Husband smoking is associated with Wife's thyrotropin abnormality: A population-based cohort study among Chinese reproductive-aged women

IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES International journal of hygiene and environmental health Pub Date : 2024-02-13 DOI:10.1016/j.ijheh.2024.114338
Siyu Wu , Ying Yang , Yunzhi Chen , Wenlu Xie , Jiaxin Huang , Meiya Liu , Youhong Liu , Die Xu , Xinyi Lyu , Hanbin Wu , Jueming Lei , Chuanyu Zhao , Ya Zhang , Hongguang Zhang , Yuan He , Zuoqi Peng , Yuanyuan Wang , Haiping Shen , Qiaomei Wang , Yiping Zhang , Xu Ma
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Abstract

Objectives

To comprehensively assess the association of husband smoking with wives’ thyrotropin abnormality.

Methods

This population-based retrospective cohort study included 2 406 090 Chinese reproductive-aged women who had participated twice in the National Free Pre-pregnancy Checkups Project between 2010 and 2020. Multivariate-adjusted odds ratios and 95% confidence intervals for subnormal and supranormal thyrotropin were estimated according to the husband's smoking status.

Results

Husband smoking at the first visit was associated with a 17% (15%–20%) and 26% (24%–28%) increased odds of subnormal thyrotropin and supranormal thyrotropin respectively compared to participants in neither-smoker group. In non-smoking participants with normal thyrotropin levels at the first visit, the corresponding increased risk of subnormal thyrotropin and supranormal thyrotropin at the second visit were 15% (12%–18%) and 19% (16%–21%) in contrast to participants without husband-smoking exposure. In non-smoking participants with abnormal thyrotropin levels at their first visit, husband smoking cessation was associated with 27% (17%–35%) and 36% (31%–40%) reduced odds of subnormal thyrotropin and supranormal thyrotropin at the second visit compared with the participants whose husband still smoking at the second visit.

Conclusion

Husband smoking was associated with wives’ subnormal thyrotropin and supranormal thyrotropin, and cessation of husband smoking could reduce the odds of thyrotropin abnormality. Couple-focused smoking intervention should be developed to reduce the burden of asymptomatic thyroid disease in females.

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丈夫吸烟与妻子甲状腺素异常有关一项针对中国育龄妇女的人群队列研究
方法 这项基于人群的回顾性队列研究纳入了2 406 090名在2010年至2020年间两次参加国家免费孕前优生健康检查项目的中国育龄妇女。结果与不吸烟组的参与者相比,首次就诊时丈夫吸烟导致甲状腺素亚正常和甲状腺素超正常的几率分别增加了17%(15%-20%)和26%(24%-28%)。在首次就诊时甲状腺素水平正常的非吸烟参与者中,与没有丈夫吸烟的参与者相比,第二次就诊时甲状腺素亚正常和甲状腺素超正常的风险相应增加了15%(12%-18%)和19%(16%-21%)。在首次就诊时甲状腺素水平异常的非吸烟参试者中,与第二次就诊时丈夫仍吸烟的参试者相比,丈夫戒烟与第二次就诊时甲状腺素亚正常和甲状腺素超常的几率分别降低27%(17%-35%)和36%(31%-40%)有关。结论 丈夫吸烟与妻子甲状腺素亚正常和甲状腺素超常有关,丈夫戒烟可降低甲状腺素异常的几率。应制定以夫妻双方为重点的吸烟干预措施,以减轻女性无症状甲状腺疾病的负担。
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来源期刊
CiteScore
11.50
自引率
5.00%
发文量
151
审稿时长
22 days
期刊介绍: The International Journal of Hygiene and Environmental Health serves as a multidisciplinary forum for original reports on exposure assessment and the reactions to and consequences of human exposure to the biological, chemical, and physical environment. Research reports, short communications, reviews, scientific comments, technical notes, and editorials will be peer-reviewed before acceptance for publication. Priority will be given to articles on epidemiological aspects of environmental toxicology, health risk assessments, susceptible (sub) populations, sanitation and clean water, human biomonitoring, environmental medicine, and public health aspects of exposure-related outcomes.
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