Burden of smoking in Lithuania: attributable mortality and years of potential life lost
Burden of smoking in Lithuania: attributable mortality and years of potential life lost
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DOI：
10.1093/eurpub/ckx035
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发表时间：
2017-08-01
影响因子：
4.4
通讯作者：
Midttun, Nijole Gostautaite
中科院分区：
文献类型：
--
作者：
Liutkute, Vaida;Veryga, Aurelijus;Midttun, Nijole Gostautaite
背景：吸烟相关疾病的高死亡率是立陶宛一个重要的公共卫生问题。该研究旨在估计2013年立陶宛吸烟导致的死亡人数（SADs）和潜在寿命损失年数。方法：通过将吸烟归因分数（SAFs）应用于基于2005年立陶宛健康访谈调查的35岁立陶宛成年人中当前和以前吸烟者的患病率估计值，计算性别、年龄和疾病特异性死亡率。死亡率数据来自卫生研究所健康信息中心。假设吸烟率与随后的死亡率之间存在8年的时间差。敏感度分析采用吸烟影响比法计算SAFs。结果：2013年，立陶宛总死亡率的13.9%或5771例死亡可归因于吸烟（5181名男性和590名女性）。SADs的两个主要原因是缺血性心脏病（2861人）和肺癌（1054人），占吸烟导致死亡率的67.8%。同年，吸烟造成了39 279年的潜在寿命损失（男性34 663年，女性4615年）。结论：吸烟在立陶宛造成了相当大的死亡率负担，男性死亡人数是女性的9倍。因此，减少吸烟率是一项紧迫的公共卫生需要，这就要求执行符合《世界卫生组织烟草管制条款和议定书框架公约》和《烟草制品指令》的有效和全面的烟草管制措施。
Background: High mortality rates from smoking related diseases are a significant public health issue in Lithuania. Study aims to estimate the number of smoking attributable deaths (SADs) and years of potential life lost in Lithuania in 2013.Methods: Gender, age and disease specific mortality was calculated by applying the smoking attributable fractions (SAFs) to prevalence estimates of current and former smokers among Lithuanian adults aged >= 35 years that are based on the 2005 Lithuanian Health Interview Survey. Mortality data were obtained from the Institute of Hygiene Health Information Centre. Eight years lag was assumed between smoking rates and subsequent mortality. Sensitivity analysis was used to calculate SAFs applying smoking impact ratio method.Results: In 2013, 13.9% of total mortality or 5771 deaths in Lithuania were attributable to smoking (5181 men and 590 women). The two leading causes of SADs were ischaemic heart disease (2861) and lung cancer (1054) that accounted for 67.8% of the smoking attributable mortality. In the same year, smoking accounted for 39 279 years of potential life lost (34 663 years for men and 4615 years for women).Conclusions: Smoking causes a considerable mortality burden in Lithuania, killing nine times more males than females. Therefore reduction of smoking prevalence is an urgent public health need, which calls for implementation of effective and comprehensive tobacco control measures consistent with the World Health Organization Framework Convention on Tobacco Control Articles and Protocols and The Tobacco Products Directive.