Shibuya K
Department of Hygiene and Public Health, Teikyo University School of Medicine, 2-11-1, Kaga, Itabashi, Tokyo 173-8605.
Nihon Eiseigaku Zasshi. 2001 Jul;56(2):484-91. doi: 10.1265/jjh.56.484.
To assess recent trends in mortality and disease burden from tobacco in Japan, the present study estimated the number of deaths, years of life lost (YLLs) and disability-adjusted life years (DALYs) attributable to tobacco for the years 1985 and 1995. Since smoking prevalence is a very poor measure of population exposure to tobacco, this study employed an alternative measure of the attributable fractions based on excess lung cancer mortality. It is suggested that there was a significant increase in both the absolute numbers and age-standardized rates of tobacco-attributed mortality and disease burden over the decade, in particular from lung cancer and chronic obstructive pulmonary disease. In 1995, tobacco already accounted for 12% of total mortality, 16% of total male mortality and 7% of total female mortality. The burden of disease attributable to tobacco amounted to 10% of the total YLLs and 7% of total DALYs, suggesting that tobacco is probably a single major risk factor of mortality and morbidity in Japan.
为评估日本烟草导致的死亡率和疾病负担的近期趋势，本研究估算了1985年和1995年因烟草导致的死亡人数、寿命损失年数（YLLs）和伤残调整生命年（DALYs）。由于吸烟流行率很难衡量人群接触烟草的情况，本研究采用了基于肺癌超额死亡率的归因分数替代指标。结果表明，在这十年间，因烟草导致的死亡率和疾病负担的绝对数和年龄标准化率均显著增加，尤其是肺癌和慢性阻塞性肺疾病。1995年，烟草导致的死亡已占总死亡率的12%、男性总死亡率的16%和女性总死亡率的7%。因烟草导致的疾病负担占总YLLs的10%和总DALYs的7%，这表明烟草可能是日本死亡和发病的单一主要风险因素。
