Assessment of Smoking related Risks for Respiratory Symptoms among Elderly People

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概要

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• Disease risk among elderly smokers is considered to be doubled due to their smoking habits and age as compared with elderly non-smokers. The investigators conducted risk assessments of smoking for respiratory symptoms among elderly people. A questionnaire survey on smoking habits and respiratory symptoms was conducted among 3, 000 persons of 56 years of age and over who were randomly selected from suburban residents in a prefecture in Japan in October, 1997. A total 1, 954 or 65.1% of individuals responded, consisting of 42.8% for men and 57.2% for women, with an average age of 73.6 years. In addition to descriptive analysis, multiple logistic regression analysis was conducted. The results are summarized as follows : Smokers accounted for 28.1% of men and 3.6% of women. Among all age-groups, the highest rate of smokers was observed in men of 56-69 years old (34.7%) which was lower than the national average rate for the 60-69 year-old group (56.1% of men and 14.5% of women in '97). The odds ratios and 95 percent confidence interval (95%CI) for "having phlegm every day" and "having phlegm for more than 4 days a week" among smokers were 2.06 (95%CI=1.41-3.01) and 2.77 (95%CI=1.80-4.27). Significantly higher odds ratios among smokers were also observed for "wheezing" and "shortness of breath when hurrying". Odds ratios for some respiratory symptoms including "having phlegm for more than 4 days per week" among inhalers were significantly high compared with non-smokers, whereas those among non-inhalers were not significantly different from 1.0. Odds ratios for symptoms of phlegm and wheezing were significantly higher (Odds ratio≥2.0) among heavy smokers (Brinkman Index [B.I.]>900) compared to non-smokers, while odds ratios of the same symptoms were not different from 1.0 among light smokers (B.I.≤500).

• 日本衛生学会の論文

著者

• 上地 勝

  茨城大学 教育学部

• Takahashi Hideto

  Institute Of Community Medicine University Of Tsukuba

• 上地 勝

  茨城大学教育学部

• UEJI Masaru

  Institute of Community Medicine, University of Tsukuba

• KANO Katsumi

  Institute of Community Medicine, University of Tsukuba

• ICHIMURA Kunio

  Graduate School of Medicine, University of Tsukuba

• OKADA Masafumi

  Graduate School of Medicine, University of Tsukuba

• NISHIJIMA Takahiko

  Institute of Health and Sports Science, University of Tsukuba

• Kano Katsumi

  Institute Of Community Medicine University Of Tsukuba

• Ichimura Kunio

  Graduate School Of Medicine University Of Tsukuba:tokiwa Junior College Dept. Of Living Science

• Okada Masafumi

  Graduate School Of Medicine University Of Tsukuba

• Nishijima Takahiko

  Institute Of Health And Sport Sciences University Of Tsukuba

• Nishijima Takahiko

  Institute Of Health And Sports Science University Of Tsukuba

• Okada Mizue

  Graduate School Of Medicine University Of Tsukuba

• Takahashi Hideto

  Institute Of Community Medicine Univeristy Of Tsukuba

• Ueji Masaru

  Institute Of Community Medicine University Of Tsukuba

• Takahashi Hideto

  Univ. Tsukuba Ibaraki Jpn

• 上地 勝

  茨城大学

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