[Association of the Status of Implementation of Nonsmoking at Eating and Drinking Establishments with Prevalence of Persons with Subjective Symptoms, Prevalence of Persons with Diseases under Treatment, Medical Expenses, and Mortality Rate: Examination Using Prefectural Data].

Q3 Medicine
K. Kawamura, A. Nakai, Kazuko Yamada, I. Morioka
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引用次数: 0

Abstract

OBJECTIVES The purpose of this study was to confirm the association of the status of implementation of nonsmoking at eating and drinking establishments with the prevalence of persons with subjective symptoms, the prevalence of persons with diseases under treatment, medical expenses, and mortality rate using prefectural data. METHODS The prefectural rate of eating and drinking establishments implementing nonsmoking (hereafter, nonsmoking rate) was calculated using the data from "Tabelog®". The variables of interest were the prevalence of persons with subjective symptoms, the prevalence of persons with diseases under treatment, medical expenses (total, hospitalization and nonhospitalization expenses), and the mortality rates of malignant neoplasms (lung cancer, stomach cancer, and colon cancer), heart disease, acute myocardial infarction, cerebrovascular disease, cerebral infarction, and pneumonia in each prefecture. The partial correlation coefficient was estimated between the nonsmoking rate and the variable of interest using the smoking rate by prefectural as the control variable. RESULTS The nonsmoking rate showed a significantly negative correlation with the medical expenses. When eating and drinking establishments were divided into "restaurant", "café", and "bar", the nonsmoking rate also indicated a significantly negative correlation with the medical expenses in any category. It was negatively related to the mortality rates of cerebrovascular disease, cerebral infarction, and pneumonia. The negative correlation was stronger in females than in males. CONCLUSIONS These results suggest that the implementation of nonsmoking at eating and drinking establishments may reduce the mortality rates of diseases, such as cerebrovascular disease, cerebral infarction, and pneumonia, and medical expenses. Thus, it is important to implement nonsmoking at eating and drinking establishments in line with the Revised Health Promotion Act.
[餐饮场所禁烟实施状况与主观症状患病率、接受治疗的疾病患病率、医疗费用和死亡率的关系:使用县数据的检验]。
目的:本研究的目的是利用地级数据,确认餐饮场所禁烟实施状况与主观症状患病率、正在治疗的疾病患病率、医疗费用和死亡率之间的关系。方法采用《Tabelog®》统计数据,计算各县餐饮场所禁烟率(以下简称禁烟率)。感兴趣的变量是主观症状的患病率、正在治疗的疾病患病率、医疗费用(总费用、住院费用和非住院费用)、恶性肿瘤(肺癌、胃癌和结肠癌)、心脏病、急性心肌梗死、脑血管疾病、脑梗死和肺炎的死亡率。以各县吸烟率为控制变量,估计了不吸烟率与利息变量之间的偏相关系数。结果不吸烟率与医疗费用呈显著负相关。将餐饮场所分为“餐厅”、“咖啡馆”和“酒吧”,非吸烟率与医疗费用在任何类别中均呈显著负相关。与脑血管病、脑梗死、肺炎死亡率呈负相关。女性的负相关强于男性。结论在餐饮场所实施禁烟可降低脑血管病、脑梗死、肺炎等疾病的死亡率和医疗费用。因此,根据修订后的《健康促进法》,在餐饮场所实施禁烟是很重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Japanese Journal of Hygiene
Japanese Journal of Hygiene Medicine-Medicine (all)
CiteScore
0.90
自引率
0.00%
发文量
7
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