Potential impact of reduced tobacco use on life and health expectancies in Belgium.
Int J Public Health
; 65(2): 129-138, 2020 Mar.
Article
in En
| MEDLINE
| ID: mdl-31781804
ABSTRACT
OBJECTIVES:
We investigated the potential impact of reduced tobacco use scenarios on total life expectancy and health expectancies, i.e., healthy life years and unhealthy life years.METHODS:
Data from the Belgian Health Interview Survey 2013 were used to estimate smoking and disability prevalence. Disability was based on the Global Activity Limitation Indicator. We used DYNAMO-HIA to quantify the impacts of risk factor changes and to compare the "business-as-usual" with alternative scenarios.RESULTS:
The "business-as-usual" scenario estimated that in 2028 the 15-year-old men/women would live additional 50/52 years without disability and 14/17 years with disability. The "smoking-free population" scenario added 3.4/2.8 healthy life years and reduced unhealthy life years by 0.79/1.9. Scenarios combining the prevention of smoking initiation with smoking cessation programs are the most effective, yielding the largest increase in healthy life years (1.9/1.7) and the largest decrease in unhealthy life years (- 0.80/- 1.47).CONCLUSIONS:
Health impact assessment tools provide different scenarios for evidence-informed public health actions. New anti-smoking strategies or stricter enforcement of existing policies potentially gain more healthy life years and reduce unhealthy life years in Belgium.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Life Expectancy
/
Tobacco Use
Type of study:
Etiology_studies
/
Prevalence_studies
/
Risk_factors_studies
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Europa
Language:
En
Journal:
Int J Public Health
Journal subject:
SAUDE PUBLICA
Year:
2020
Type:
Article
Affiliation country:
Denmark