Titre : | Smoking-attributable mortality in Bangladesh : proportional mortality study (2013) |
Auteurs : | Dewan-S ALAM ; Prabhat JHA ; Centre for Control of Chronic Diseases, International Centre for Diarrhoeal Disease Research Bangladesh (Mohakhali Dhaka, Bangladesh) ; Centre for Global Health Research, St Michael's Hospital at University of Toronto (Toronto, Canada) ; Chinthanie RAMASUNDARAHETTIGE ; Peter KIM STREATFIELD ; Louis-W NIESSEN ; Muhammad-Ashique-h CHOWDHURY ; Ali-T SIDDIQUEE ; Shyfuddin AHMED ; Timothy-G EVANS |
Type de document : | Article |
Dans : | Bulletin of the world health organization (vol. 91, n° 10, Octobre 2013) |
Pagination : | 757-764 |
Langues: | Anglais |
Mots-clés : | Tabagisme ; Tabac ; Epidémiologie ; Mortalité ; Médecine tropicale ; OMS ; Asie |
Résumé : | [BDSP. Notice produite par INIST-CNRS B887R0x9. Diffusion soumise à autorisation]. Objective To directly estimate how much smoking contributes to cause-specific mortality in Bangladesh. Methods A case-control study was conducted with surveillance data from Matlab, a rural subdistrict. Cases (n=2213) and controls (n=261) were men aged 25 to 69 years who had died between 2003 and 2010 from smoking-related and non-smoking-related causes, respectively. Cause-specific odds ratios (ORs) were calculated for "ever-smokers" versus "never-smokers" with adjustment for education, tobacco chewing status and age. Smoking-attributable deaths among cases, national attributable fractions and cumulative probability of surviving from 25 to 69 years of age among ever-smokers and never-smokers were also calculated. Findings The fraction of ever-smokers was about 84% among cases and 73% among controls (OR : 1.7 ; 99% confidence interval, CI : 1.1-2.5). ORs were highest for cancers and lower for respiratory, vascular and other diseases. A dose-response relationship was noted between age at smoking initiation and daily number of cigarettes or bidis smoked and the risk of death. Among 25-year-old Bangladeshi men, 32% of ever-smokers will die before reaching 70 years of age, compared with 19% of never-smokers. In 2010, about 25% of all deaths observed in Bangladeshi men aged 25 to 69 years (i.e. 42 000 deaths) were attributable to smoking. Conclusion Smoking causes about 25% of all deaths in Bangladeshi men aged 25 to 69 years and an average loss of seven years of life per smoker. Without a substantial increase in smoking cessation rates, which are low among Bangladeshi men, smoking-attributable deaths in Bangladesh are likely to increase. |
Exemplaires (2)
Code-barres | Cote | Support | Localisation | Section | Disponibilité |
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077074 | - | Périodique | Rennes | Magasin | Empruntable Disponible |
077075 | - | Périodique | Rennes | Magasin | Empruntable Disponible |