Cancer deaths attributable to cigarette smoking in 152 US metropolitan or micropolitan statistical areas, 2013-2017
Cancer deaths attributable to cigarette smoking in 152 US metropolitan or micropolitan statistical areas, 2013-2017
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DOI：
10.1007/s10552-020-01385-y
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发表时间：
2021-01-26
影响因子：
2.3
通讯作者：
Jemal, Ahmedin
中科院分区：
文献类型：
--
作者：
Islami, Farhad;Bandi, Priti;Jemal, Ahmedin
目的：在美国，有关吸烟引起的癌症负担的数据有限，无法为地方烟草控制政策提供信息。我们估计了美国152个大都市或小都市统计区（MMSA）中归因于吸烟的癌症死亡比例（或人口归因分数[PAF]）。方法使用分别从行为风险因素监测系统和美国癌症统计数据库获得的横断面年龄、性别和MMSA特异性吸烟率和癌症死亡率数据，估计2013-2017年年龄≥ 30岁的癌症死亡率的吸烟相关PAF。结果癌症的吸烟相关PAF总体范围为8.8%（95%CI，6.3-11.9%）~ 35.7%（33.3-37.9%）; PAF最高的MMSA位于南部地区和阿巴拉契亚。在各区域或州内，各MMSA的PAF也有很大差异。例如，在东北部，PAF的范围从24.2%（23.7-24.7%）到33.7%（31.3-36.2%）。结论在每个MMSA中，吸烟导致的癌症死亡比例相当大，在南部地区和阿巴拉契亚，吸烟导致的癌症死亡高达4/10。在各级政府广泛和公平地实施和执行行之有效的烟草控制干预措施，可以避免美国各地许多癌症死亡。
Purpose There are limited data on the burden of cancer attributable to cigarette smoking by metropolitan areas to inform local tobacco control policies in the USA. We estimated the proportion of cancer deaths attributable to cigarette smoking (or population attributable fraction [PAF]) in 152 U.S. metropolitan or micropolitan statistical areas (MMSAs). Methods Smoking-related PAFs for cancer mortality in ages >= 30 years in 2013-2017 were estimated using cross-sectional age-, sex-, and MMSA-specific cigarette smoking prevalence and cancer mortality data obtained from the Behavioral Risk Factor Surveillance System and the U.S. Cancer Statistics Database, respectively. Results Overall smoking-related PAFs of cancer ranged from 8.8% (95% CI, 6.3-11.9%) to 35.7% (33.3-37.9%); MMSAs with the highest PAFs were in the South region and Appalachia. PAFs also substantially varied across MMSAs within regions or states. In the Northeast, for example, the PAF ranged from 24.2% (23.7-24.7%) to 33.7% (31.3-36.2%). Conclusion The proportion of cancer deaths attributable to cigarette smoking is considerable in each MMSA, with as many as 4 in 10 cancer deaths attributable to smoking in the South region and Appalachia. Broad and equitable implementation and enforcement of proven tobacco control interventions at all government levels could avert many cancer deaths across the USA.