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Mortality attributable to smoking in Vietnamese men in 2008.
Norman, Rosana E; Vos, Theo; Barendregt, Jan J; Linh, Bui Ngoc; Huong, Nguyen Thanh; Higashi, Hideki; Carnahan, Emily; Lopez, Alan D.
Affiliation
  • Norman RE; The University of Queensland, School of Population Health, Herston, Australia.
Prev Med ; 57(3): 232-7, 2013 Sep.
Article in En | MEDLINE | ID: mdl-23732238
OBJECTIVE: Smoking prevalence among Vietnamese men is among the highest in the world. Our aim was to provide estimates of tobacco attributable mortality to support tobacco control policies. METHOD: We used the Peto-Lopez method using lung cancer mortality to derive a Smoking Impact Ratio (SIR) as a marker of cumulative exposure to smoking. SIRs were applied to relative risks from the Cancer Prevention Study, Phase II. Prevalence-based and hybrid methods, using the SIR for cancers and chronic obstructive pulmonary disease and smoking prevalence for all other outcomes, were used in sensitivity analyses. RESULTS: When lung cancer was used to measure cumulative smoking exposure, 28% (95% uncertainty interval 24-31%) of all adult male deaths (>35 years) in Vietnam in 2008 were attributable to smoking. Lower estimates resulted from prevalence-based methods [24% (95% uncertainty interval 21-26%)] with the hybrid method yielding intermediate estimates [26% (95% uncertainty interval 23-28%)]. CONCLUSION: Despite uncertainty in these estimates of attributable mortality, tobacco smoking is already a major risk factor for death in Vietnamese men. Given the high current prevalence of smoking, this has important implications not only for preventing the uptake of tobacco but also for immediate action to adopt and enforce stronger tobacco control measures.
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Full text: 1 Collection: 01-internacional Health context: 13_ODS3_tobacco_control / 6_ODS3_enfermedades_notrasmisibles Database: MEDLINE Main subject: Smoking / Pulmonary Disease, Chronic Obstructive / Lung Neoplasms Type of study: Etiology_studies / Prevalence_studies / Risk_factors_studies Limits: Adult / Aged / Aged80 / Humans / Male / Middle aged Country/Region as subject: Asia Language: En Journal: Prev Med Year: 2013 Document type: Article

Full text: 1 Collection: 01-internacional Health context: 13_ODS3_tobacco_control / 6_ODS3_enfermedades_notrasmisibles Database: MEDLINE Main subject: Smoking / Pulmonary Disease, Chronic Obstructive / Lung Neoplasms Type of study: Etiology_studies / Prevalence_studies / Risk_factors_studies Limits: Adult / Aged / Aged80 / Humans / Male / Middle aged Country/Region as subject: Asia Language: En Journal: Prev Med Year: 2013 Document type: Article