The association of husbands' smoking with wives' dysglycemia status: A cross-sectional study among over 10 million Chinese women aged 20-49
| Autor: | Minjin Zhang, Ying Yang, Haiping Shen, Donghai Yan, Ya Zhang, Xu Ma, Yuanyuan Wang, Zuoqi Peng, Hongguang Zhang, Jiajing Jia, Fangchao Liu, Yiping Zhang, Long Wang, Qin Xu, Qiaomei Wang, Yuan He, Zongyu Xu |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Blood Glucose Male China Cross-sectional study Endocrinology Diabetes and Metabolism Psychological intervention 030209 endocrinology & metabolism Subgroup analysis 030204 cardiovascular system & hematology 03 medical and health sciences Young Adult 0302 clinical medicine Risk Factors Diabetes mellitus Glucose Intolerance medicine Diabetes Mellitus Prevalence Humans Active smoking Spouses business.industry Smoking Odds ratio Middle Aged medicine.disease Impaired fasting glucose Cross-Sectional Studies behavior and behavior mechanisms Female Tobacco Smoke Pollution business Body mass index Demography |
| Zdroj: | Journal of diabetesREFERENCES. 12(5) |
| ISSN: | 1753-0407 |
| Popis: | We comprehensively evaluated the association between husbands' smoking amount and wives' dysglycemia status.We conducted a cross-sectional study which recruited 12 023 714 reproductive couples who participated in the National Free Pre-Pregnancy Checkups Project (NFPCP) between 2015 and 2016 in China. Multivariable logistic models were used to estimate odds ratio (OR) and 95% CI. Subgroup analysis and stratified analysis were further performed to investigate potential effect modification.Compared to the neither-smoker group, the multivariable-adjusted ORs for diabetes mellitus (DM) among women was 1.09 (95% CI, 1.07-1.10), 1.04 (95% CI, 0.87-1.23), and 1.28 (95% CI, 1.17-1.41) in the husband-smoker, wife-smoker, and both-smokers groups, respectively. An increased risk of DM was also observed for women whose husbands smoke 1 to 10 (OR, 1.06; 95% CI, 1.04-1.07), 11 to 20 (OR, 1.13; 95% CI, 1.11-1.15), and over 20 cigarettes per day (OR, 1.25; 95% CI, 1.17-1.31). The prevalence of wives' DM showed significant linear trends with husbands' smoking amount (PThis study shows significant relationships between husbands' smoking and wives' risk of IFG/DM, and this result exists in both a categorical and dose-response manner. This association is modified by BMI. Family-oriented smoking interventions may both reduce husbands' active smoking and wives' risk of DM.背景: 研究全面综合评估了丈夫吸烟与妻子血糖异常状态的关联性。 方法: 本研究采用横断面研究设计的方法, 选取在2015 至2016年期间参加全国免费孕前优生健康检查项目的12,023,714对备孕夫妇作为研究对象。采用多因素Logistic回归模型估计丈夫吸烟的相对危险度(Odds Ratio, OR)和95%置信区间(95% CI)。同时采用亚组分析和分层分析进一步探索潜在的修饰效应。 结果: 与丈夫和妻子均不吸烟组相比, 丈夫吸烟组、妻子吸烟组以及丈夫妻子均吸烟组中妻子糖尿病的患病率均较高, 经多因素校正后, 其OR值分别为1.09 (95% CI, 1.07-1.10), 1.04 (95% CI, 0.87-1.23)和1.28 (95% CI, 1.17-1.41)。在所有妻子自身不吸烟的家庭中, 以丈夫不吸烟的妻子为参照组, 丈夫吸烟支数为1-10支/天, 11-20支/天,20支/天组的妻子患糖尿病的风险随着丈夫每日吸烟支数的增加而增加, OR值分别为1.06(95% CI, 1.04-1.07), 1.13(95% CI, 1.11-1.15)和1.25(95% CI, 1.17-1.31)。妻子的糖尿病患病率与丈夫的吸烟量呈显著线性相关关系(P |
| Databáze: | OpenAIRE |
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