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src="data:image/png;base64,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"><sup id="newshotnum" style="display: none;"></sup></a> <i id="audioPlayerbox" style="display: none;"></i> <a class="hasspeech f-fr" onclick="listenAudio('https://audiocdn.yicai.com/audio/759c4d56-0784-41cc-9a76-f1813d404ba9_xf.mp3')">聽(tīng)新聞</a> </p><p class="names">作者：吳斯旻責(zé)編：計(jì)亞</p><div id="l3uc3wp" class="m-smallshare"></div></div> <div id="6nj0f7n" class="intro"> 如果我國(guó)卷煙價(jià)格增加20％，成人吸煙率將降低3.2％，進(jìn)而可以增加約130萬(wàn)例新生兒，同時(shí)避免超過(guò)68萬(wàn)例妊娠糖尿病等不良妊娠結(jié)局。 </div> <div id="nupewvd" class="m-txt"><div class="ai3t6np" id="multi-text" class="f-cb"><p>在中國(guó)，每九到十對(duì)已婚夫妻中就有一對(duì)因不孕不育癥而無(wú)法生育，每五名孕婦中就有一名可能罹患妊娠期糖尿病。在女性生育力下降、母嬰不良結(jié)局發(fā)生的背后，“元兇”之一就是煙草暴露。</p> <p>一篇主題為“煙草對(duì)中國(guó)人口高質(zhì)量發(fā)展的影響”的最新研究顯示：在中國(guó)，煙草暴露（包括女性及其配偶主動(dòng)吸煙和非吸煙女性二手煙暴露）使低體重出生兒、早產(chǎn)、先天性心臟病、妊娠期糖尿病、不孕癥、死胎和流產(chǎn)的風(fēng)險(xiǎn)分別增加72%、32%、46%、25%、38%、25%和26%，對(duì)出生人口質(zhì)量和數(shù)量影響顯著。</p> <p>近日，清華大學(xué)萬(wàn)科公共衛(wèi)生學(xué)院教授李志徽?qǐng)F(tuán)隊(duì)發(fā)布了前述研究。該研究通過(guò)系統(tǒng)性的文獻(xiàn)綜述和薈萃分析，利用全球成人煙草調(diào)查（GATS）和中國(guó)家庭追蹤調(diào)查（CFPS）的數(shù)據(jù)，調(diào)查了煙草使用和暴露與不孕風(fēng)險(xiǎn)及不良妊娠結(jié)局之間的關(guān)聯(lián)，分析了育齡已婚婦女及其配偶的煙草使用和暴露對(duì)該群體女性生育數(shù)量和質(zhì)量的影響。</p> <p>李志徽對(duì)第一財(cái)經(jīng)等媒體介紹說(shuō)，我國(guó)25-49歲已婚女性數(shù)量約1.94億，女性平均生育數(shù)量為1.2個(gè)。研究依據(jù)疾病發(fā)生率及歸因分析，試圖測(cè)算煙草使用和二手煙暴露對(duì)我國(guó)出生人口質(zhì)量和數(shù)量的總體影響。</p> <p>測(cè)算結(jié)果顯示，在目前的中國(guó)社會(huì)中，20至49歲的已婚女性及其配偶主動(dòng)吸煙會(huì)導(dǎo)致終身超過(guò)970萬(wàn)例未出生人口，這個(gè)數(shù)字相當(dāng)于2023年出生總數(shù)的1.08倍。而如果這些女性及其配偶暴露于二手煙，會(huì)導(dǎo)致終身超過(guò)1085萬(wàn)例未出生人口，相當(dāng)于2023年出生總數(shù)的1.21倍。</p> <p>具體來(lái)說(shuō)，“未出生”包含不孕不育、流產(chǎn)和死胎三種情景。我國(guó)已婚女性中不孕不育率達(dá)到10%-15%。根據(jù)該研究，由于主動(dòng)吸煙所致的不孕不育癥，導(dǎo)致了552萬(wàn)未出生人口，二手煙暴露導(dǎo)致了615萬(wàn)未出生人口。</p> <p>煙草暴露也會(huì)導(dǎo)致生育質(zhì)量下降。該研究測(cè)算發(fā)現(xiàn)，20至49歲的已婚女性及其配偶主動(dòng)吸煙會(huì)導(dǎo)致約234萬(wàn)的低出生體重新生兒、266萬(wàn)早產(chǎn)兒、39萬(wàn)先天性心臟病、571萬(wàn)妊娠期糖尿病。二手煙暴露導(dǎo)致罹患前述疾病的人群更多，其中家庭內(nèi)二手煙暴露危害整體高于室外二手煙暴露危害。</p> <p>“此項(xiàng)研究的發(fā)現(xiàn)與國(guó)際上的其他研究結(jié)果一致。”世界衛(wèi)生組織駐華代表處無(wú)煙草行動(dòng)技術(shù)官員李可薇表示，大量科學(xué)證據(jù)顯示孕期父母吸煙和接觸二手煙與胎兒發(fā)育不良、不良圍產(chǎn)期結(jié)局以及高嬰兒死亡率有關(guān)。此項(xiàng)基于中國(guó)數(shù)據(jù)的薈萃研究再次揭示了煙草控制是提升健康出生人口數(shù)量、保障兒童健康的經(jīng)濟(jì)有效的干預(yù)措施。</p> <p>與此同時(shí)，以妊娠期糖尿病為例，煙草流行對(duì)該疾病發(fā)病的影響可能產(chǎn)生于夫妻備孕之前，而育兒階段的二手煙暴露對(duì)于母嬰健康也有顯著的負(fù)面影響。有業(yè)界觀點(diǎn)認(rèn)為，亟需進(jìn)一步在社會(huì)建立起“無(wú)煙環(huán)境”“無(wú)煙家庭”的共識(shí)。</p> <p>“通過(guò)建立無(wú)煙的環(huán)境，我們可以形成健康行為的社會(huì)傳播效應(yīng)。健康的生活方式是人口高質(zhì)量發(fā)展的重要特征，而控?zé)熌軌蛟趲状酥g形成一個(gè)正向的健康傳承，為提升整體健康水平奠定基礎(chǔ)。”清華大學(xué)萬(wàn)科公共衛(wèi)生與健康學(xué)院院長(zhǎng)助理、清華大學(xué)健康中國(guó)研究院副院長(zhǎng)程峰說(shuō)。</p> <p>根據(jù)國(guó)家衛(wèi)生健康委發(fā)布《中國(guó)吸煙危害健康報(bào)告2020》，我國(guó)吸煙人數(shù)超過(guò)3億，2018年中國(guó)15歲以上人群吸煙率為26.6%，其中男性吸煙率為50.5%。女性吸煙率雖然相對(duì)較低，但我國(guó)非吸煙者的二手煙暴露率達(dá)到68.1%。</p> <p>相較于全球趨勢(shì)，過(guò)去十年間，中國(guó)卷煙銷量不降反升。數(shù)據(jù)顯示，我國(guó)2003年卷煙銷量是17595億支，2023年增加到24427億支，增加了38.80%。</p> <p>研究認(rèn)為，中國(guó)應(yīng)實(shí)施更強(qiáng)有力的煙草控制措施，包括大幅增加煙草稅收和落實(shí)全面無(wú)煙政策，以保護(hù)母嬰健康。</p> <p>根據(jù)研究，如果我國(guó)卷煙價(jià)格增加20%，成人吸煙率將降低3.2%，進(jìn)而可以增加約130萬(wàn)例新生兒，同時(shí)避免超過(guò)68萬(wàn)例妊娠糖尿病等不良妊娠結(jié)局；如果吸煙率降低到“健康中國(guó)2030”規(guī)劃綱要設(shè)定的目標(biāo)，即“將15歲以上人群的吸煙率降低到20%”，可以增加251萬(wàn)例新生兒，并避免超過(guò)156萬(wàn)例妊娠糖尿病等不良妊娠結(jié)果。</p> </div><div class="8amstuv" id="jb_report">舉報(bào)</div> <div id="zhjy7lx" class="statement"><div style="margin: 0;">第一財(cái)經(jīng)廣告合作，<a href="/others/gglx.html" style="text-decoration: underline;color:#4a4a4a" 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