Mortality Attributable to Environmental Tobacco Smoke Exposure in Spain in 2020

Introduction and objectives: Exposure to environmental tobacco smoke (ETS) is associated with increased mortality and morbidity. The objective of this study was to estimate the impact of ETS exposure in Spain on mortality in 2020 in the population aged 35 years and over. Methods: A method of estimat...

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Autores: Pérez Ríos, Mónica, López-Medina, D.C., Guerra-Tort, C., Rey-Brandariz, J., Varela Lema, Leonor, Santiago Pérez, María Isolina, Candal, C., Montes Martínez, Agustín, López, M.J., Dalmau, R., Provencio, M., Fernández, E., Blanco, A., Ruano Raviña, Alberto
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Servizo Galego de Saúde (SERGAS)
Repositorio:RUNA. Repositorio da Consellería de Sanidade e Sergas
OAI Identifier:oai:runa.sergas.gal:20.500.11940/21751
Acceso en línea:https://portalcientifico.sergas.gal//documentos/642b3762a1c8a315fd23328f
http://hdl.handle.net/20.500.11940/21751
Access Level:acceso abierto
Palabra clave:Male
Humans
Tobacco Smoke Pollution
Spain
Smoking
Myocardial Ischemia
Lung Neoplasms
Environmental Exposure
Risk Factors
AS Santiago
IDIS
DXSP
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oai_identifier_str oai:runa.sergas.gal:20.500.11940/21751
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spelling Mortality Attributable to Environmental Tobacco Smoke Exposure in Spain in 2020Pérez Ríos, MónicaLópez-Medina, D.C.Guerra-Tort, C.Rey-Brandariz, J.Varela Lema, LeonorSantiago Pérez, María IsolinaCandal, C.Montes Martínez, AgustínLópez, M.J.Dalmau, R.Provencio, M.Fernández, E.Blanco, A.Ruano Raviña, AlbertoMaleHumansTobacco Smoke PollutionSpainSmokingMyocardial IschemiaLung NeoplasmsEnvironmental ExposureRisk FactorsAS SantiagoIDISIDISDXSPAS SantiagoIDISAS SantiagoIDISIntroduction and objectives: Exposure to environmental tobacco smoke (ETS) is associated with increased mortality and morbidity. The objective of this study was to estimate the impact of ETS exposure in Spain on mortality in 2020 in the population aged 35 years and over. Methods: A method of estimating attributable mortality (AM) based on the prevalence of ETS exposure was applied. Prevalence data were obtained from a representative study conducted in Spain and the relative risks were derived from a meta-analysis. AM point estimates are presented along with 95% confidence intervals (95% CI), calculated using a bootstrap naive procedure. AM, both overall and by smoking habit, was estimated for each combination of sex, age group, and cause of death (lung cancer and ischemic heart disease). A sensitivity analysis was performed. Results: A total of 747 (95% CI 676-825) deaths were attributable to ETS exposure, of which 279 (95% CI 256-306) were caused by lung cancer, and 468 (95% CI 417-523) by ischemic heart disease. Three-quarters (75.1%) of AM occurred in men and 60.9% in non-smokers. When chronic obstructive pulmonary disease and cerebrovascular disease are included, the burden of AM is estimated at 2242 deaths. Conclusions: ETS exposure is associated with 1.5% of all deaths from lung cancer and ischemic heart disease in the population aged 35 and over. These data underline the need for health authorities to focus on reducing exposure to ETS in all settings and environments.Funding Instituto de Salud Carlos III (ISCIII) , reference: PI22/00727, co-funded by the European Union.2023info:eu-repo/semantics/articlehttps://portalcientifico.sergas.gal//documentos/642b3762a1c8a315fd23328fhttp://hdl.handle.net/20.500.11940/21751reponame:RUNA. Repositorio da Consellería de Sanidade e Sergasinstname:Servizo Galego de Saúde (SERGAS)Ingléshttps://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:runa.sergas.gal:20.500.11940/217512026-06-12T08:40:47Z
dc.title.none.fl_str_mv Mortality Attributable to Environmental Tobacco Smoke Exposure in Spain in 2020
title Mortality Attributable to Environmental Tobacco Smoke Exposure in Spain in 2020
spellingShingle Mortality Attributable to Environmental Tobacco Smoke Exposure in Spain in 2020
Pérez Ríos, Mónica
Male
Humans
Tobacco Smoke Pollution
Spain
Smoking
Myocardial Ischemia
Lung Neoplasms
Environmental Exposure
Risk Factors
AS Santiago
IDIS
IDIS
DXSP
AS Santiago
IDIS
AS Santiago
IDIS
title_short Mortality Attributable to Environmental Tobacco Smoke Exposure in Spain in 2020
title_full Mortality Attributable to Environmental Tobacco Smoke Exposure in Spain in 2020
title_fullStr Mortality Attributable to Environmental Tobacco Smoke Exposure in Spain in 2020
title_full_unstemmed Mortality Attributable to Environmental Tobacco Smoke Exposure in Spain in 2020
title_sort Mortality Attributable to Environmental Tobacco Smoke Exposure in Spain in 2020
dc.creator.none.fl_str_mv Pérez Ríos, Mónica
López-Medina, D.C.
Guerra-Tort, C.
Rey-Brandariz, J.
Varela Lema, Leonor
Santiago Pérez, María Isolina
Candal, C.
Montes Martínez, Agustín
López, M.J.
Dalmau, R.
Provencio, M.
Fernández, E.
Blanco, A.
Ruano Raviña, Alberto
author Pérez Ríos, Mónica
author_facet Pérez Ríos, Mónica
López-Medina, D.C.
Guerra-Tort, C.
Rey-Brandariz, J.
Varela Lema, Leonor
Santiago Pérez, María Isolina
Candal, C.
Montes Martínez, Agustín
López, M.J.
Dalmau, R.
Provencio, M.
Fernández, E.
Blanco, A.
Ruano Raviña, Alberto
author_role author
author2 López-Medina, D.C.
Guerra-Tort, C.
Rey-Brandariz, J.
Varela Lema, Leonor
Santiago Pérez, María Isolina
Candal, C.
Montes Martínez, Agustín
López, M.J.
Dalmau, R.
Provencio, M.
Fernández, E.
Blanco, A.
Ruano Raviña, Alberto
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Male
Humans
Tobacco Smoke Pollution
Spain
Smoking
Myocardial Ischemia
Lung Neoplasms
Environmental Exposure
Risk Factors
AS Santiago
IDIS
IDIS
DXSP
AS Santiago
IDIS
AS Santiago
IDIS
topic Male
Humans
Tobacco Smoke Pollution
Spain
Smoking
Myocardial Ischemia
Lung Neoplasms
Environmental Exposure
Risk Factors
AS Santiago
IDIS
IDIS
DXSP
AS Santiago
IDIS
AS Santiago
IDIS
description Introduction and objectives: Exposure to environmental tobacco smoke (ETS) is associated with increased mortality and morbidity. The objective of this study was to estimate the impact of ETS exposure in Spain on mortality in 2020 in the population aged 35 years and over. Methods: A method of estimating attributable mortality (AM) based on the prevalence of ETS exposure was applied. Prevalence data were obtained from a representative study conducted in Spain and the relative risks were derived from a meta-analysis. AM point estimates are presented along with 95% confidence intervals (95% CI), calculated using a bootstrap naive procedure. AM, both overall and by smoking habit, was estimated for each combination of sex, age group, and cause of death (lung cancer and ischemic heart disease). A sensitivity analysis was performed. Results: A total of 747 (95% CI 676-825) deaths were attributable to ETS exposure, of which 279 (95% CI 256-306) were caused by lung cancer, and 468 (95% CI 417-523) by ischemic heart disease. Three-quarters (75.1%) of AM occurred in men and 60.9% in non-smokers. When chronic obstructive pulmonary disease and cerebrovascular disease are included, the burden of AM is estimated at 2242 deaths. Conclusions: ETS exposure is associated with 1.5% of all deaths from lung cancer and ischemic heart disease in the population aged 35 and over. These data underline the need for health authorities to focus on reducing exposure to ETS in all settings and environments.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://portalcientifico.sergas.gal//documentos/642b3762a1c8a315fd23328f
http://hdl.handle.net/20.500.11940/21751
url https://portalcientifico.sergas.gal//documentos/642b3762a1c8a315fd23328f
http://hdl.handle.net/20.500.11940/21751
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:RUNA. Repositorio da Consellería de Sanidade e Sergas
instname:Servizo Galego de Saúde (SERGAS)
instname_str Servizo Galego de Saúde (SERGAS)
reponame_str RUNA. Repositorio da Consellería de Sanidade e Sergas
collection RUNA. Repositorio da Consellería de Sanidade e Sergas
repository.name.fl_str_mv
repository.mail.fl_str_mv
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