Tobacco smoking and mortality among Aboriginal and Torres Strait Islander adults in Australia.
Tobacco smoking and mortality among Aboriginal and Torres Strait Islander adults in Australia.
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DOI：
10.1093/ije/dyaa274
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发表时间：
2021-07-09
影响因子：
7.7
通讯作者：
Lovett R
中科院分区：
文献类型：
--
作者：
Thurber KA;Banks E;Joshy G;Soga K;Marmor A;Benton G;White SL;Eades S;Maddox R;Calma T;Lovett R
尽管由于殖民化，吸烟率普遍较高，但在土著人口中，吸烟与死亡率的关系尚未得到可靠的量化。我们调查了澳大利亚土著居民和托雷斯海峡岛民成年人的吸烟和死亡率，目前澳大利亚成年人每日吸烟率为40.2%。一项前瞻性研究，研究对象为1388名年龄≥45岁的无心血管疾病和癌症的土著成年人，研究参与者为267 153 45岁及以上，研究参与者在2006-09年期间从新南威尔士州普通人群中随机抽样。调查问卷和死亡率数据（通过健康记录链接中心）链接到2019年年中。根据吸烟强度和戒烟年龄，对当前和过去吸烟者与从不吸烟者的全因死亡率的调整后风险比（称为相对风险，RR）进行了总体估计。估计吸烟可归因分数和相关死亡。超过14586人年的随访（中位数10.6年），162例死亡。当前吸烟者与既往不吸烟者的死亡率RR [95%置信区间（CI）]分别为3.90（2.52-6.04）和1.95（1.32-2.90），存在年龄异质性。RR随着吸烟强度的增加而增加，目前吸烟者≥25支/天的RR为4.29（2.15-8.57）。与从不吸烟者相比，45岁以下戒烟者的RR为1.48（0.85-2.57），45-54岁为2.21（1.29-3.80）。从不吸烟的人比现在吸烟的人平均多活10年。在45岁以上的成年人中，约有一半的死亡可归因于吸烟，在过去十年中死亡人数超过10 000人。在这一人群中，>80%的从不吸烟者将存活到75岁，而目前吸烟者的存活率为40%。与继续吸烟相比，在所有年龄段戒烟都有很大的好处;那些在45岁之前戒烟的人的死亡风险与从不吸烟的人相似。吸烟导致老年土著和托雷斯海峡岛民死亡的一半;土著烟草控制必须得到更多的优先考虑。
Despite generally high smoking prevalences, stemming from colonization, the relationship of smoking to mortality has not been quantified reliably in an Indigenous population. We investigate smoking and mortality among Aboriginal and Torres Strait Islander adults in Australia, where current adult daily smoking prevalence is 40.2%. A prospective study of 1388 cardiovascular disease- and cancer-free Aboriginal adults aged ≥45 years, of the 267 153 45 and Up Study participants randomly sampled from the New South Wales general population over 2006–09. Questionnaire and mortality data were linked (through the Centre for Health Record Linkage) to mid-2019. Adjusted hazard ratios (called relative risks, RRs) for all-cause mortality—among current- and past- versus never-smokers—were estimated overall, by smoking intensity and by age at cessation. Smoking-attributable fractions and associated deaths were estimated. Over 14 586 person-years’ follow-up (median 10.6 years), 162 deaths accrued. Mortality RRs [95% confidence interval (CI)] were 3.90 (2.52–6.04) for current- and 1.95 (1.32–2.90) for past- versus never-smokers, with age heterogeneity. RRs increased with smoking intensity, to 4.29 (2.15–8.57) in current-smokers of ≥25 cigarettes/day. Compared with never-smokers, RRs were 1.48 (0.85–2.57) for those quitting at <45 years of age and 2.21 (1.29–3.80) at 45–54 years. Never-smokers lived an average >10 years longer than current-smokers. Around half of deaths among adults aged ≥45 years were attributable to smoking, exceeding 10 000 deaths in the past decade. In this population, >80% of never-smokers would survive to 75 years, versus ∼40% of current-smokers. Quitting at all ages examined had substantial benefits versus continuing smoking; those quitting before age 45 years had mortality risks similar to never-smokers. Smoking causes half of deaths in older Aboriginal and Torres Strait Islander adults; Indigenous tobacco control must receive increased priority.
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影响因子：
168.9
作者：
Pirie, Kirstin;Peto, Richard;Beral, Valerie
通讯作者：
Beral, Valerie
影响因子：
7.7
作者：
Hunt, D;Blakely, T;Wilson, N
通讯作者：
Wilson, N
影响因子：
4
作者：
Mealing NM;Banks E;Jorm LR;Steel DG;Clements MS;Rogers KD
通讯作者：
Rogers KD
影响因子：
11.4
作者：
Nicholson, Anna K.;Borland, Ron;Thomas, David P.
通讯作者：
Thomas, David P.
DOI：
10.1016/s0140-6736(17)30819-x
发表时间：
2017-05-13
期刊：
Lancet (London, England)
影响因子：
--
作者：
GBD 2015 Tobacco Collaborators
通讯作者：
GBD 2015 Tobacco Collaborators