Mortality Attributable to Environmental Tobacco Smoke Exposure in Spain in 2020

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. A method of estimating attributable mortality (AM) based...

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Autores: Pérez-Ríos, Mónica|||0000-0003-4456-6631, López-Medina, Diana Carolina, Guerra-Tort, Carla, Rey-Brandariz, Julia, Varela-Lema, Leonor|||0000-0001-8365-7961, Santiago-Pérez, María Isolina, Candal, Cristina|||0000-0002-1703-3592, Montes, Agustin|||0000-0003-0474-8393, López Medina, María José|||0000-0003-4402-2239, Dalmau, Regina|||0000-0003-0112-4382, Provencio Pulla, Mariano|||0000-0001-6315-7919, Fernández, Esteve|||0000-0003-4239-723X, Blanco Pérez, Ana|||0000-0002-2535-8311, Ruano-Ravina, Alberto|||0000-0001-9927-7453
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:301748
Acceso en línea:https://ddd.uab.cat/record/301748
https://dx.doi.org/urn:doi:10.1016/j.arbres.2023.02.017
Access Level:acceso abierto
Palabra clave:Cerebrovascular disease
Chronic obstructive pulmonary disease
Ischemic heart disease
Lung cancer
Mortality
Second-hand tobacco smoke
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spelling Mortality Attributable to Environmental Tobacco Smoke Exposure in Spain in 2020Pérez-Ríos, Mónica|||0000-0003-4456-6631López-Medina, Diana CarolinaGuerra-Tort, CarlaRey-Brandariz, JuliaVarela-Lema, Leonor|||0000-0001-8365-7961Santiago-Pérez, María IsolinaCandal, Cristina|||0000-0002-1703-3592Montes, Agustin|||0000-0003-0474-8393López Medina, María José|||0000-0003-4402-2239Dalmau, Regina|||0000-0003-0112-4382Provencio Pulla, Mariano|||0000-0001-6315-7919Fernández, Esteve|||0000-0003-4239-723XBlanco Pérez, Ana|||0000-0002-2535-8311Ruano-Ravina, Alberto|||0000-0001-9927-7453Cerebrovascular diseaseChronic obstructive pulmonary diseaseIschemic heart diseaseLung cancerMortalitySecond-hand tobacco smokeExposure 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. 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. 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. 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.Universitat Autònoma de Barcelona 22023-01-0120232023-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/301748https://dx.doi.org/urn:doi:10.1016/j.arbres.2023.02.017reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengInstituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI22/00727open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3017482026-06-06T12:50:31Z
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|||0000-0003-4456-6631
Cerebrovascular disease
Chronic obstructive pulmonary disease
Ischemic heart disease
Lung cancer
Mortality
Second-hand tobacco smoke
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|||0000-0003-4456-6631
López-Medina, Diana Carolina
Guerra-Tort, Carla
Rey-Brandariz, Julia
Varela-Lema, Leonor|||0000-0001-8365-7961
Santiago-Pérez, María Isolina
Candal, Cristina|||0000-0002-1703-3592
Montes, Agustin|||0000-0003-0474-8393
López Medina, María José|||0000-0003-4402-2239
Dalmau, Regina|||0000-0003-0112-4382
Provencio Pulla, Mariano|||0000-0001-6315-7919
Fernández, Esteve|||0000-0003-4239-723X
Blanco Pérez, Ana|||0000-0002-2535-8311
Ruano-Ravina, Alberto|||0000-0001-9927-7453
author Pérez-Ríos, Mónica|||0000-0003-4456-6631
author_facet Pérez-Ríos, Mónica|||0000-0003-4456-6631
López-Medina, Diana Carolina
Guerra-Tort, Carla
Rey-Brandariz, Julia
Varela-Lema, Leonor|||0000-0001-8365-7961
Santiago-Pérez, María Isolina
Candal, Cristina|||0000-0002-1703-3592
Montes, Agustin|||0000-0003-0474-8393
López Medina, María José|||0000-0003-4402-2239
Dalmau, Regina|||0000-0003-0112-4382
Provencio Pulla, Mariano|||0000-0001-6315-7919
Fernández, Esteve|||0000-0003-4239-723X
Blanco Pérez, Ana|||0000-0002-2535-8311
Ruano-Ravina, Alberto|||0000-0001-9927-7453
author_role author
author2 López-Medina, Diana Carolina
Guerra-Tort, Carla
Rey-Brandariz, Julia
Varela-Lema, Leonor|||0000-0001-8365-7961
Santiago-Pérez, María Isolina
Candal, Cristina|||0000-0002-1703-3592
Montes, Agustin|||0000-0003-0474-8393
López Medina, María José|||0000-0003-4402-2239
Dalmau, Regina|||0000-0003-0112-4382
Provencio Pulla, Mariano|||0000-0001-6315-7919
Fernández, Esteve|||0000-0003-4239-723X
Blanco Pérez, Ana|||0000-0002-2535-8311
Ruano-Ravina, Alberto|||0000-0001-9927-7453
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Cerebrovascular disease
Chronic obstructive pulmonary disease
Ischemic heart disease
Lung cancer
Mortality
Second-hand tobacco smoke
topic Cerebrovascular disease
Chronic obstructive pulmonary disease
Ischemic heart disease
Lung cancer
Mortality
Second-hand tobacco smoke
description 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. 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. 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. 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 2
2023-01-01
2023
2023-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/301748
https://dx.doi.org/urn:doi:10.1016/j.arbres.2023.02.017
url https://ddd.uab.cat/record/301748
https://dx.doi.org/urn:doi:10.1016/j.arbres.2023.02.017
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI22/00727
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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