传统吸烟、加热烟草制品使用和双重使用与高血压的关系。

IF 6.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Huan Hu, Tohru Nakagawa, Toru Honda, Shuichiro Yamamoto, Tetsuya Mizoue
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引用次数: 0

摘要

背景:加热烟草制品(HTPs)已成为传统香烟的替代品。然而,它们对健康的影响在很大程度上仍不为人所知。本研究旨在前瞻性地探讨使用香烟和加热烟草制品与高血压风险之间的关系:这项队列研究分析了参加日本职业健康流行病学合作研究的 30 152 名最初没有高血压的工人(82.0% 为男性,平均年龄为 42.9 ± 11.0 岁)的数据。根据参与者自我报告的烟草制品使用情况,将他们分为五组:从不吸烟者、既往吸烟者、只吸烟者、只使用高危烟草制品者以及香烟和高危烟草制品双重使用者。高血压病例是通过 2019 年至 2021 年期间收集的年度健康体检数据中的三个数据点确定的。采用 Cox 比例危险回归模型研究烟草制品使用与高血压之间的关系:在平均 2.6 年(范围:0.1-4.0 年)的随访期间,发现了 3656 例新的高血压病例。与从不吸烟者相比,完全吸烟者患高血压的风险更高[危险比(HR)1.26,95% 置信区间(CI)1.13-1.41],完全使用 HTP 者患高血压的风险更高(HR 1.19,95% CI 1.06-1.34)。此外,双重使用者患高血压的风险也有所增加(HR 1.16,95% CI 0.98-1.38)。此外,在所有烟草制品使用者中,高血压风险随着吸烟/HTP使用强度的增加而增加:结论:同样,吸烟和使用烟草制品都会增加高血压的风险。在预防高血压方面,HTPs 不应被视为传统香烟的低危害替代品。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of conventional cigarette smoking, heated tobacco product use and dual use with hypertension.

Background: Heated tobacco products (HTPs) have emerged as alternatives to conventional cigarettes. However, their health effects remain largely unknown. This study aimed to prospectively explore the association between the use of cigarettes and HTPs and the risk of hypertension.

Methods: This cohort study analysed data from 30 152 workers (82.0% men, mean age 42.9 ± 11.0 years) who were initially free of hypertension, participating in the Japan Epidemiology Collaboration on Occupational Health Study. Participants were categorized into five groups based on their self-reported tobacco product use: never smokers, past smokers, exclusive cigarette smokers, exclusive HTP users and dual users of cigarettes and HTPs. Hypertension cases were identified using three data points from annual health checkup data collected between 2019 and 2021. Cox proportional hazards regression models were used to investigate the association between tobacco product use and hypertension.

Results: During a mean follow-up of 2.6 years (range: 0.1-4.0 years), 3656 new cases of hypertension were identified. Compared with never smokers, the risk of hypertension was higher among exclusive cigarette smokers [hazard ratio (HR) 1.26, 95% confidence interval (CI) 1.13-1.41] and exclusive HTP users (HR 1.19, 95% CI 1.06-1.34). There was also a suggestion of increased risk of hypertension among dual users (HR 1.16, 95% CI 0.98-1.38). Furthermore, the risk of hypertension increased with the intensity of cigarette/HTP use in all tobacco product users.

Conclusions: Similarly, both cigarette smoking and HTP use elevate the risk of hypertension. HTPs should not be regarded as less harmful alternatives to traditional cigarettes for preventing hypertension.

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来源期刊
International journal of epidemiology
International journal of epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
13.60
自引率
2.60%
发文量
226
审稿时长
3 months
期刊介绍: The International Journal of Epidemiology is a vital resource for individuals seeking to stay updated on the latest advancements and emerging trends in the field of epidemiology worldwide. The journal fosters communication among researchers, educators, and practitioners involved in the study, teaching, and application of epidemiology pertaining to both communicable and non-communicable diseases. It also includes research on health services and medical care. Furthermore, the journal presents new methodologies in epidemiology and statistics, catering to professionals working in social and preventive medicine. Published six times a year, the International Journal of Epidemiology provides a comprehensive platform for the analysis of data. Overall, this journal is an indispensable tool for staying informed and connected within the dynamic realm of epidemiology.
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