2026-06-14T03:45:56Zhttps://repisalud.isciii.es/rest/oai/requestoai: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
Repisalud
author
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
funder
Ministerio de Universidades (España)
funder
Instituto de Salud Carlos III
funder
Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF)
2023-05-17T08:28:14Z
2023-05-17T08:28:14Z
2023-04-08
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
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.
eng
Cardiovascular disease
Lung neoplasms
Methods
Mortality
Neoplasms
Tobacco
Estimations of smoking-attributable mortality in Spain at a regional level: comparison of two methods
journal article
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EstimationsSmoking-attributableMortality_2023.pdf
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EstimationsSmoking-attributableMortality_2023.pdf.txt