Tobacco smoking as a risk factor for tuberculous pleural effusion: a case-control study.

IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global Health Epidemiology and Genomics Pub Date : 2020-02-12 DOI:10.1017/gheg.2020.1
Pavit Tewatia, Rajeev Mohan Kaushik, Reshma Kaushik, Sanjeev Kumar
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引用次数: 17

Abstract

This study assessed the tobacco smoking-associated risk for tuberculous pleural effusion (TPE) in India. Ninety-two patients with TPE and 184 controls were randomly selected and assessed regarding their tobacco-smoking status and type, quantity and duration of tobacco used. Odds ratios (ORs) for the association of smoking cigarette, beedi and cigarette or beedi with TPE were 19.22 (p < 0.0001), 2.89 (p = 0.0006) and 4.57 (p < 0.0001) respectively. ORs for developing TPE increased with an increase in beedi/cigarette consumption, duration and pack years of smoking (p < 0.001 each). TPE was significantly associated with confounding risk factors viz., regular alcohol use (OR = 1.89, p = 0.019), history of contact with tuberculosis (TB) patient (OR = 8.07, p < 0.0001), past history of TB (OR = 22.31, p < 0.0001), family history of TB (OR = 9.05, p = 0.0002) and underweight (OR = 3.73, p = 0.0009). Smoking (OR = 3.07, p < 0.001), regular alcohol use (OR = 2.10, p = 0.018), history of contact with TB patient (OR = 4.01, p = 0.040), family history of TB (OR = 10.80, p = 0.001) and underweight (OR = 5.04, p < 0.001) were independently associated with TPE. Thus, both cigarette- and beedi-smoking have a significant association with TPE. The risk for TPE in tobacco smokers is dose- and duration-dependent.

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吸烟是结核性胸腔积液的危险因素:一项病例对照研究。
本研究评估了印度吸烟与结核性胸腔积液(TPE)相关的风险。随机选择92例TPE患者和184例对照,对其吸烟状况、吸烟类型、数量和持续时间进行评估。吸烟、大麻、吸烟或大麻与TPE的比值比分别为19.22 (p < 0.0001)、2.89 (p = 0.0006)和4.57 (p < 0.0001)。发生TPE的or值随着香烟消费量、持续时间和吸烟年数的增加而增加(p < 0.001)。TPE与经常饮酒(OR = 1.89, p = 0.019)、与结核病患者接触史(OR = 8.07, p < 0.0001)、既往结核病史(OR = 22.31, p < 0.0001)、结核病家族史(OR = 9.05, p = 0.0002)和体重过轻(OR = 3.73, p = 0.0009)等混杂危险因素显著相关。吸烟(OR = 3.07, p < 0.001)、经常饮酒(OR = 2.10, p = 0.018)、与结核病患者接触史(OR = 4.01, p = 0.040)、结核病家族史(OR = 10.80, p = 0.001)和体重过轻(OR = 5.04, p < 0.001)与TPE独立相关。因此,吸烟和吸大麻都与TPE有显著的关联。吸烟者患TPE的风险与剂量和持续时间有关。
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来源期刊
Global Health Epidemiology and Genomics
Global Health Epidemiology and Genomics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.40
自引率
0.00%
发文量
10
审稿时长
20 weeks
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