摘要
Abstract
Objective:To explore the current status of malignant tumor and chronic comorbidities among cigarette and/or e-cigarette users,and provide scientific basis for tobacco control and malignant tumor and chronic disease prevention and control for urban and rural residents.Methods:The data came from Dongguan Health Literacy and Tobacco Epidemic Moni-toring Project for Urban and Rural Residents from 2021 to 2022.8,794 permanent residents not less than 18 years old were selected as the research objects.The cross-sectional research methods was used to conduct a questionnaire survey on tobacco use,malignant tumor and other chronic diseases.The research objects were further assigned to cigarette use group,e-ciga-rette use group,cigarette and e-cigarette use group(dual use group),non-smoking group and smoking cessation group.Univariate and Multivariate logistic regression models were used to analyze the impact of tobacco use on malignant tumor and chronic comorbidities.Results:There were statistically significant differences in sex,average age,and educational level among the five groups of people(all P<0.05).There were significant differences in the prevalence rates of malignant tumors,hypertension,diabetes and cardiovascular and cerebrovas-cular diseases among the five groups(χ2=22.163,P<0.001;χ2=12.421,P=0.014;χ2=12.240,P=0.016;χ2=24.506,P<0.001).The prevalence of malignant tumors was significantly higher in the dual use group and e-cigarette use group.The prevalence of hypertension,diabetes and cardiovascular and cerebrovascular disease was all higher in the dual use group than in other four groups.Multivariate logistic regression analysis showed that the dual use group and the cigarette use group were more prone to chronic comorbidities[aOR(95%CI):4.226(1.478～12.087),1.318(1.066～1.629)];the risk of malignant tumors was higher in the dual use group and the e-cigarette use group[aOR(95%CI):15.375(1.895～12.761),14.294(1.827～111.860)].Conclusion:The dual users of cigarettes and e-cigarettes have a higher risk of malignant tumors and are more prone to chronic comorbidities.Continuous monitoring and attention should be given to the dual use of tobacco,and targeted health education strategies should be developed.关键词
吸烟/电子烟/恶性肿瘤/慢性病共病/Logistic回归模型Key words
Smoking/Electronic cigarette/Malignant tumor/Chronic comorbidities/Logistic regression model分类
医药卫生
