Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Public Health Division, An Najah National University, Nablus, Palestine.
Eur J Public Health. 2018 Jun 1;28(3):538-541. doi: 10.1093/eurpub/ckx184.
The purpose of the study was to estimate life expectancy and the average lifetime with and without chronic disease among male never smokers, ex-smokers and smokers living in the West Bank of the occupied Palestinian territory.
The study used a life table for the West Bank male population and Danish relative risk estimates for death for smokers and ex-smokers vs. never smokers and utilized data from the Palestinian Family Survey 2010. Expected lifetime with and without chronic disease was estimated and the contributions from the mortality and the morbidity effect to smoking related difference in average lifetime with and without chronic disease were assessed by decomposition.
In the West bank 40% of the male population are smokers. Life expectancy of 15-year-old Palestinian men who would never start smoking was 59.5 years, 41.1 of which were expected to be without chronic disease. Ex-smokers could expect 57.9 years of remaining lifetime, 37.7 years of which without disease. For lifelong heavy smokers (> 20 cigarettes per day), the expected lifetime was reduced to 52.6 years, of which 38.5 years were without chronic disease. Of the total loss of 6.9 years of life expectancy among heavy smokers, the mortality effect accounted for 2.5 years without and 4.4 years with disease, whereas the morbidity effect was negligible.
The high prevalence of smoking causes a considerable loss of life years and lifetime without chronic disease. We recommend the Palestinian health authorities to enforce the anti-smoking law.
本研究旨在估计居住在被占领的巴勒斯坦领土西岸的男性从不吸烟者、前吸烟者和吸烟者的预期寿命以及患有和不患有慢性疾病的平均寿命。
本研究使用了西岸男性人口的生命表和丹麦相对风险估计值，以比较吸烟者和前吸烟者与从不吸烟者的死亡率，并利用 2010 年巴勒斯坦家庭调查的数据。估计了患有和不患有慢性疾病的预期寿命，并通过分解评估了死亡率和发病率效应对吸烟相关的慢性疾病有无平均寿命差异的贡献。
在西岸，40%的男性人口是吸烟者。一个从未开始吸烟的 15 岁巴勒斯坦男性的预期寿命为 59.5 岁，其中 41.1%预计没有慢性疾病。前吸烟者预计还剩下 57.9 年的寿命，其中 37.7 年没有疾病。对于终身重度吸烟者（每天>20 支香烟），预期寿命缩短至 52.6 岁，其中 38.5 岁没有慢性疾病。在重度吸烟者预期寿命缩短的 6.9 年中，死亡率效应导致无疾病的预期寿命缩短了 2.5 年，有疾病的预期寿命缩短了 4.4 年，而发病率效应可以忽略不计。
吸烟的高患病率导致了相当大的生命年数和无慢性疾病的寿命损失。我们建议巴勒斯坦卫生当局加强反吸烟法。
