The burden of smoking-related ill health in the UK
The burden of smoking-related ill health in the UK
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DOI：
10.1136/tc.2008.026294
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发表时间：
2009-08-01
期刊：
影响因子：
5.2
通讯作者：
Rayner, M.
中科院分区：
文献类型：
--
作者：
Allender, S.;Balakrishnan, R.;Rayner, M.
背景：吸烟是英国最大的可避免的发病和死亡原因之一。本文量化了英国目前吸烟的健康和经济负担。它提供了与以前的研究在英国吸烟的负担和其他慢性疾病的风险factors.Methods的成本比较：一个系统的文献综述，以确定以前的估计国家卫生服务成本归因于吸烟进行。来自世界卫生组织全球疾病负担项目的信息和常规收集的死亡率数据被用来计算英国吸烟导致的死亡率。吸烟相关疾病的全球疾病负担项目的人口归因分数适用于NHS的成本数据，估计直接的财务costs.Results：以前的研究估计，吸烟成本NHS约1.4英镑十亿至1.7英镑十亿在1991年，并已负责约10万人死亡，每年在过去的10年。该文件估计，2005年因吸烟而死亡的人数为109 164人（占所有死亡人数的19%，其中男性死亡人数占27%，女性死亡人数占11%）。吸烟直接导致2002年12%的残疾调整寿命年损失（男性15.4%;女性8.5%），2005 - 2006年NHS的直接成本为52亿英镑。结论：吸烟仍然是英国相当大的公共卫生负担。准确地确定死亡、残疾和财务费用方面的负担，对于制定国家公共卫生政策十分重要。
Background: Smoking is one of the biggest avoidable causes of morbidity and mortality in the United Kingdom. This paper quantifies the current health and economic burden of smoking in the UK. It provides comparisons with previous studies of the burden of smoking in the UK and with the costs for other chronic disease risk factors.Methods: A systematic literature review to identify previous estimates of National Health Service costs attributable to smoking was undertaken. Information from the World Health Organization's Global Burden of Disease Project and routinely collected mortality data were used to calculate mortality due to smoking in the UK. Population-attributable fractions for smoking-related diseases from the Global Burden of Disease Project were applied to NHS cost data to estimate direct financial costs.Results: Previous studies estimated that smoking costs the NHS about 1.4 pound billion to 1.7 pound billion in 1991 and has been responsible for about 100 000 deaths per annum over the past 10 years. This paper estimates that the number of deaths attributable to smoking in 2005 was 109 164 (19% of all deaths, 27% deaths in men and 11% of deaths in women). Smoking was directly responsible for 12% of disability adjusted life years lost in 2002 (15.4% in men; 8.5% in women) and the direct cost to the NHS was 5.2 pound billion in 2005-6.Conclusion: Smoking is still a considerable public health burden in the UK. Accurately establishing the burden in terms of death, disability and financial costs is important for informing national public health policy.