diseases in relation to smoking rate in adults living in four Chinese cities: a comparison between 2017–2018 and 1993–1996 |
title_sort | prevalence of respiratory diseases in relation to smoking rate in adults living in four chinese cities: a comparison between 2017–2018 and 1993–1996 |
topic | Original Article on Children's Respiratory Health and Air Quality |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7656329/ https://www.ncbi.nlm.nih.gov/pubmed/33209471 http://dx.doi.org/10.21037/jtd-19-crh-aq-002 |
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