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Tob Control ; 29(3): 305-311, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-31147476

RESUMO

INTRODUCTION: Deaths from HIV/AIDS have long been of concern to the gay community, but less attention has focused on smoking-attributable deaths despite the relatively high smoking rates among gay and bisexual men. This study compared deaths from HIV/AIDS with smoking-attributable deaths among California gay and bisexual men from 2005 to 2050. METHODS: Smoking-attributable fractions (SAFs) were estimated using smoking prevalence for gay and bisexual men from the 2011-2014 California Health Interview Surveys and published relative risks of death. Smoking-attributable deaths were calculated by multiplying the SAFs by deaths among gay and bisexual men. Deaths from HIV/AIDS among men who have sex with men was obtained from the California Department of Public Health. Future deaths from smoking and HIV/AIDS were projected using regression equations based on time trends. RESULTS: From 2005 to 2014, smoking caused over 6800 deaths among gay and bisexual men, while nearly 9500 died from HIV/AIDS. Mortality from both causes has been falling, but deaths from HIV/AIDS have been falling more rapidly. Projections suggest that in the mid-2040s, more gay/bisexual men will die from smoking than from HIV/AIDS. CONCLUSION: Smoking will surpass HIV/AIDS as a cause of death among gay and bisexual men in California within a few decades. The lesbian, gay, bisexual and transgender (LGBT) community was highly effective in drawing attention and resources to the fight against HIV/AIDS, saving untold lives by hastening effective treatments. Lessons learnt in the fight against AIDS should be used to help fight the tobacco epidemic.


Assuntos
Síndrome da Imunodeficiência Adquirida/mortalidade , Bissexualidade , Fumar Cigarros/mortalidade , Homossexualidade Masculina , Comportamento Sexual , Minorias Sexuais e de Gênero , Síndrome da Imunodeficiência Adquirida/etiologia , Adulto , Idoso , California/epidemiologia , Infecções por HIV/etiologia , Infecções por HIV/mortalidade , Humanos , Masculino , Pessoa de Meia-Idade
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