Pérez-Ríos Mónica, Montes Agustín
Department of Epidemiology, Directorate-General for Public Health, Galician Regional Health Authority, Santiago de Compostela, Spain.
BMC Public Health. 2008 Jan 22;8:22. doi: 10.1186/1471-2458-8-22.
One of the most important measures for ascertaining the impact of tobacco on a population is the estimation of the mortality attributable to its use. To measure this, a number of indirect methods of quantification are available, yet there is no consensus as to which furnishes the best information. This study sought to provide a critical overview of the different methods of attribution of mortality due to tobacco consumption.
A search was made in the Medline database until March 2005 in order to obtain papers that addressed the methodology employed for attributing mortality to tobacco use.
Of the total of 7 methods obtained, the most widely used were the prevalence methods, followed by the approach proposed by Peto et al, with the remainder being used in a minority of studies.
Different methodologies are used to estimate tobacco attributable mortality, but their methodological foundations are quite similar in all. Mainly, they are based on the calculation of proportional attributable fractions. All methods show limitations of one type or another, sometimes common to all methods and sometimes specific.
确定烟草对人群影响的最重要措施之一是估计因使用烟草导致的死亡率。为衡量这一点，有多种间接量化方法可用，但对于哪种方法能提供最佳信息尚无共识。本研究旨在对因烟草消费导致的死亡率归因的不同方法进行批判性综述。
在Medline数据库中进行检索，直至2005年3月，以获取涉及将死亡率归因于烟草使用所采用方法的论文。
在总共获得的7种方法中，使用最广泛的是患病率方法，其次是皮托等人提出的方法，其余方法在少数研究中使用。
使用不同方法来估计烟草归因死亡率，但它们的方法学基础在所有方面都非常相似。主要是基于比例归因分数的计算。所有方法都显示出某种类型的局限性，有时是所有方法共有的，有时是特定的。
