Pérez-Ríos Mónica, Santiago-Pérez Maria Isolina, Cerdeira-Caramés Sara, Alonso Begoña, Seoane Bernardo, Malvar-Pintos Alberto, Hervada-Vidal Xurxo
Subdirección General de Epidemiología y Sistemas de Información, Dirección General de Salud Pública, Consellería de Sanidade, Santiago de Compostela, A Coruña, España.
Med Clin (Barc). 2011 Sep 10;137(6):247-53. doi: 10.1016/j.medcli.2010.10.009. Epub 2011 Jan 6.
BACKGROUND AND OJECTIVE: Tobacco attributable mortality offers a complementary view to smoking prevalence, giving an estimate of its impact at population level. The purpose of this study is to measure the impact, using mortality figures, of tobacco consumption in the Galician population over 34 years from 1980 to 2007, and identify any changes of trend.
Attributable mortality was estimated using a prevalence independent method that is based on population attributable fractions. Relative risks and mortality rates due to lung cancer in smokers and non-smokers came from the Cancer Prevention Study-II. Annual attributable mortality rates were calculated and the presence of any trends was tested using joinpoint regression models.
During the studied time period (1980-2007) it is estimated that tobacco use has caused 93,308 deaths in Galicia (87,674 in men and 5,634 in women). Attributable mortality rates in men show a decreasing tendency from the middle 90s onwards (annual percent change: -1.8%). However in women there is an increasing trend starting from the period 1988-1989 (annual percent change:28.4%).
Tobacco consumption has entailed an important burden of mortality from 1980 to 2007. The decreasing tendency in attributable mortality rates in men is an encouraging result, but its increase in young women is rather alarming.
背景与目的：烟草所致死亡率为吸烟流行率提供了一个补充视角，可估计其在人群层面的影响。本研究的目的是利用死亡率数据，衡量1980年至2007年34年间加利西亚人群烟草消费的影响，并确定任何趋势变化。
使用基于人群归因分数的患病率独立方法估计归因死亡率。吸烟者和非吸烟者因肺癌导致的相对风险和死亡率来自癌症预防研究-II。计算年度归因死亡率，并使用连接点回归模型检验是否存在任何趋势。
在研究期间（1980 - 2007年），估计烟草使用在加利西亚已导致93308人死亡（男性87674人，女性5634人）。男性的归因死亡率自90年代中期起呈下降趋势（年变化率：-1.8%）。然而，女性自1988 - 1989年期间开始呈上升趋势（年变化率：28.4%）。
1980年至2007年期间，烟草消费带来了重要的死亡负担。男性归因死亡率的下降趋势是一个令人鼓舞的结果，但其在年轻女性中的上升相当令人担忧。
