Fishman Paul A
Group Health Research Institute, Group Health Cooperative.
Curr Cardiovasc Risk Rep. 2012 Dec 1;6(6):542-548. doi: 10.1007/s12170-012-0275-8.
One third of all premature tobacco-attributable deaths are due to CVD and tobacco is the cause of approximately 15% of all CVD attributable. Primary and secondary prevention strategies that combine evidenced based tobacco dependence treatment programs along with cigarette taxes and media campaigns can result in hundreds of thousand of fewer excess deaths from smoking attributable CVD. Expanded insurance from both commercial and public insurers will be greatly expanded by the recently enacted federal health care reform but barriers to reducing the avoidable morbidity and mortality that is due to tobacco use is impacted by the potential for remaining financial barriers to full insurance coverage from Americans in regions of the country with the highest smoking prevalence rates.
所有归因于烟草的过早死亡中有三分之一是由心血管疾病导致的,并且烟草导致了所有归因于心血管疾病的病例中的约15%。将循证烟草依赖治疗项目与香烟税及媒体宣传活动相结合的一级和二级预防策略,可使因吸烟导致的心血管疾病额外死亡人数减少数十万。商业和公共保险公司的保险范围将因最近颁布的联邦医疗改革而大幅扩大,但由于美国吸烟率最高地区的美国人在获得全面保险方面仍可能存在经济障碍,这影响了降低因烟草使用导致的可避免发病率和死亡率的进程。