首页 > 最新文献

Journal of Epidemiology最新文献

英文 中文
Regional Disparities in Measles Vaccination Coverage and Their Associated Factors: An Ecological Study in Japan. 麻疹疫苗接种覆盖率的地区差异及其相关因素:日本的一项生态研究。
IF 3.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-02-05 Epub Date: 2024-12-26 DOI: 10.2188/jea.JE20240129
Masaki Machida, Shinji Fukushima, Takahiro Tabuchi, Tomoki Nakaya, Wakaba Fukushima, Shigeru Inoue

Background: The decline in measles vaccination coverage is a global concern. In Japan, coverage of the first dose of measles vaccine, which had exceeded the target of 95.0% since fiscal year (FY) 2010, fell to 93.5% in FY 2021. Vaccination coverage increased to 95.4% in FY 2022 but varied by municipality. Few studies have focused on regional disparities in measles vaccination coverage. This study aimed to clarify the regional disparities in measles vaccination coverage by municipality in Japan and their associated factors.

Methods: In this ecological study, the measles vaccination coverage in FY 2022; population density; area deprivation index (ADI; an indicator of socioeconomic status); proportion of foreign nationals, single-father households, single-mother households, and mothers aged ≥30 years; and number of medical facilities, pediatricians, and non-pediatric medical doctors in 1,698 municipalities were extracted from Japanese government statistics. Negative binomial regression was performed with the number of children vaccinated against measles as the dependent variable, number of children eligible for measles vaccination as the offset term, and other factors as independent variables.

Results: Vaccination coverage was less than 95.0% in 54.3% of municipalities. Vaccination coverage was significantly positively associated with population density and negatively associated with the proportion of single-father households, mothers aged ≥30 years, and the ADI (incidence rate ratios: 1.004, 0.976, 0.999, and 0.970, respectively).

Conclusion: This study showed regional disparities in measles vaccination coverage in Japan. Single-father households, age of mothers, and socioeconomic status may be key factors when municipalities consider strategies to improve vaccination coverage.

背景:麻疹疫苗接种率的下降是一个全球关注的问题。在日本,第一剂麻疹疫苗的接种率自 2010 财政年度(FY)以来一直超过 95.0% 的目标,但在 2021 财政年度(FY)下降到 93.5%。2022 财年,疫苗接种覆盖率增至 95.4%,但各市之间存在差异。很少有研究关注麻疹疫苗接种覆盖率的地区差异。本研究旨在阐明日本各市麻疹疫苗接种覆盖率的地区差异及其相关因素:在这项生态研究中,我们从日本政府的统计数据中提取了 1698 个市町村 2022 年度的麻疹疫苗接种率、人口密度、地区贫困指数(ADI,社会经济地位的指标)、外国人、单亲父亲家庭、单亲母亲家庭和母亲年龄≥30 岁的比例,以及医疗机构、儿科医生和非儿科医生的数量。以接种麻疹疫苗的儿童人数为因变量,有资格接种麻疹疫苗的儿童人数为抵消项,其他因素为自变量,进行负二项回归:54.3%的城市接种率低于 95.0%。接种率与人口密度呈显著正相关,与单亲家庭比例、母亲年龄≥30 岁和每日平均指数呈显著负相关(发病率比 [IRR]:分别为 1.004、0.976、0.999、0.970):本研究显示了日本麻疹疫苗接种覆盖率的地区差异。单亲家庭、母亲年龄和社会经济地位可能是市政当局考虑提高疫苗接种覆盖率策略的关键因素。
{"title":"Regional Disparities in Measles Vaccination Coverage and Their Associated Factors: An Ecological Study in Japan.","authors":"Masaki Machida, Shinji Fukushima, Takahiro Tabuchi, Tomoki Nakaya, Wakaba Fukushima, Shigeru Inoue","doi":"10.2188/jea.JE20240129","DOIUrl":"10.2188/jea.JE20240129","url":null,"abstract":"<p><strong>Background: </strong>The decline in measles vaccination coverage is a global concern. In Japan, coverage of the first dose of measles vaccine, which had exceeded the target of 95.0% since fiscal year (FY) 2010, fell to 93.5% in FY 2021. Vaccination coverage increased to 95.4% in FY 2022 but varied by municipality. Few studies have focused on regional disparities in measles vaccination coverage. This study aimed to clarify the regional disparities in measles vaccination coverage by municipality in Japan and their associated factors.</p><p><strong>Methods: </strong>In this ecological study, the measles vaccination coverage in FY 2022; population density; area deprivation index (ADI; an indicator of socioeconomic status); proportion of foreign nationals, single-father households, single-mother households, and mothers aged ≥30 years; and number of medical facilities, pediatricians, and non-pediatric medical doctors in 1,698 municipalities were extracted from Japanese government statistics. Negative binomial regression was performed with the number of children vaccinated against measles as the dependent variable, number of children eligible for measles vaccination as the offset term, and other factors as independent variables.</p><p><strong>Results: </strong>Vaccination coverage was less than 95.0% in 54.3% of municipalities. Vaccination coverage was significantly positively associated with population density and negatively associated with the proportion of single-father households, mothers aged ≥30 years, and the ADI (incidence rate ratios: 1.004, 0.976, 0.999, and 0.970, respectively).</p><p><strong>Conclusion: </strong>This study showed regional disparities in measles vaccination coverage in Japan. Single-father households, age of mothers, and socioeconomic status may be key factors when municipalities consider strategies to improve vaccination coverage.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":"100-105"},"PeriodicalIF":3.7,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sentinel Surveillance of COVID-19: The Importance of Epidemiologic Concepts and Reasoning. COVID-19 的哨点监测:流行病学概念和推理的重要性。
IF 3.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-02-05 Epub Date: 2024-09-30 DOI: 10.2188/jea.JE20240200
Yuzo Arima, Takuri Takahashi, Ayu Kasamatsu, Takeshi Arashiro, Yusuke Kobayashi, Miyako Otsuka, Osamu Takahara, Reiko Shimbashi, Katsuhiro Komase, Taro Kamigaki, Motoi Suzuki
{"title":"Sentinel Surveillance of COVID-19: The Importance of Epidemiologic Concepts and Reasoning.","authors":"Yuzo Arima, Takuri Takahashi, Ayu Kasamatsu, Takeshi Arashiro, Yusuke Kobayashi, Miyako Otsuka, Osamu Takahara, Reiko Shimbashi, Katsuhiro Komase, Taro Kamigaki, Motoi Suzuki","doi":"10.2188/jea.JE20240200","DOIUrl":"10.2188/jea.JE20240200","url":null,"abstract":"","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":"106-107"},"PeriodicalIF":3.7,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Much Lower Prevalence and Mortality of Chronic Obstructive Pulmonary Disease in Japan Than in the United States Despite Higher Smoking Rates: A Meta-Analysis/Systematic Review. 尽管吸烟率较高,但日本慢性阻塞性肺病的发病率和死亡率远低于美国:元分析/系统综述。
IF 3.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-02-05 Epub Date: 2024-07-20 DOI: 10.2188/jea.JE20240085
Akira Sekikawa, Mengyi Li, Niva Joshi, Brandon Herbert, Curtis Tilves, Chendi Cui, Shiyao Gao, Yuefang Chang, Yasutaka Nakano, Frank C Sciurba

Background: A recent systematic review showed Japan's mortality from chronic obstructive pulmonary disease (COPD) is the lowest among 204 countries, despite notably higher smoking rates in men in Japan than in the United States. This study aims to compare (1) trends in smoking rates, (2) trends in COPD mortality, and (3) the spirometry-based COPD prevalence in the general adult population between Japan and the United States.

Methods: Age- and sex-specific smoking rates from the 1980s through 2010s and COPD mortality from 1999 through 2019 were obtained from national surveys and official statistics (International Classification of Diseases-10th codes J40-44), respectively. A systematic review and meta-analysis was performed to estimate COPD prevalence in Japan, while the National Health and Nutrition Examination Survey 2007-2012 was used for the United States. A fixed ratio of 0.7 of forced expiratory volume in the first second of forced vital capacity was used to define COPD.

Results: Over the past 4 decades, men in Japan consistently had 20-30% higher smoking rates than their United States counterparts. From 1999-2019, age-adjusted COPD mortality in men in Japan was only a third of the United States, whereas that in women was less than a tenth in 2019. Synthesizing data from 11 studies, involving 89,955 participants, Japan's COPD prevalence was more than 10% lower than in the United States in almost all age groups for both sexes.

Conclusion: This study showed markedly lower rates of COPD in Japan than in the United States. Investigating factors contributing to the paradoxical observations could lead to advancing COPD risk reduction strategies.

背景:最近的一项系统综述显示,尽管日本男性吸烟率明显高于美国,但日本的慢性阻塞性肺病(COPD)死亡率在204个国家中最低。本研究旨在比较(1)吸烟率趋势;(2)慢性阻塞性肺病死亡率趋势;(3)日本和美国普通成年人口中基于肺活量测定的慢性阻塞性肺病患病率:方法:分别从全国调查和官方统计数据(国际疾病分类-第 10 版代码 J40-44)中获取了 20 世纪 80 年代至 2010 年代的特定年龄和性别吸烟率以及 1999 年至 2019 年的慢性阻塞性肺病死亡率。对日本的慢性阻塞性肺病发病率进行了系统回顾和荟萃分析,对美国的慢性阻塞性肺病发病率则采用了 2007-2012 年全国健康与营养调查。在定义慢性阻塞性肺病时,第一秒用力呼气量与用力肺活量的固定比率为 0.7:在过去 40 年中,日本男性的吸烟率一直比美国男性高出 20-30%。从 1999 年到 2019 年,日本男性经年龄调整后的慢性阻塞性肺病死亡率仅为美国的三分之一,而女性的死亡率在 2019 年不到美国的十分之一。综合11项研究(涉及89955名参与者)的数据,日本几乎所有年龄组的男女慢性阻塞性肺病患病率都比美国低10%以上:这项研究表明,日本的慢性阻塞性肺病发病率明显低于美国。结论:这项研究表明,日本的慢性阻塞性肺病发病率明显低于美国。对造成这一矛盾现象的因素进行调查,有助于制定降低慢性阻塞性肺病风险的策略。
{"title":"Much Lower Prevalence and Mortality of Chronic Obstructive Pulmonary Disease in Japan Than in the United States Despite Higher Smoking Rates: A Meta-Analysis/Systematic Review.","authors":"Akira Sekikawa, Mengyi Li, Niva Joshi, Brandon Herbert, Curtis Tilves, Chendi Cui, Shiyao Gao, Yuefang Chang, Yasutaka Nakano, Frank C Sciurba","doi":"10.2188/jea.JE20240085","DOIUrl":"10.2188/jea.JE20240085","url":null,"abstract":"<p><strong>Background: </strong>A recent systematic review showed Japan's mortality from chronic obstructive pulmonary disease (COPD) is the lowest among 204 countries, despite notably higher smoking rates in men in Japan than in the United States. This study aims to compare (1) trends in smoking rates, (2) trends in COPD mortality, and (3) the spirometry-based COPD prevalence in the general adult population between Japan and the United States.</p><p><strong>Methods: </strong>Age- and sex-specific smoking rates from the 1980s through 2010s and COPD mortality from 1999 through 2019 were obtained from national surveys and official statistics (International Classification of Diseases-10<sup>th</sup> codes J40-44), respectively. A systematic review and meta-analysis was performed to estimate COPD prevalence in Japan, while the National Health and Nutrition Examination Survey 2007-2012 was used for the United States. A fixed ratio of 0.7 of forced expiratory volume in the first second of forced vital capacity was used to define COPD.</p><p><strong>Results: </strong>Over the past 4 decades, men in Japan consistently had 20-30% higher smoking rates than their United States counterparts. From 1999-2019, age-adjusted COPD mortality in men in Japan was only a third of the United States, whereas that in women was less than a tenth in 2019. Synthesizing data from 11 studies, involving 89,955 participants, Japan's COPD prevalence was more than 10% lower than in the United States in almost all age groups for both sexes.</p><p><strong>Conclusion: </strong>This study showed markedly lower rates of COPD in Japan than in the United States. Investigating factors contributing to the paradoxical observations could lead to advancing COPD risk reduction strategies.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":"90-99"},"PeriodicalIF":3.7,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141734279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in Alcohol Consumption During and After the Covid-19 Pandemic From 2020 to 2023 in a Prospective Cohort of Italian Adults. 2020年至2023年意大利成人前瞻性队列中Covid-19大流行期间和之后酒精消费量的变化
IF 3.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-02-05 Epub Date: 2024-12-17 DOI: 10.2188/jea.JE20230340
Sonia Cerrai, Giulia Carreras, Filippo Monti, Chiara Stival, Alessandra Lugo, Cristina Bosetti, Silvia Biagioni, Tiziana Fanucchi, Giuseppe Gorini, Andrea Amerio, Luisa Mastrobattista, Claudia Mortali, Anna Odone, Sabrina Molinaro, Luc Smits, Silvano Gallus

Background: The lockdowns imposed by the government during coronavirus disease 2019 (COVID-19) pandemic have had a significant impact on the Italian population habits.

Methods: LOckdown and lifeSTyles in Italy and in Tuscany studies collected data on a representative sample of the Italian adult population in 2020 (n = 6,003) followed up through 2023 via four additional surveys (3,000 ≤ n ≤ 6,600) through an online self-administered questionnaire. The Alcohol Use Disorders Identification Test-Concise was used to identify at-risk drinkers. Considering the cohort of individuals who took part to the first and at least one other wave (n = 5,378), a multilevel logistic model was used to derive odds ratios (ORs) and corresponding 95% confidence intervals (CIs) of being at-risk drinkers.

Results: The prevalence of at-risk drinkers was 26.4% before, 23.4% during the first lockdown, and stabilized around 30.0% thereafter. Being at-risk alcohol consumers decreased with decreasing economic status (P for trend <0.001), was less frequent among middle-aged compared to younger (OR 0.73; 95% CI, 0.60-0.89) and among divorced/separated (OR 0.77; 95% CI, 0.60-0.99) or single (OR 0.75; 95% CI, 0.64-0.89) compared to married individuals. It was more frequent among individuals with anxiety or depressive symptoms (OR 1.24; 95% CI, 1.12-1.37), those using psychotropic drugs (OR 1.99; 95% CI, 1.69-2.35) and users of conventional and/or alternative nicotine products (OR 3.67; 95% CI, 3.00-4.48).

Conclusion: The long-term trends in alcohol consumption after the COVID-19 pandemic are unfavorable in Italy. The results point to an increased vulnerability for at-risk alcohol consumption among younger individuals, women with higher economic status, and married individuals. At-risk drinking is strongly related to mental health symptoms and nicotine consumption.

背景:2019冠状病毒病(COVID-19)大流行期间政府实施的封锁对意大利人口习惯产生了重大影响。方法:意大利和托斯卡纳的封锁和生活方式研究收集了2020年意大利成年人口代表性样本(n = 6003)的数据,通过另外四次调查(3000≤n≤6600),通过在线自我管理问卷,随访至2023年。酒精使用障碍识别测试-简明用于识别有风险的饮酒者。考虑到参加第一波和至少另一波的个体队列(n = 5,378),使用多层逻辑模型来获得风险饮酒者的优势比(ORs)和相应的95%置信区间(ci)。结果:在第一次封锁之前,高危饮酒者的患病率为26.4%,第一次封锁期间为23.4%,之后稳定在30.0%左右。结论:COVID-19大流行后意大利酒精消费的长期趋势不利。研究结果表明,年轻人、经济地位较高的女性和已婚人士更容易受到高风险饮酒的影响。高危饮酒与心理健康症状和尼古丁摄入密切相关。
{"title":"Changes in Alcohol Consumption During and After the Covid-19 Pandemic From 2020 to 2023 in a Prospective Cohort of Italian Adults.","authors":"Sonia Cerrai, Giulia Carreras, Filippo Monti, Chiara Stival, Alessandra Lugo, Cristina Bosetti, Silvia Biagioni, Tiziana Fanucchi, Giuseppe Gorini, Andrea Amerio, Luisa Mastrobattista, Claudia Mortali, Anna Odone, Sabrina Molinaro, Luc Smits, Silvano Gallus","doi":"10.2188/jea.JE20230340","DOIUrl":"10.2188/jea.JE20230340","url":null,"abstract":"<p><strong>Background: </strong>The lockdowns imposed by the government during coronavirus disease 2019 (COVID-19) pandemic have had a significant impact on the Italian population habits.</p><p><strong>Methods: </strong>LOckdown and lifeSTyles in Italy and in Tuscany studies collected data on a representative sample of the Italian adult population in 2020 (n = 6,003) followed up through 2023 via four additional surveys (3,000 ≤ n ≤ 6,600) through an online self-administered questionnaire. The Alcohol Use Disorders Identification Test-Concise was used to identify at-risk drinkers. Considering the cohort of individuals who took part to the first and at least one other wave (n = 5,378), a multilevel logistic model was used to derive odds ratios (ORs) and corresponding 95% confidence intervals (CIs) of being at-risk drinkers.</p><p><strong>Results: </strong>The prevalence of at-risk drinkers was 26.4% before, 23.4% during the first lockdown, and stabilized around 30.0% thereafter. Being at-risk alcohol consumers decreased with decreasing economic status (P for trend <0.001), was less frequent among middle-aged compared to younger (OR 0.73; 95% CI, 0.60-0.89) and among divorced/separated (OR 0.77; 95% CI, 0.60-0.99) or single (OR 0.75; 95% CI, 0.64-0.89) compared to married individuals. It was more frequent among individuals with anxiety or depressive symptoms (OR 1.24; 95% CI, 1.12-1.37), those using psychotropic drugs (OR 1.99; 95% CI, 1.69-2.35) and users of conventional and/or alternative nicotine products (OR 3.67; 95% CI, 3.00-4.48).</p><p><strong>Conclusion: </strong>The long-term trends in alcohol consumption after the COVID-19 pandemic are unfavorable in Italy. The results point to an increased vulnerability for at-risk alcohol consumption among younger individuals, women with higher economic status, and married individuals. At-risk drinking is strongly related to mental health symptoms and nicotine consumption.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":"63-70"},"PeriodicalIF":3.7,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Maternal Physical Activity From Pre-pregnancy to Child-rearing and Their Children's Physical Activity in Early Childhood Among Japanese. 日本人中母亲从怀孕前到育儿期间的体育锻炼与子女幼儿期体育锻炼之间的关系。
IF 3.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-02-05 Epub Date: 2024-12-26 DOI: 10.2188/jea.JE20240041
Aya Yamada, Haruki Momma, Nozomi Tatsuta, Kunihiko Nakai, Takahiro Arima, Chiharu Ota, Nobuo Yaegashi, Ryoichi Nagatomi

Introduction: This study aimed to determine the association between cumulative maternal physical activity level and their children's physical activity in early childhood. We also compared the influence of each maternal physical activity on children's physical activity in early childhood.

Methods: We analyzed the data from 1,067 Japanese mother-child pairs. Maternal physical activity was assessed using the International Physical Activity Questionnaire. Cumulative physical activity level in mothers was computed based on the categories (low, moderate, and high) of physical activity from five time points (pre-pregnancy, during pregnancy, 1.5, 3.5, and 5.5 years postpartum). Children's physical activity level was measured at age 5.5 years using the WHO Health Behaviour School-aged Children questionnaire and defined as engaging in physical activity for at least 60 minutes per day for more than 5 days. Logistic regression analysis was used to determine the association between maternal and children's physical activity levels.

Results: The results showed the positive association between cumulative maternal physical activity and children's physical activity level (P for trend < 0.001). Furthermore, maternal physical activity during pregnancy (P for trend = 0.031) and 5.5 years postpartum (P for trend < 0.001) was positively associated with children's physical activity.

Conclusion: A positive association was observed between the cumulative maternal physical activity level and the physical activity level of their children at 5.5 years of age. Furthermore, maternal physical activity during pregnancy and at 5.5 years postpartum were positively associated with the level of children's physical activity.

导言本研究旨在确定母亲的累积体力活动水平与子女幼儿期体力活动之间的关系,并比较母亲的各项体力活动对子女幼儿期体力活动的影响。我们还比较了每种母亲体力活动对子女幼儿期体力活动的影响:我们分析了 1,067 对日本母子的数据。方法:我们分析了 1,067 对日本母子的数据,并使用国际体力活动问卷对母亲的体力活动进行了评估。根据 5 个时间点(孕前、孕期、产后 1.5 年、3.5 年和 5.5 年)的体力活动类别(低、中、高)计算母亲的累积体力活动水平。在 5.5 岁时,使用世界卫生组织学龄儿童健康行为调查问卷对儿童的体育锻炼水平进行测量,并将每天至少进行 60 分钟体育锻炼且持续 5 天以上定义为体育锻炼水平。采用逻辑回归分析确定母亲和儿童体育活动水平之间的关系:结果表明,母亲的累积体力活动与儿童的体力活动水平呈正相关(趋势 P < 0.001)。此外,母亲在孕期(趋势 P = 0.031)和产后 5.5 年(趋势 P < 0.001)的体力活动量与儿童的体力活动量呈正相关:结论:母亲的累积体力活动水平与子女 5.5 岁时的体力活动水平呈正相关。此外,母亲在怀孕期间和产后 5.5 年的体力活动与子女的体力活动水平呈正相关。
{"title":"Association Between Maternal Physical Activity From Pre-pregnancy to Child-rearing and Their Children's Physical Activity in Early Childhood Among Japanese.","authors":"Aya Yamada, Haruki Momma, Nozomi Tatsuta, Kunihiko Nakai, Takahiro Arima, Chiharu Ota, Nobuo Yaegashi, Ryoichi Nagatomi","doi":"10.2188/jea.JE20240041","DOIUrl":"10.2188/jea.JE20240041","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to determine the association between cumulative maternal physical activity level and their children's physical activity in early childhood. We also compared the influence of each maternal physical activity on children's physical activity in early childhood.</p><p><strong>Methods: </strong>We analyzed the data from 1,067 Japanese mother-child pairs. Maternal physical activity was assessed using the International Physical Activity Questionnaire. Cumulative physical activity level in mothers was computed based on the categories (low, moderate, and high) of physical activity from five time points (pre-pregnancy, during pregnancy, 1.5, 3.5, and 5.5 years postpartum). Children's physical activity level was measured at age 5.5 years using the WHO Health Behaviour School-aged Children questionnaire and defined as engaging in physical activity for at least 60 minutes per day for more than 5 days. Logistic regression analysis was used to determine the association between maternal and children's physical activity levels.</p><p><strong>Results: </strong>The results showed the positive association between cumulative maternal physical activity and children's physical activity level (P for trend < 0.001). Furthermore, maternal physical activity during pregnancy (P for trend = 0.031) and 5.5 years postpartum (P for trend < 0.001) was positively associated with children's physical activity.</p><p><strong>Conclusion: </strong>A positive association was observed between the cumulative maternal physical activity level and the physical activity level of their children at 5.5 years of age. Furthermore, maternal physical activity during pregnancy and at 5.5 years postpartum were positively associated with the level of children's physical activity.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":"81-89"},"PeriodicalIF":3.7,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141734278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between informal caregiving and changes in cardiovascular-related health behaviors among middle-aged and older adults in Japan: A 15-year panel survey.
IF 3.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-25 DOI: 10.2188/jea.JE20240197
Yuta Taniguchi, Atsushi Miyawaki, Masao Iwagami, Takehiro Sugiyama, Taeko Watanabe, Tomoko Ito, Nanako Tamiya

BackgroundStudies have shown that informal caregiving is associated with an increased risk of cardiovascular diseases. However, there is limited evidence on the mechanisms involved. To fill this knowledge gap, we investigated the association of informal caregiving with changes in health-related behaviors.MethodsWe analyzed a nationally representative sample aged 50-59 years as of 2005 using fifteen waves of the Longitudinal Survey of Middle-Aged and Older Adults, conducted between 2005-2019. We investigated the association between the change in informal caregiving status and the change in health-related behaviors, including (1) heavy drinking, (2) smoking, (3) no exercise habits, and (4) no attendance at annual health checkups. We used multivariable logistic regression models with correlated random effects, adjusting for individual-level time-invariant characteristics.ResultsAmong 268,165 observations from 30,530 participants (median age 55 [interquartile range 52-57] at baseline; 51.6% women), 32,164 (12.0%) observations from 10,224 individuals provided informal care. After adjusting for potential confounders, informal caregiving was associated with higher probabilities of deteriorating health-related behaviors, including heavy drinking (adjusted odds ratio [aOR] 1.16; 95% confidence interval [CI] 1.03-1.32; adjusted p=0.032) and no exercise habits (aOR 1.09; 95%CI 1.04-1.15; adjusted p<0.001). We observed similar patterns for smoking (aOR 1.12; 95%CI 1.001-1.26; adjusted p=0.053) and no attendance at health checkups (aOR 1.05; 95%CI 0.999-1.10; adjusted p=0.053).ConclusionThis study showed that the transition into informal caregiving was associated with deteriorating cardiovascular-related health behaviors in Japan. These findings highlighted the importance of continued efforts to prevent the deterioration of caregivers' health-related behaviors.

{"title":"Association between informal caregiving and changes in cardiovascular-related health behaviors among middle-aged and older adults in Japan: A 15-year panel survey.","authors":"Yuta Taniguchi, Atsushi Miyawaki, Masao Iwagami, Takehiro Sugiyama, Taeko Watanabe, Tomoko Ito, Nanako Tamiya","doi":"10.2188/jea.JE20240197","DOIUrl":"https://doi.org/10.2188/jea.JE20240197","url":null,"abstract":"<p><p>BackgroundStudies have shown that informal caregiving is associated with an increased risk of cardiovascular diseases. However, there is limited evidence on the mechanisms involved. To fill this knowledge gap, we investigated the association of informal caregiving with changes in health-related behaviors.MethodsWe analyzed a nationally representative sample aged 50-59 years as of 2005 using fifteen waves of the Longitudinal Survey of Middle-Aged and Older Adults, conducted between 2005-2019. We investigated the association between the change in informal caregiving status and the change in health-related behaviors, including (1) heavy drinking, (2) smoking, (3) no exercise habits, and (4) no attendance at annual health checkups. We used multivariable logistic regression models with correlated random effects, adjusting for individual-level time-invariant characteristics.ResultsAmong 268,165 observations from 30,530 participants (median age 55 [interquartile range 52-57] at baseline; 51.6% women), 32,164 (12.0%) observations from 10,224 individuals provided informal care. After adjusting for potential confounders, informal caregiving was associated with higher probabilities of deteriorating health-related behaviors, including heavy drinking (adjusted odds ratio [aOR] 1.16; 95% confidence interval [CI] 1.03-1.32; adjusted p=0.032) and no exercise habits (aOR 1.09; 95%CI 1.04-1.15; adjusted p<0.001). We observed similar patterns for smoking (aOR 1.12; 95%CI 1.001-1.26; adjusted p=0.053) and no attendance at health checkups (aOR 1.05; 95%CI 0.999-1.10; adjusted p=0.053).ConclusionThis study showed that the transition into informal caregiving was associated with deteriorating cardiovascular-related health behaviors in Japan. These findings highlighted the importance of continued efforts to prevent the deterioration of caregivers' health-related behaviors.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Wako Cohort Study: Design and Profile of Participants at Baseline.
IF 3.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-25 DOI: 10.2188/jea.JE20240288
Yuri Yokoyama, Yu Nofuji, Takumi Abe, Kumiko Nonaka, Yumi Ozone, Yuka Nakamura, Shiina Chiaki, Takumi Suda, Naoko Saito, Mai Takase, Hidenori Amano, Susumu Ogawa, Hiroyuki Suzuki, Hiroshi Murayama

Background: We launched the Wako Cohort Study in 2023 to identify individual and socio-environmental factors related to the extension of healthy life expectancy and the reduction of health disparities among community-dwelling adults and to develop health promotion and care prevention strategies. This study profile aims to describe the study design and participants' profile at baseline.

Methods: The Wako Cohort Study is a prospective study of community-dwelling adults aged ≥ 40 years living in Wako City, Saitama Prefecture, Japan. The Wako Cohort Study consists of two surveys: a mail-in survey for persons aged ≥ 40 years and a face-to-face assessment (on-site survey) for those aged ≥ 65 years. The survey items were designed considering the following points: 1) life course perspective (transition from middle to old age in the life course), 2) health indifference, and 3) employment in older age.

Results: A total of 8,824 individuals participated in the mail-in survey (2,395 persons aged 40-64 years and 6,429 aged ≥ 65 years). Of those aged ≥ 65 years who returned the mail survey, 1,004 participated in the subsequent on-site survey. Men aged ≥ 65 years tended to have higher health interests than those aged 40-64 years; however, this was not true for women. In the mail-in survey, 30.4 % of those aged ≥ 65 years were employed.

Conclusions: The Wako Cohort Study is expected to provide new insights into the development of strategies to extend healthy life expectancy and reduce health disparities in Japan.

{"title":"The Wako Cohort Study: Design and Profile of Participants at Baseline.","authors":"Yuri Yokoyama, Yu Nofuji, Takumi Abe, Kumiko Nonaka, Yumi Ozone, Yuka Nakamura, Shiina Chiaki, Takumi Suda, Naoko Saito, Mai Takase, Hidenori Amano, Susumu Ogawa, Hiroyuki Suzuki, Hiroshi Murayama","doi":"10.2188/jea.JE20240288","DOIUrl":"https://doi.org/10.2188/jea.JE20240288","url":null,"abstract":"<p><strong>Background: </strong>We launched the Wako Cohort Study in 2023 to identify individual and socio-environmental factors related to the extension of healthy life expectancy and the reduction of health disparities among community-dwelling adults and to develop health promotion and care prevention strategies. This study profile aims to describe the study design and participants' profile at baseline.</p><p><strong>Methods: </strong>The Wako Cohort Study is a prospective study of community-dwelling adults aged ≥ 40 years living in Wako City, Saitama Prefecture, Japan. The Wako Cohort Study consists of two surveys: a mail-in survey for persons aged ≥ 40 years and a face-to-face assessment (on-site survey) for those aged ≥ 65 years. The survey items were designed considering the following points: 1) life course perspective (transition from middle to old age in the life course), 2) health indifference, and 3) employment in older age.</p><p><strong>Results: </strong>A total of 8,824 individuals participated in the mail-in survey (2,395 persons aged 40-64 years and 6,429 aged ≥ 65 years). Of those aged ≥ 65 years who returned the mail survey, 1,004 participated in the subsequent on-site survey. Men aged ≥ 65 years tended to have higher health interests than those aged 40-64 years; however, this was not true for women. In the mail-in survey, 30.4 % of those aged ≥ 65 years were employed.</p><p><strong>Conclusions: </strong>The Wako Cohort Study is expected to provide new insights into the development of strategies to extend healthy life expectancy and reduce health disparities in Japan.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Number of teeth and incidence of hip fracture in older adults aged ≥75 years: the OHSAKA study. ≥75岁老年人的牙齿数量与髋部骨折发病率:OHSAKA研究。
IF 3.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-25 DOI: 10.2188/jea.JE20240165
Naoko Otsuki, Tomoaki Mameno, Yuya Kanie, Masahiro Wada, Maki Shinzawa, Kazunori Ikebe, Ryohei Yamamoto

Background: Several studies reported an association between the number of teeth and the incidence of hip fractures in observational studies, mainly in middle-aged adults. This retrospective cohort study aimed to clarify the association between the number of teeth and the incidence of hip fractures.

Methods: In this retrospective cohort study, a total of 256,772 participants aged 75 years or older who underwent public dental checkups in Japan were evaluated. Exposure in this study was the number of teeth, with a maximum number of 28, excluding third molars. Outcome measures were the incidence of hip fractures needing surgery, using the Japanese procedure codes in medical claims.

Results: A total of 190,998 participants met the inclusion criteria and were available for analysis. Adjusted Fine and Gray models identified a significant association between the number of teeth, including sound, filled, and decayed teeth, and the incidence of hip fractures among women but not for men. The continuous net reclassification improvement (NRI) of the sound and filled teeth count model increased by 0.078 compared with that of the sound, filled, and decayed teeth count model among women.

Conclusions: The number of sound and filled teeth predicted the risk of hip fractures in women, whereas no association was observed between the number of teeth and hip fractures in men.

{"title":"Number of teeth and incidence of hip fracture in older adults aged ≥75 years: the OHSAKA study.","authors":"Naoko Otsuki, Tomoaki Mameno, Yuya Kanie, Masahiro Wada, Maki Shinzawa, Kazunori Ikebe, Ryohei Yamamoto","doi":"10.2188/jea.JE20240165","DOIUrl":"https://doi.org/10.2188/jea.JE20240165","url":null,"abstract":"<p><strong>Background: </strong>Several studies reported an association between the number of teeth and the incidence of hip fractures in observational studies, mainly in middle-aged adults. This retrospective cohort study aimed to clarify the association between the number of teeth and the incidence of hip fractures.</p><p><strong>Methods: </strong>In this retrospective cohort study, a total of 256,772 participants aged 75 years or older who underwent public dental checkups in Japan were evaluated. Exposure in this study was the number of teeth, with a maximum number of 28, excluding third molars. Outcome measures were the incidence of hip fractures needing surgery, using the Japanese procedure codes in medical claims.</p><p><strong>Results: </strong>A total of 190,998 participants met the inclusion criteria and were available for analysis. Adjusted Fine and Gray models identified a significant association between the number of teeth, including sound, filled, and decayed teeth, and the incidence of hip fractures among women but not for men. The continuous net reclassification improvement (NRI) of the sound and filled teeth count model increased by 0.078 compared with that of the sound, filled, and decayed teeth count model among women.</p><p><strong>Conclusions: </strong>The number of sound and filled teeth predicted the risk of hip fractures in women, whereas no association was observed between the number of teeth and hip fractures in men.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comprehensive assessment of the impact of blood pressure, body mass index, smoking, and diabetes on healthy life expectancy in Japan: NIPPON DATA90. 综合评估血压、体重指数、吸烟和糖尿病对日本健康预期寿命的影响:NIPPON DATA90。
IF 3.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-11 DOI: 10.2188/jea.JE20240298
Rumi Tsukinoki, Yoshitaka Murakami, Takehito Hayakawa, Aya Kadota, Akiko Harada, Yoshikuni Kita, Akira Okayama, Katsuyuki Miura, Tomonori Okamura, Hirotsugu Ueshima

Background: Healthy life expectancy (HLE) is a population health indicator that is widely used in developed countries, but little is known about its relationships with combinations of non-communicable disease risk factors. This study was conducted to examine HLE at age 65 according to combinations of blood pressure levels, body mass index, smoking status, and diabetes mellitus (DM) in a Japanese population.

Methods: In a nationwide cohort study (NIPPON DATA90), data on these risk factors were obtained from participants in 1990 through physical examinations, blood tests, interviews, and questionnaires. Subsequently, participants aged ≥65 years underwent surveys on activities of daily living in 1995 and 2000, and multistate life tables were used to calculate combination-specific HLEs and their 95% confidence intervals (CIs).

Results: The study population comprised 6,569 participants (men: 2,797; women: 3,772) who were followed-up until 2010. HLE at age 65 in men with grade II/III hypertension, obesity, current smoker status, and DM (HLE: 12.9 years, 95% CIs: 12.9-13.0 years) was 9.7 years shorter than men without these risk factors (HLE: 22.6 years, 95% CIs: 22.4-22.8 years). Similarly, HLE at age 65 in women with grade II/III hypertension, obesity, current smoker status, and DM (HLE: 16.2 years, 95% CIs: 15.9-16.5 years) was 10.1 years shorter than women without these risk factors (HLE: 26.3 years, 95% CIs: 26.3-26.3 years).

Conclusion: The large discrepancies in HLEs underscore the impact of non-communicable disease risk factors, which should be considered when formulating health interventions to improve HLE in Japanese older adults.

背景:健康预期寿命(HLE)是发达国家广泛使用的一项人口健康指标,但其与非传染性疾病风险因素组合的关系知之甚少。本研究是根据日本人群中血压水平、体重指数、吸烟状况和糖尿病(DM)的组合来检查65岁人群的HLE。方法:在一项全国性队列研究(NIPPON DATA90)中,通过1990年的身体检查、血液检查、访谈和问卷调查,从参与者那里获得了这些危险因素的数据。随后,在1995年和2000年对年龄≥65岁的参与者进行了日常生活活动调查,并使用多状态生命表计算组合特异性HLEs及其95%置信区间(ci)。结果:研究人群包括6569名参与者(男性:2797名;女性:3772人),随访至2010年。65岁时患有II/III级高血压、肥胖、吸烟和糖尿病的男性HLE (HLE: 12.9年,95% ci: 12.9-13.0年)比没有这些危险因素的男性(HLE: 22.6年,95% ci: 22.4-22.8年)短9.7年。同样,患有II/III级高血压、肥胖、吸烟和糖尿病的65岁女性的HLE (HLE: 16.2年,95% ci: 15.9-16.5年)比没有这些危险因素的女性短10.1年(HLE: 26.3年,95% ci: 26.3-26.3年)。结论:HLE的巨大差异强调了非传染性疾病危险因素的影响,在制定改善日本老年人HLE的健康干预措施时应考虑这些因素。
{"title":"Comprehensive assessment of the impact of blood pressure, body mass index, smoking, and diabetes on healthy life expectancy in Japan: NIPPON DATA90.","authors":"Rumi Tsukinoki, Yoshitaka Murakami, Takehito Hayakawa, Aya Kadota, Akiko Harada, Yoshikuni Kita, Akira Okayama, Katsuyuki Miura, Tomonori Okamura, Hirotsugu Ueshima","doi":"10.2188/jea.JE20240298","DOIUrl":"https://doi.org/10.2188/jea.JE20240298","url":null,"abstract":"<p><strong>Background: </strong>Healthy life expectancy (HLE) is a population health indicator that is widely used in developed countries, but little is known about its relationships with combinations of non-communicable disease risk factors. This study was conducted to examine HLE at age 65 according to combinations of blood pressure levels, body mass index, smoking status, and diabetes mellitus (DM) in a Japanese population.</p><p><strong>Methods: </strong>In a nationwide cohort study (NIPPON DATA90), data on these risk factors were obtained from participants in 1990 through physical examinations, blood tests, interviews, and questionnaires. Subsequently, participants aged ≥65 years underwent surveys on activities of daily living in 1995 and 2000, and multistate life tables were used to calculate combination-specific HLEs and their 95% confidence intervals (CIs).</p><p><strong>Results: </strong>The study population comprised 6,569 participants (men: 2,797; women: 3,772) who were followed-up until 2010. HLE at age 65 in men with grade II/III hypertension, obesity, current smoker status, and DM (HLE: 12.9 years, 95% CIs: 12.9-13.0 years) was 9.7 years shorter than men without these risk factors (HLE: 22.6 years, 95% CIs: 22.4-22.8 years). Similarly, HLE at age 65 in women with grade II/III hypertension, obesity, current smoker status, and DM (HLE: 16.2 years, 95% CIs: 15.9-16.5 years) was 10.1 years shorter than women without these risk factors (HLE: 26.3 years, 95% CIs: 26.3-26.3 years).</p><p><strong>Conclusion: </strong>The large discrepancies in HLEs underscore the impact of non-communicable disease risk factors, which should be considered when formulating health interventions to improve HLE in Japanese older adults.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patterns of use of heated tobacco products: a comprehensive systematic review. 加热烟草制品的使用模式:一项全面的系统综述。
IF 3.7 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-11 DOI: 10.2188/jea.JE20240189
Marco Scala, Giulia Dallera, Giuseppe Gorini, Jérémie Achille, Anne Havermans, Clara Neto, Anna Odone, Luc Smits, Antonella Zambon, Alessandra Lugo, Silvano Gallus

Introduction: Relative or absolute safety of heated tobacco products (HTP) remains unknown, while independent literature suggests that these products do not favour tobacco control. We conducted a comprehensive systematic review and meta-analysis to evaluate HTP usage patterns and the effect of HTP use on conventional tobacco smoking (use transitions).

Methods: We used Pubmed/MEDLINE, Embase and the Cochrane Library to identify all articles published up to February 2022 on HTP use. For the present review, we included all representative cross-sectional studies dealing with HTP use, and all prospective cohort studies or cross-sectional studies on conventional tobacco smoking transitions due to HTP use. From 610 non-duplicate articles, 76 were eligible (71 cross-sectional and 5 prospective cohort studies).

Results: Compared with young adults, HTP use was less frequent among middle-aged (pooled odds ratio, OR=0.59; 95% confidence interval, CI: 0.48-0.74; number of studies, n=15) and older adults (OR=0.17; 95%-CI: 0.07-0.38; n=12). HTP use was more frequent among former (OR=2.73; 95%-CI: 1.03-7.25; n=6) and current smokers (OR=14.53; 95%-CI: 6.34-33.31; n=12). Overall, 68.3% of HTP users were dual users (n=26). Eight studies (including 5 cohorts) showed that HTP users were more likely than non-users to start conventional cigarette smoking (OR=6.31; 95%-CI: 4.13-9.65; n=2), whereas current cigarette smokers using HTPs were less likely to quit (OR=0.84; 95%-CI: 0.80-0.89; n=4).

Conclusions: We found that HTPs are specifically popular among young generations. More than two out of three HTP users are dual users. Prospective studies consistently show that in real life HTPs are not effective smoking cessation tools.

导言:加热烟草制品(HTP)的相对或绝对安全性仍然未知,而独立文献表明这些产品不利于烟草控制。我们进行了一项全面的系统回顾和荟萃分析,以评估HTP的使用模式和HTP使用对传统吸烟(使用过渡)的影响。方法:我们使用Pubmed/MEDLINE, Embase和Cochrane Library来识别截至2022年2月发表的所有关于http使用的文章。在本综述中,我们纳入了所有关于HTP使用的代表性横断面研究,以及所有关于HTP使用导致的传统吸烟转变的前瞻性队列研究或横断面研究。从610篇非重复文章中,有76篇符合条件(71篇横断面研究和5篇前瞻性队列研究)。结果:与年轻人相比,中年人使用HTP的频率较低(合并优势比,OR=0.59;95%置信区间,CI: 0.48-0.74;研究数量,n=15)和老年人(OR=0.17;95% ci: 0.07—-0.38;n = 12)。前者使用http的频率更高(OR=2.73;95% ci: 1.03—-7.25;n=6)和当前吸烟者(OR=14.53;95% ci: 6.34—-33.31;n = 12)。总体而言,68.3%的http用户是双重用户(n=26)。8项研究(包括5个队列)显示,HTP使用者比非使用者更有可能开始吸传统香烟(OR=6.31;95% ci: 4.13—-9.65;n=2),而目前使用htp的吸烟者戒烟的可能性较小(OR=0.84;95% ci: 0.80—-0.89;n = 4)。结论:我们发现htp在年轻一代中特别受欢迎。超过三分之二的http用户是双重用户。前瞻性研究一致表明,在现实生活中,htp并不是有效的戒烟工具。
{"title":"Patterns of use of heated tobacco products: a comprehensive systematic review.","authors":"Marco Scala, Giulia Dallera, Giuseppe Gorini, Jérémie Achille, Anne Havermans, Clara Neto, Anna Odone, Luc Smits, Antonella Zambon, Alessandra Lugo, Silvano Gallus","doi":"10.2188/jea.JE20240189","DOIUrl":"https://doi.org/10.2188/jea.JE20240189","url":null,"abstract":"<p><strong>Introduction: </strong>Relative or absolute safety of heated tobacco products (HTP) remains unknown, while independent literature suggests that these products do not favour tobacco control. We conducted a comprehensive systematic review and meta-analysis to evaluate HTP usage patterns and the effect of HTP use on conventional tobacco smoking (use transitions).</p><p><strong>Methods: </strong>We used Pubmed/MEDLINE, Embase and the Cochrane Library to identify all articles published up to February 2022 on HTP use. For the present review, we included all representative cross-sectional studies dealing with HTP use, and all prospective cohort studies or cross-sectional studies on conventional tobacco smoking transitions due to HTP use. From 610 non-duplicate articles, 76 were eligible (71 cross-sectional and 5 prospective cohort studies).</p><p><strong>Results: </strong>Compared with young adults, HTP use was less frequent among middle-aged (pooled odds ratio, OR=0.59; 95% confidence interval, CI: 0.48-0.74; number of studies, n=15) and older adults (OR=0.17; 95%-CI: 0.07-0.38; n=12). HTP use was more frequent among former (OR=2.73; 95%-CI: 1.03-7.25; n=6) and current smokers (OR=14.53; 95%-CI: 6.34-33.31; n=12). Overall, 68.3% of HTP users were dual users (n=26). Eight studies (including 5 cohorts) showed that HTP users were more likely than non-users to start conventional cigarette smoking (OR=6.31; 95%-CI: 4.13-9.65; n=2), whereas current cigarette smokers using HTPs were less likely to quit (OR=0.84; 95%-CI: 0.80-0.89; n=4).</p><p><strong>Conclusions: </strong>We found that HTPs are specifically popular among young generations. More than two out of three HTP users are dual users. Prospective studies consistently show that in real life HTPs are not effective smoking cessation tools.</p>","PeriodicalId":15799,"journal":{"name":"Journal of Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Epidemiology
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1