Smoking-attributable mortality in Portugal and its regions in 2019

Detalhes bibliográficos
Autor(a) principal: Rey-Brandariz, J.
Data de Publicação: 2023
Outros Autores: 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.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/160870
Resumo: 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
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spelling Smoking-attributable mortality in Portugal and its regions in 2019CancerCardiovascular diseaseMortalityPortugalRespiratory diseaseTobaccoPulmonary and Respiratory MedicineSDG 3 - Good Health and Well-beingFunding 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 PneumologiaIntroduction 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.Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)Escola Nacional de Saúde Pública (ENSP)RUNRey-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.2023-12-04T22:34:34Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/160870eng2531-0429PURE: 77658820https://doi.org/10.1016/j.pulmoe.2023.09.006info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:43:38Zoai:run.unl.pt:10362/160870Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:58:14.980409Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Smoking-attributable mortality in Portugal and its regions in 2019
title Smoking-attributable mortality in Portugal and its regions in 2019
spellingShingle Smoking-attributable mortality in Portugal and its regions in 2019
Rey-Brandariz, J.
Cancer
Cardiovascular disease
Mortality
Portugal
Respiratory disease
Tobacco
Pulmonary and Respiratory Medicine
SDG 3 - Good Health and Well-being
title_short Smoking-attributable mortality in Portugal and its regions in 2019
title_full Smoking-attributable mortality in Portugal and its regions in 2019
title_fullStr Smoking-attributable mortality in Portugal and its regions in 2019
title_full_unstemmed Smoking-attributable mortality in Portugal and its regions in 2019
title_sort Smoking-attributable mortality in Portugal and its regions in 2019
author Rey-Brandariz, J.
author_facet 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.
author_role author
author2 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.
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Centro de Investigação em Saúde Pública (CISP/PHRC)
Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv 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.
dc.subject.por.fl_str_mv Cancer
Cardiovascular disease
Mortality
Portugal
Respiratory disease
Tobacco
Pulmonary and Respiratory Medicine
SDG 3 - Good Health and Well-being
topic Cancer
Cardiovascular disease
Mortality
Portugal
Respiratory disease
Tobacco
Pulmonary and Respiratory Medicine
SDG 3 - Good Health and Well-being
description 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
publishDate 2023
dc.date.none.fl_str_mv 2023-12-04T22:34:34Z
2023
2023-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/160870
url http://hdl.handle.net/10362/160870
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2531-0429
PURE: 77658820
https://doi.org/10.1016/j.pulmoe.2023.09.006
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
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