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目的了解北京地区老年人吸烟现状。方法采用分层、分段、随机、整群抽样方法对北京城乡社区1 846例老年人进行抽样调查。结果农村老年人吸烟率较城市高(40.2%vs 30.0%,P=0.00);非文盲老年人吸烟率较文盲高(39.1%vs 30.7%,P=0.00);有重大生活事件的老年人吸烟率较无重大生活事件者高(40.8%vs 31.6%,P=0.00);有脑血管病的老年人吸烟率较无脑血管病者高(39.2%vs 33.2%,P=0.01);Logistic回归分析结果显示,性别、婚姻、生活事件、脑血管病对吸烟有独立影响作用,男性、无配偶、有重大生活事件、有脑血管的老年人吸烟率明显升高。结论临床应加强吸烟有害健康知识宣传,尤其是对男性、无配偶、有重大生活事件、有脑血管病老年人。
Objective To understand the smoking status of the elderly in Beijing. Methods A total of 1 846 elderly people in urban and rural areas of Beijing were sampled by stratified, subdivision, randomized and cluster sampling methods. Results The prevalence of smoking among the elderly in rural areas was higher than that in urban areas (40.2% vs 30.0%, P = 0.00). The prevalence of smoking among the non-illiterate elderly was higher than that of the illiterate (39.1% vs 30.7%, P = 0.00) (40.8% vs 31.6%, P = 0.00). The prevalence of smoking among the elderly with cerebrovascular disease was higher than that without cerebrovascular disease (39.2% vs 33.2%, P = 0.01). Logistic regression The results showed that sex, marriage, life events and cerebrovascular disease had independent influence on smoking. Smoking rates of men, spouses without mate, major life events and cerebrovascular were significantly increased. Conclusion Clinical knowledge of smoking should be strengthened, especially for men, no spouse, major life events and elderly patients with cerebrovascular disease.