2026-06-14T03:52:40Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/160702024-11-28T19:27:42Zcom_20.500.12105_2052com_20.500.12105_2051com_20.500.12105_15322col_20.500.12105_19608col_20.500.12105_16966

00925njm 22002777a 4500 dc Rey-Brandariz, Julia author Blanco-Ferreiro, Ana author Varela-Lema, Leonor author Santiago-Pérez, María Isolina author Ruano-Ravina, Alberto author Galan, Iñaki author Candal-Pedreira, Cristina author Pérez-Ríos, Mónica author 2023-04-08 Purpose: To estimate and discuss smoking-attributable mortality (SAM) for the 17 regions in Spain among the population aged ≥35 years in 2017, using two methods. Methods: A descriptive analysis of SAM was conducted using two methods, the prevalence-independent method (PIM) and the prevalence-dependent method (PDM). Observed mortality was obtained from the National Institute of Statistics; smoking prevalence from three National Health Surveys; lung cancer mortality rates from the Cancer Prevention Study-II; and relative risks from five US cohorts. SAM and percentages of change were estimated for each region overall, by sex, age and cause of death. Results: In 2017, tobacco caused 56,203 deaths in Spain applying the PIM. Using the PDM the number of deaths was 4.4% (95% CI: 3.4-5.5) lower (53,825 deaths). Except in four regions, the PIM estimated a higher overall SAM and the maximum percentage of change was 18.6%. Overall percentages of change were higher for women (15.7% 95% CI: 12.6-19.0) and for cardiovascular diseases-diabetes mellitus (13.8%; 95% CI: 11.5-16.2). Conclusions: At the national level, both methods estimate similar figures for SAM. However, the difference in estimates appears at the subnational level. Differences were higher in subgroups with lower smoking prevalence and for causes of death with periods of induction shorter than those for lung cancer. Ann Epidemiol. 2023 Jun;82:77-83.e3 10.1016/j.annepidem.2023.04.002 1873-2585 Annals of epidemiology 37037345 http://hdl.handle.net/20.500.12105/16070 Cardiovascular disease Lung neoplasms Methods Mortality Neoplasms Tobacco Estimations of smoking-attributable mortality in Spain at a regional level: comparison of two methods