Trends in smoking-attributable mortality in Spain: 1990-2018
Julia Rey-Brandariz1, Mónica Pérez-Ríos1,2, María Isolina Santiago-Pérez3
1Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.
European Journal of Public Health
|November 17, 2022
Summary
Smoking-attributable mortality (SAM) decreased in Spanish men but increased in women from 1990-2018. Public health interventions must consider gender differences in tobacco control.
Area of Science:
- Public Health
- Epidemiology
- Tobacco Control
Background:
- Analyzed smoking-attributable mortality (SAM) trends in Spain (1990-2018) for adults aged 35+.
- Examined the evolving impact of tobacco on mortality across different genders.
Purpose of the Study:
- To analyze the trend in smoking-attributable mortality (SAM) in Spain from 1990 to 2018.
- To investigate gender-specific differences in tobacco-related deaths.
Main Methods:
- Utilized a prevalence-independent method using lung cancer (LC) mortality as a proxy for tobacco consumption.
- Analyzed mortality data from the National Institute of Statistics (Spain) and relative risks from US cohorts.
- Employed joinpoint regression to analyze trends in standardized SAM rates.
Main Results:
- Tobacco caused over 1.7 million deaths in Spain between 1990 and 2018.
- In men, cancers became the leading cause of tobacco-related death, surpassing cardiovascular diseases-diabetes mellitus (CVD-DM).
- In women, CVD-DM remained the leading cause; standardized SAM rates decreased in men and increased in women.
Conclusions:
- The tobacco epidemic in Spain shows distinct gender-based trends in mortality.
- Smoking-attributable mortality is projected to rise significantly among women.
- A gender perspective is crucial for effective public health interventions and tobacco control policies.
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