Joint effect of smoking and diabetes on stroke
10.3760/cma.j.issn.0254-6450.2017.09.026
- VernacularTitle:吸烟和糖尿病对脑卒中联合效应的研究
- Author:
Heqing LOU
1
;
Zongmei DONG
;
Xiaoping SHAO
;
Pan ZHANG
;
Yue SHI
;
Peipei CHEN
;
Cheng QIAO
;
Ting LI
;
Xin DING
;
Peian LOU
;
Xunbao ZHANG
Author Information
1. 221004,徐州医科大学公共卫生学院
- Keywords:
Smoking;
Diabetes;
Stroke;
Interaction
- From:
Chinese Journal of Epidemiology
2017;38(9):1274-1277
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the interaction of smoking and diabetes on stroke.Methods In this case-control study,a face to face questionnaire survey was conducted.Logistic regression models were used to analyze the relationship between smoking or diabetes and stroke.The indicators of interaction were calculated according to the Bootstrap method in this study.Results A total of 918 cases and 918 healthy controls,who participated in the chronic disease risk factor survey in Xuzhou in 2013,were included in this study.Logistic regression analysis found that cigarette smoking was associated with stroke (OR=1.63,95％ CI:1.33-2.00),and diabetes was also associated with stroke (OR=2.75,95％CI:2.03-3.73) after adjusting confounders.Compared with those without diabetes and smoking habit,the odds ratio of stroke in those with diabetes and smoking habits was 8.94 (95％CI:3.77-21.19).Diabetes and smoking combined interaction index was 3.65 (95％CI:1.68-7.94),the relative excess risk was 5.77 (95％ CI:0.49-11.04),the attributable proportion was 0.65 (95％ CI:0.42-0.87).Conclusion The results suggest that there are additive interactions between smoking and diabetes on stroke.
