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摘要 :[目的]探讨我国女性人群肺癌发生的主要危险因素。[方法]利用Meta分析方法综合1990年~2001年关于女性肺癌发病危险因素的研究文献 ,共19篇。[结果]女性肺癌与各危险因素的OR分别为吸烟2.81(2.05~3.85)、被动吸烟1.37(0.88~2.12)、室内油烟2.98(1.91~4.66)、经常参加烹调1.65(1.15~2.37)、生活用煤1.27(0.85~1.89)、室内煤烟污染1.84(0.94~3.59)、精神因素3.67(2.25~6.00)、呼吸系统疾病史2.24(1.79~2.80)、肺癌家族史2.51(1.96~3.21) ,而蔬菜摄入多0.76(0.75~1.00)和水果摄入多0.59(0.33~1.06),为保护因素。[结论]在制订预防女性肺癌的措施中 ,要针对肺癌病因的复杂性 ,除了强调医学因素的措施之外 ,还要重视从社会学的角度 ,在社会结构、个人角色、社会文化三个层面上 ,采取综合治理的办法 ,提出预防的有效措施。
Abstract: [Objective] To explore the main risk factors of lung cancer in Chinese female population. [Methods] Meta-analysis was used to synthesize 19 articles about the risk factors of lung cancer in women from 1990 to 2001. [Results] OR of female risk factors for lung cancer were 2.81 (2.05-3.85), 1.37 (0.88-2.12) for passive smoking and 2.98 (1.91-4.66) for indoor fumes, respectively. They often took part in cooking 1.65 (1.15-2.37) Coal 1.27 (0.85 ~ 1.89), indoor soot pollution 1.84 (0.94 ~ 3.59), mental factor 3.67 (2.25 ~ 6.00), respiratory system history 2.24 (1.79 ~ 2.80), lung cancer family history 2.51 The vegetable intake of more than 0.76 (0.75 ~ 1.00) and fruit intake 0.59 (0.33 ~ 1.06), as a protective factor. [Conclusion] In order to formulate the precautionary measures to prevent female lung cancer, the complexity of the etiological factor of lung cancer should be emphasized besides sociological point of view, social structure, personal role and social culture On the adoption of comprehensive management approach, put forward effective measures to prevent.