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Understanding the relationship between sales of legal cigarettes and deaths: A case-study in Brazil.
Szklo, André Salem; Iglesias, Roberto Magno; de Souza, Mirian Carvalho; Szklo, Moysés; Cavalcante, Tânia Maria; de Almeida, Liz Maria.
Afiliação
  • Szklo AS; Division of Epidemiology, Brazilian National Cancer Institute (INCA), Rio de Janeiro, Brazil. Electronic address: aszklo@inca.gov.br.
  • Iglesias RM; Center of Studies on Integration and Development (CINDES), Rio de Janeiro, Brazil.
  • de Souza MC; Division of Epidemiology, Brazilian National Cancer Institute (INCA), Rio de Janeiro, Brazil.
  • Szklo M; Division of Epidemiology, The Johns Hopkins University, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
  • Cavalcante TM; National Commission for the Implementation of the Framework Convention on Tobacco Control, Brazilian National Cancer Institute (INCA). Rio de Janeiro, Brazil.
  • de Almeida LM; Division of Epidemiology, Brazilian National Cancer Institute (INCA), Rio de Janeiro, Brazil.
Prev Med ; 94: 55-59, 2017 01.
Article em En | MEDLINE | ID: mdl-27856337
Brazil has experienced a large decline in cigarette consumption in the last 25years. However, the most recent annual reports from the tobacco industry market leader in Brazil did not show a decrease in its gross profits. This is particularly important because tobacco industry donations/sponsorships come directly from the industry's reported gross-profits and are used to subvert health policies. The aim of the present study was to estimate (i) tobacco industry's gross-profit from legal cigarettes sales, and (ii) all-cause smoking-attributable deaths (SADs) among current Brazilian smokers who consumed legal cigarettes in 2013. We collected information on prevalence of legal cigarette use, cigarette consumption, price per cigarette pack among individuals aged ≥35years from the Global Adult Tobacco Survey, legal cigarettes sales (e.g., average costs and total volume of sales) provided by the Federal Secretariat of Revenues, and population mortality from the available vital statistics. With a gross-profit of US$1.378 billion (1.307-1.434) from sales of 54.6 billion sticks of cigarettes (53.4-55.5) to 8,424,510 smokers aged 35years and older in Brazil in 2013, cumulative SADs were estimated at 96,012 (85,647-107,654) (around 34% of cumulative SADs also including current smoking of illegal cigarettes and past smoking), i.e., one SAD was equivalent to a gross-profit of US$14,352 (12,140-16,743). Our results revealed the association between sales of cigarettes, gross-profits, and deaths in Brazil. As tobacco industry donations/sponsorships originate from industry's gross profits, which, in turn, depend on cigarette sales, our findings may be useful for increasing "moral pressure" on individuals and institutions and help countries in stopping tobacco industry interference in health policies.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fumar / Comércio / Indústria do Tabaco / Produtos do Tabaco Tipo de estudo: Health_economic_evaluation / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fumar / Comércio / Indústria do Tabaco / Produtos do Tabaco Tipo de estudo: Health_economic_evaluation / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Ano de publicação: 2017 Tipo de documento: Article