摘要
目的 运用Meta分析综合评价中国内地居民2000-2009年被动吸烟率,并分析其在性别、城/乡及不同经济发展水平地区、场所等因素间的差别.方法 检索万方数据库、维普信息资源系统、中国期刊全文数据库、中国生物医学文献数据库及PubMed数据库,收集所有关于居民吸烟的调查研究,再从中筛选出有关被动吸烟的研究报告.各资料间进行异质性检验,以确定采用固定模型或随机模型进行合并分析,采用秩相关检验法进行发表偏倚的评估.结果 共入选相关文献19篇,累计不吸烟人数为195 349人,被动吸烟人数为70 781人,总被动吸烟率为47.04%（95%CI：38.88%～55.27%）.将被动吸烟率按照性别、城/乡、研究年份、研究地区和被动吸烟场所进行分层分析,男、女性被动吸烟率分别为44.80%（95%CI：34.07%～55.79%）和49.09%（95%C：39.62%～58.59%）,P＜0.05;城市、农村地区合并的被动吸烟率分别为46.10%（95%CI：28.88%～63.82%）和47.55%（95%CI：17.85%～78.25%）,P＜0.05;研究年份在2000-2004年被动吸烟率合并为47.59%（95%CI：38.31%～56.95%）,2005-2009年为46.90%（95%CI：33.19%～60.87%）,P＜0.05;东、西部地区居民被动吸烟率分别为41.38%（28.88%～54.47%）和74.38%（95%CI：59.08%～87.10%）,P＜0.05;家庭、工作场所、公共场所被动吸烟率分别为73.03%（95%CI： 60.41%～84.00%）、14.72%（95%CI：8.83%～21.82%）和25.90%（95%CI：5.65%～54.24%）,P＜0.05.结论 合并的被动吸烟率女性高于男性,农村地区高于城市,研究年份为2005-2009年的被动吸烟率低于2000-2004年,西部地区居民被动吸烟率高于东部地区,家庭内被动吸烟率高于工作场所和公共场所.
Objective To analyze the prevalence of passive smoking among inland residents in China from 2000 to 2009 and to analyze the differences between sex, urban/rural geographic distribution, different levels of economic development etc.. Methods Electronic search strategy was carried out, using WanFang database, China Journal Full-text database, VIP database, CBM and PubMed database to collect data on smoking, and passive smoking status, among residents in China.Fixed effects model or random effects model was employed according to statistical tests for homogeneity. Publication bias was assessed by rank correlation test. All statistical analysis was conducted with R 2.8.0. Results Nineteen studies were selected with a total of 195 349 non-smokers and 70 781 passive smokers involved. The overall prevalence of passive smoking was 47.04%（95%CI： 38.88%-55.27%）. The prevalence of passive smoking was stratified by factors as sex, urban/rural, year and areas of the study, and areas where passive smoking was studied. The pooled prevalence rates of passive smoking were as follows： 44.80% （95%CI： 34.07%-55.79%） and 49.09%（95%CI：39.62%-58.59%） ,P〈0.05 for male and female;46.10%（95%CI：28.88%-63.82%）,47.55%（95% CI： 17.85%-78.25% ）, P〈0.05 for urban and rural, respectively. The pooled prevalence rates of passive smoking were 47.59% （95% CI： 38.31%-56.95% ） in the study year of 2000-2004 and 46.90% （95%CI： 33.19%-60.87% ） in 2005-2009 （P〈0.05）. The pooled prevalence rates of passive smoking for eastern and western areas were 41.38%（28.88%-54.47%） and 74.38%（95%CI： 59.08% -87.10% ） （P〈0.05）, and 73.03% （95%CI： 60.41% - 84.00% ）, 14.72% （95%CI： 8.83%-21.82% ）and 25.90% （95% CI： 5.65% - 54.24% ） for family, workplace and public place, respectively （P〈0.05）. Conclusion The pooled prevalence of passive smoking was higher in females than males, in rural than in urban and in the western area than in the eastern areas. The prevalence of passive smok
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2011年第2期159-163,共5页
Chinese Journal of Epidemiology
基金
安徽省人文重点项目（2009sk192zd）
安徽医科大学学科带头人基金、博士科研基金（XJ200907）
