A B Khan Moien, Amiri Sohrab
Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
Spiritual Health Research Center, LifeStyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Medicine (Baltimore). 2025 Aug 8;104(32):e42983. doi: 10.1097/MD.0000000000042983.
Despite the effects of smoking on health have been extensively studied, the studies on smoking and its effects on interpersonal violence are very few. This research aims to investigate the burden of interpersonal violence attributed to smoking in Iran and compare it with the global. In global burden of disease 2021, the relationship between 88 risk factors with selected health outcomes has been estimated. Summary exposure value (SEV) is the RR-weighted prevalence of exposure, a univariate measure of risk weighted exposure. We report SEVs on a scale from 0% to 100% on which a decline in SEV indicates reduced exposure to a given risk factor and an increase in SEV indicates increased exposure. All age and age-standardized estimates of interpersonal violence attributed to smoking were calculated for disability-adjusted life years, years lived with disability, and years of life lost, and death for the years 1990 to 2021. The global number of disability-adjusted life years cases of interpersonal violence attributed to smoking was 16,260.52 per 1,00,000 in 2021 (95% uncertainty interval 12,268.37-20,718.62). The number of disability-adjusted life years cases of interpersonal violence attributed to smoking in Iran was 142.97 per 1,00,000 (95% uncertainty interval 102.78-185.83). Age-standardized disability-adjusted life years rate per 1,00,000 globally was 0.19 (95% uncertainty interval 0.14-0.24), and in Iran was 0.15 (95% uncertainty interval 0.11-0.19) in 2021. The summary of this research shows that the burden of interpersonal violence attributed to smoking is significant both at the global and national levels, although the prevalence of smoking has decreased in recent decades, it is necessary to implement health policies to reduce the damage caused by smoking.
尽管吸烟对健康的影响已得到广泛研究,但关于吸烟及其对人际暴力影响的研究却非常少。本研究旨在调查伊朗因吸烟导致的人际暴力负担,并将其与全球情况进行比较。在《2021年全球疾病负担》中,已估算了88种风险因素与选定健康结果之间的关系。汇总暴露值(SEV)是暴露的RR加权患病率,是一种风险加权暴露的单变量测量方法。我们报告的SEV范围为0%至100%,SEV下降表明对给定风险因素的暴露减少,而SEV增加表明暴露增加。计算了1990年至2021年期间因吸烟导致的人际暴力在残疾调整生命年、带病生存年、生命损失年以及死亡方面的所有年龄和年龄标准化估计值。2021年,全球因吸烟导致的人际暴力残疾调整生命年病例数为每10万人16260.52例(95%不确定区间为12268.37 - 20718.62)。伊朗因吸烟导致的人际暴力残疾调整生命年病例数为每10万人142.97例(95%不确定区间为102.78 - 185.83)。2021年,全球每10万人的年龄标准化残疾调整生命年率为0.19(95%不确定区间为0.14 - 0.24),伊朗为0.15(95%不确定区间为0.11 - 0.19)。本研究的总结表明,尽管近几十年来吸烟率有所下降,但因吸烟导致的人际暴力负担在全球和国家层面都很显著,有必要实施健康政策以减少吸烟造成的损害。