دورية أكاديمية
Smoking-attributable mortality in Portugal and its regions in 2019
| العنوان: | Smoking-attributable mortality in Portugal and its regions in 2019 |
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| المؤلفون: | Rey-Brandariz, J., Ravara, S., López-Vizcaíno, E., Santiago-Pérez, M. I., Ruano-Ravina, A., Candal-Pedreira, C., Varela-Lema, L., Mourino, N., Aguiar, P., Pérez-Ríos, M. |
| المساهمون: | Comprehensive Health Research Centre (CHRC) - Pólo ENSP, Centro de Investigação em Saúde Pública (CISP/PHRC), Escola Nacional de Saúde Pública (ENSP) |
| سنة النشر: | 2023 |
| المجموعة: | Repositório da Universidade Nova de Lisboa (UNL) |
| مصطلحات موضوعية: | Cancer, Cardiovascular disease, Mortality, Portugal, Respiratory disease, Tobacco, Pulmonary and Respiratory Medicine, SDG 3 - Good Health and Well-being |
| الوصف: | Funding Information: This research was supported by the Instituto de Salud Carlos III (ISCIII) through the project “ PI19/00288 ″ and co-funded by the European Union . Publisher Copyright: © 2023 Sociedade Portuguesa de Pneumologia ; Introduction and objectives: Timely regional-specific estimates of smoking-attributable mortality (SAM) are crucial for healthcare planning and tobacco control advocacy. Currently, this information is lacking in Portugal. The aim of this study was to estimate SAM by region in 2019 among the Portuguese population aged ≥35 years. Methods: SAM was estimated using an independent-prevalence method. Observed mortality was obtained from Portugal Statistics; lung cancer mortality rates in smokers and never-smokers from the Cancer Prevention Study I-II and updated relative risks from five contemporary US cohort studies. SAM was estimated for each NUTS-II region by sex, age, and cause of death. Crude SAM rates, sex and age-specific rates, and age-adjusted rates were calculated using the direct method. Results: In 2019, tobacco consumption caused 13,847 deaths, representing 12.3% of total mortality among the Portuguese population aged ≥35 years. Of the total SAM, 71.2% occurred in men and 22.2% in those under 65 years; 42.5% was due to cancer, 35.4% to cardiovascular and metabolic diseases, and 22.2% to respiratory diseases. SAM greatly varied among regions from 2.1% in Madeira to 36.2% in the North region. In men, cancer was the leading cause of death in all regions, while in women it was cardiovascular and metabolic diseases. Conclusion: In Portugal, tobacco-mortality burden is high and varies significantly by region, sex and age. Therefore, estimates disaggregated by sociodemographic data and region may better support decision-makers while tailoring and implementing tobacco control policies addressing health population needs. The apparent lower tobacco burden among women and in some Portuguese regions may dramatically rise in the near future. This and the high SAM in Portugal, particularly ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 2531-0429 |
| العلاقة: | PURE: 77658820; PURE UUID: 9a0741e9-dbb1-46ed-ae65-0b048cd5a19b; Scopus: 85175234033; http://hdl.handle.net/10362/160870Test; https://doi.org/10.1016/j.pulmoe.2023.09.006Test |
| DOI: | 10.1016/j.pulmoe.2023.09.006 |
| الإتاحة: | https://doi.org/10.1016/j.pulmoe.2023.09.006Test http://hdl.handle.net/10362/160870Test |
| حقوق: | openAccess |
| رقم الانضمام: | edsbas.9AC060EF |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 25310429 |
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| DOI: | 10.1016/j.pulmoe.2023.09.006 |