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Smoking-attributable mortality in Portugal and its regions in 2019
J Rey-Brandariz1, S Ravara2,3,4, E López-Vizcaíno5
1Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.
Pulmonology
|November 4, 2024
Summary
Smoking-attributable mortality (SAM) in Portugal is substantial and varies regionally. Targeted tobacco control policies are essential to address these disparities and reduce the overall burden of smoking-related deaths.
Area of Science:
- Public Health
- Epidemiology
- Health Policy
Background:
- Estimates of smoking-attributable mortality (SAM) are vital for healthcare planning and tobacco control.
- Such data is currently lacking for specific regions in Portugal.
- This study addresses this gap by providing regional SAM estimates for 2019.
Purpose of the Study:
- To estimate smoking-attributable mortality (SAM) by region in Portugal for the year 2019.
- To provide data disaggregated by sex, age, and cause of death for the Portuguese population aged 35 years and older.
- To inform targeted tobacco control strategies and healthcare planning.
Main Methods:
- Utilized an independent-prevalence method for SAM estimation.
- Incorporated mortality data from Portugal Statistics and relative risks from US cohort studies.
- Calculated crude, sex/age-specific, and age-adjusted SAM rates for each NUTS-II region.
Main Results:
- In 2019, tobacco caused 13,847 deaths (12.3% of total mortality) in Portuguese individuals aged ≥35.
- SAM was higher in men (71.2%) and varied significantly by region (2.1% in Madeira to 36.2% in the North).
- Cancer, cardiovascular/metabolic, and respiratory diseases were the leading causes of SAM.
Conclusions:
- Portugal faces a high and regionally varied burden of tobacco-related mortality.
- Disaggregated SAM data is crucial for effective, tailored tobacco control policies.
- Urgent acceleration of national and regional tobacco control efforts is needed.
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