Smoking-attributable mortality in Portugal and its regions in 2019.
Uložené v:
| Názov: | Smoking-attributable mortality in Portugal and its regions in 2019. |
|---|---|
| Autori: | Rey-Brandariz J; Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain., Ravara S; Health Science Research Centre CICS-UBI, University of Beira Interior, Covilhã, Portugal.; Public Health Research Centre CISP, National School of Public Health (ENSP), Nova University Lisbon, Portugal.; Centro Hospitalar Universitário Cova da Beira (CHUCB), Covilhã, Portugal., López-Vizcaíno E; Galician Statistics Institute, Santiago de Compostela, Spain., Santiago-Pérez MI; Epidemiology Department, Directorate-General of Public Health, Galician Regional Health Authority, Santiago de Compostela, Spain., Ruano-Ravina A; Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.; Health Research Institute of Santiago de Compostela (Instituto de Investigación Sanitaria de Santiago de Compostela - IDIS), Santiago de Compostela, Spain.; Consortium for Biomedical Research in Epidemiology and Public Health (CIBER de Epidemiología y Salud Pública, CIBERESP), Spain., Candal-Pedreira C; Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.; Health Research Institute of Santiago de Compostela (Instituto de Investigación Sanitaria de Santiago de Compostela - IDIS), Santiago de Compostela, Spain., Varela-Lema L; Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.; Health Research Institute of Santiago de Compostela (Instituto de Investigación Sanitaria de Santiago de Compostela - IDIS), Santiago de Compostela, Spain.; Consortium for Biomedical Research in Epidemiology and Public Health (CIBER de Epidemiología y Salud Pública, CIBERESP), Spain., Mourino N; Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain., Aguiar P; Public Health Research Centre CISP, National School of Public Health (ENSP), Nova University Lisbon, Portugal., Pérez-Ríos M; Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.; Health Research Institute of Santiago de Compostela (Instituto de Investigación Sanitaria de Santiago de Compostela - IDIS), Santiago de Compostela, Spain.; Consortium for Biomedical Research in Epidemiology and Public Health (CIBER de Epidemiología y Salud Pública, CIBERESP), Spain. |
| Zdroj: | Pulmonology [Pulmonology] 2025 Dec 31; Vol. 31 (1), pp. 2416823. Date of Electronic Publication: 2024 Oct 28. |
| Spôsob vydávania: | Journal Article |
| Jazyk: | English |
| Informácie o časopise: | Publisher: Taylor & Francis Country of Publication: United States NLM ID: 101723786 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2531-0437 (Electronic) Linking ISSN: 25310429 NLM ISO Abbreviation: Pulmonology Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2025- : [Philadelphia, PA] : Taylor & Francis Original Publication: [Barcelona] : Elsevier España, [2018]- |
| Výrazy zo slovníka MeSH: | Smoking*/mortality , Smoking*/adverse effects , Smoking*/epidemiology, Humans ; Portugal/epidemiology ; Male ; Female ; Middle Aged ; Adult ; Aged ; Cause of Death/trends ; Prevalence ; Cardiovascular Diseases/mortality ; Lung Neoplasms/mortality |
| Abstrakt: | 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 in some regions, highlights the need to accelerate tobacco control both at national and regional levels. |
| Contributed Indexing: | Keywords: Cancer; Cardiovascular disease; Mortality; Portugal; Respiratory disease; Tobacco |
| Entry Date(s): | Date Created: 20241104 Date Completed: 20250425 Latest Revision: 20250425 |
| Update Code: | 20250426 |
| DOI: | 10.1016/j.pulmoe.2023.09.006 |
| PMID: | 39492021 |
| Databáza: | MEDLINE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstrakt: | 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.<br />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.<br />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.<br />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 in some regions, highlights the need to accelerate tobacco control both at national and regional levels. |
|---|---|
| ISSN: | 2531-0437 |
| DOI: | 10.1016/j.pulmoe.2023.09.006 |