Mortalidad atribuida al consumo de tabaco en las comunidades autónomas de España, 2017

Rey, J.-L.; Pérez‐Ríos, Mónica; Santiago-Pérez, María Isolina; Galán, Iñaki; Schiaffino, Anna; Varela-Lema, Leonor; Naveira, Gael; Montes, Agustín; Vizcaíno, María Esther López; Giraldo-Osorio, Alexandra; Mourino, Nerea; Mompart, Anna; Ruano-Raviña, Alberto

doi:10.1016/j.recesp.2020.10.018

Cited by 16 publications

(4 citation statements)

References 17 publications

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“…This association is negative for women [ 24 ]. In 2017, lung cancer accounted for more than 30% of tobacco-attributable mortality in Andalusia among those 35 years and older [ 19 ].…”

Section: Methodsmentioning

confidence: 99%

“…Our objective is to reveal trends in social inequalities by sex in different birth cohorts in a Southern European region with a ‘lagged’ epidemiological pattern and high tobacco-attributable mortality, [ 19 ], which may require a specific approach in public health interventions, and more specifically, in strategies to reduce tobacco use. Moreover, we are interested in revealing whether these inequalities are more related to contextual factors in the area of residence or to the characteristics of individuals, and in detecting population subgroups in which public health measures seem to be less effective.…”

Section: Introductionmentioning

confidence: 99%

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Age-period-cohort analysis of lung cancer mortality inequalities in Southern Spain: missed opportunities for implementing equitable tobacco control policies

Córdoba-Doña

Benítez‐Rodríguez

Escolar-Pujolar

et al. 2023

Int J Equity Health

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Background Lung cancer mortality in European countries shows different epidemiological patterns according to sex and socioeconomic variables. Some countries show decreasing rates in both sexes, while others show a delayed profile, with increasing mortality in women, inconsistently influenced by socioeconomic status. Our aim was to evaluate the effect of age, period and birth cohort on lung cancer mortality inequalities in men and women in Andalusia, the southernmost region in Spain. Methods We used the Longitudinal Database of the Andalusian Population, which collects demographic and mortality data from the 2001 census cohort of more than 7.35 million Andalusians, followed up between 2002 and 2016. Mortality rates were calculated for men and women by educational level, and small-area deprivation. Poisson models were used to assess trends in socioeconomic inequalities in men and women. Finally, age-period-cohort (APC) models were used separately for each educational level and gender. Results There were 39,408 lung cancer deaths in men and 5,511 in women, yielding crude mortality rates of 78.1 and 11.4 × 105 person-years, respectively. In men higher mortality was found in less educated groups and inequalities increased during the study period: i.e. the rate ratio for primary studies compared to university studies increased from 1.30 (CI95:1.18–1.44) to 1.57 (CI95:1.43–1.73). For women, educational inequalities in favour of the less educated tended to decrease moderately. In APC analysis, a decreasing period effect in men and an increasing one in women were observed. Cohort effect differed significantly by educational level. In men, the lower the educational level, the earlier the peak effect was reached, with a 25-year difference between the least-educated and college-educated. Conversely, college-educated women reached the peak effect with a 12-year earlier cohort than the least-educated women. The decline of mortality followed the same pattern both in men and women, with the best-educated groups experiencing declining rates with earlier birth cohorts. Conclusions Our study reveals that APC analysis by education helps to uncover changes in trends occurring in different socioeconomic and gender groups, which, combined with data on smoking prevalence, provide important clues for action. Despite its limitations, this approach to the study of lung cancer inequalities allows for the assessment of gaps in historical and current tobacco policies and the identification of population groups that need to be prioritised for public health interventions.

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“…This association is negative for women [ 24 ]. In 2017, lung cancer accounted for more than 30% of tobacco-attributable mortality in Andalusia among those 35 years and older [ 19 ].…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Age-period-cohort analysis of lung cancer mortality inequalities in Southern Spain: missed opportunities for implementing equitable tobacco control policies

Córdoba-Doña

Benítez‐Rodríguez

Escolar-Pujolar

et al. 2023

Int J Equity Health

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“…Among the total population of the Canary Islands aged 15 years and over, 22.3% use tobacco daily, compared to 22.1% at the national level ( 19 ). However, despite not being one of the Spanish regions with the highest proportion of tobacco users, ( 20 ) do rank as the region with the highest mortality rate attributed to tobacco use in women.…”

Section: Introductionmentioning

confidence: 97%

Tobacco Consumption and Mental Health in the Canary Islands: A Quantitative Analysis

Nieto-González

Rodríguez-Donate

Pérez

2022

Front. Public Health

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Although the detrimental health effects of tobacco, there has been scant research into determining comprehensive profiles to characterize individuals with a higher risk of smoking. This paper identifies such profiles and probabilistically quantifies the effects of certain traits on the decision to smoke in the Canary Islands. This characterization is approached from a broad and novel point of view for the region studied, given that the analysis not only studies sociodemographic characteristics, lifestyle and health, but also incorporates mental health. The results show that suffering from some type of psychopathology leads to a higher probability of tobacco consumption. Moreover, just as the promotion of a healthy lifestyle has a direct impact on tobacco consumption, the implementation of public policies that reduce the risks of suffering from a mental illness could also reduce the prevalence of smoking in the region and contribute to the design of more effective prevention strategies.

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“…In 2019, tobacco consumption caused more than 8.67 million deaths worldwide, 2.14 million of which were women; in Europe, 1.2 million men and half a million women died for the same reason 1 . The annual mortality rate in Spain due to tobacco consumption in 2017 was 53825 people, of which 45520 were men and 8305 were women 2 .…”

Section: Introductionmentioning

confidence: 99%

Gender, smoking, and tobacco cessation with pharmacological treatment in a cluster randomized clinical trial

Minué-Lorenzo,

Olano-Espinosa,

Minué-Estirado

et al. 2024

Tob. Induc. Dis.

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INTRODUCTION Whether men find it easier to quit smoking than women is still controversial. Different studies have reported that the efficacy of pharmacological treatments could be different between men and women. This study conducted a secondary analysis of ‘Subsidized pharmacological treatment for smoking cessation by the Spanish public health system’ (FTFT-AP study) to evaluate the effectiveness of a drug-funded intervention for smoking cessation by gender. METHODS A pragmatic randomized clinical trial by clusters was used. The population included smokers aged ≥18 years, smoking >10 cigarettes per day, randomly assigned to an intervention group receiving regular practice and financed pharmacological treatment, or to a control group receiving only regular practice. The main outcome was continued abstinence at 12 months, self-reported and validated with CO-oximetry. The percentage, with 95% confidence intervals, of continued abstinence was compared between both groups at 12 months post-intervention, by gender and the pharmacological treatment used. Multilevel logistic regression analysis was performed. RESULTS A total of 1154 patients from 29 healthcare centers were included. The average age was 46 years (SD=11.78) and 51.7% were men. Overall, the self-reported abstinence at 12 months was 11.1% (62) in women and 15.7% (93) in men (AOR=1.4; 95% CI: 1.0–2.0), and abstinence validated by CO-oximetry was 4.6% (26) and 5.9% (35) in women and men, respectively (OR=1.3; 95% CI: 0.7–2.2). In the group of smokers receiving nicotine replacement treatment, self-reported abstinence was higher in men compared to women (29.5% vs 13.5%, OR=2.7; 95% CI: 1.3–5.8). CONCLUSIONS The effectiveness of a drug-financed intervention for smoking cessation was greater in men, who also showed better results in self-reported abstinence with nicotine replacement treatment.

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Mortalidad atribuida al consumo de tabaco en las comunidades autónomas de España, 2017

Cited by 16 publications

References 17 publications

Age-period-cohort analysis of lung cancer mortality inequalities in Southern Spain: missed opportunities for implementing equitable tobacco control policies

Age-period-cohort analysis of lung cancer mortality inequalities in Southern Spain: missed opportunities for implementing equitable tobacco control policies

Tobacco Consumption and Mental Health in the Canary Islands: A Quantitative Analysis

Gender, smoking, and tobacco cessation with pharmacological treatment in a cluster randomized clinical trial

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