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, Diana Carolina, Guerra Tort, Carla, Rey Brandariz, Julia, Varela Lema, Leonor, Santiago Pérez, María Isolina, Candal Pedreira, Cristina, Montes, Agustín, López, María José, Dalmau, Regina, Provencio, Mariano, Fernández Muñoz, Esteve, Blanco, Ana, Ruano-Ravina, Alberto
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/201898
Acceso en línea:https://hdl.handle.net/2445/201898
Access Level:acceso abierto
Palabra clave:Hàbit de fumar
Contaminació de l'ambient interior
Mortalitat
Smoking
Indoor air pollution
Mortality
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network_name_str España
repository_id_str
spelling Mortality Attributable to Environmental Tobacco Smoke Exposure in Spain in 2020Pérez Ríos, MónicaLópez Medina, Diana CarolinaGuerra Tort, CarlaRey Brandariz, JuliaVarela Lema, LeonorSantiago Pérez, María IsolinaCandal Pedreira, CristinaMontes, AgustínLópez, María JoséDalmau, ReginaProvencio, MarianoFernández Muñoz, EsteveBlanco, AnaRuano-Ravina, AlbertoHàbit de fumarContaminació de l'ambient interiorMortalitatSmokingIndoor air pollutionMortalityIntroduction 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. & COPY; 2023 The Author(s). Published by Elsevier Espan & SIM;a, S.L.U. on behalf of SEPAR. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).Elsevier BV2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/201898Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1016/j.arbres.2023.02.017Archivos de Bronconeumología, 2023, vol. 59, num. 5, p. 305-310https://doi.org/10.1016/j.arbres.2023.02.017cc by-nc-nd (c) Pérez Ríos, Mónica et al., 2023http://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2018982026-05-27T06:46:51Z
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
Hàbit de fumar
Contaminació de l'ambient interior
Mortalitat
Smoking
Indoor air pollution
Mortality
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, Diana Carolina
Guerra Tort, Carla
Rey Brandariz, Julia
Varela Lema, Leonor
Santiago Pérez, María Isolina
Candal Pedreira, Cristina
Montes, Agustín
López, María José
Dalmau, Regina
Provencio, Mariano
Fernández Muñoz, Esteve
Blanco, Ana
Ruano-Ravina, Alberto
author Pérez Ríos, Mónica
author_facet Pérez Ríos, Mónica
López Medina, Diana Carolina
Guerra Tort, Carla
Rey Brandariz, Julia
Varela Lema, Leonor
Santiago Pérez, María Isolina
Candal Pedreira, Cristina
Montes, Agustín
López, María José
Dalmau, Regina
Provencio, Mariano
Fernández Muñoz, Esteve
Blanco, Ana
Ruano-Ravina, Alberto
author_role author
author2 López Medina, Diana Carolina
Guerra Tort, Carla
Rey Brandariz, Julia
Varela Lema, Leonor
Santiago Pérez, María Isolina
Candal Pedreira, Cristina
Montes, Agustín
López, María José
Dalmau, Regina
Provencio, Mariano
Fernández Muñoz, Esteve
Blanco, Ana
Ruano-Ravina, Alberto
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Hàbit de fumar
Contaminació de l'ambient interior
Mortalitat
Smoking
Indoor air pollution
Mortality
topic Hàbit de fumar
Contaminació de l'ambient interior
Mortalitat
Smoking
Indoor air pollution
Mortality
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. & COPY; 2023 The Author(s). Published by Elsevier Espan & SIM;a, S.L.U. on behalf of SEPAR. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/201898
url https://hdl.handle.net/2445/201898
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1016/j.arbres.2023.02.017
Archivos de Bronconeumología, 2023, vol. 59, num. 5, p. 305-310
https://doi.org/10.1016/j.arbres.2023.02.017
dc.rights.none.fl_str_mv cc by-nc-nd (c) Pérez Ríos, Mónica et al., 2023
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by-nc-nd (c) Pérez Ríos, Mónica et al., 2023
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier BV
publisher.none.fl_str_mv Elsevier BV
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.300719

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