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Contributions of major smoking-related diseases to reduction in life expectancy associated with smoking in Chinese adults: a cross-sectional study

BACKGROUND: Cigarette smoking is a prominent risk factor for a wide range of diseases. The current study aimed to evaluate the impact of smoking on deaths from major smoking-related diseases (neoplasms, vascular diseases and respiratory diseases) in Chinese adults by estimating the potential gains i...

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Autores principales: Han, Wei, Jiang, Jingmei, Li, Junyao, Zeng, Xianjia, Zou, Xiaonong, Wu, Yanping, Chen, Yuanli, Zhao, Ping, Hou, Lei, Pang, Haiyu, Liu, Boqi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3979040/
https://www.ncbi.nlm.nih.gov/pubmed/24321034
http://dx.doi.org/10.1186/1471-2458-13-1147
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author Han, Wei
Jiang, Jingmei
Li, Junyao
Zeng, Xianjia
Zou, Xiaonong
Wu, Yanping
Chen, Yuanli
Zhao, Ping
Hou, Lei
Pang, Haiyu
Liu, Boqi
author_facet Han, Wei
Jiang, Jingmei
Li, Junyao
Zeng, Xianjia
Zou, Xiaonong
Wu, Yanping
Chen, Yuanli
Zhao, Ping
Hou, Lei
Pang, Haiyu
Liu, Boqi
author_sort Han, Wei
collection PubMed
description BACKGROUND: Cigarette smoking is a prominent risk factor for a wide range of diseases. The current study aimed to evaluate the impact of smoking on deaths from major smoking-related diseases (neoplasms, vascular diseases and respiratory diseases) in Chinese adults by estimating the potential gains in life expectancy (LE) that would accrue from eliminating deaths from these diseases, and to determine the contribution of each disease to the reduction in LE associated with smoking. METHODS: Two cohorts of Chinese smokers and non-smokers were constructed from a retrospective national mortality survey that had been conducted in 1989–1991 and included one million all-cause deaths among adults during 1986–1988 in 103 geographical regions. For each cohort, potential gains in LE by eliminating deaths from each major smoking-related disease were estimated. The contributions of each disease to smoking-associated reduction in LE were assessed using the LE decomposition approach. RESULTS: Among the major smoking-related diseases, it was estimated that elimination of vascular diseases would provide the greatest potential gain in LE (years), regardless of smoking status. The gains for smokers versus non-smokers in populations of urban men, urban women, rural men and rural women aged 35 years were 3.5 vs. 4.3, 3.8 vs. 4.1, 2.4 vs. 3.0, and 2.6 vs. 2.9 years, respectively. Respiratory diseases contributed most to smoking-associated LE reductions in urban women, rural men and rural women of 43.6%, 46.4%, and 62.9%, respectively. In urban men, neoplasms contributed most to smoking-associated LE reduction, their contribution being estimated as 45.8%. CONCLUSIONS: Respiratory disease has the greatest influence on the LE reduction associated with smoking. Thus, smoking prevention could significantly reduce deaths from respiratory disease and improve LE.
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spelling pubmed-39790402014-04-21 Contributions of major smoking-related diseases to reduction in life expectancy associated with smoking in Chinese adults: a cross-sectional study Han, Wei Jiang, Jingmei Li, Junyao Zeng, Xianjia Zou, Xiaonong Wu, Yanping Chen, Yuanli Zhao, Ping Hou, Lei Pang, Haiyu Liu, Boqi BMC Public Health Research Article BACKGROUND: Cigarette smoking is a prominent risk factor for a wide range of diseases. The current study aimed to evaluate the impact of smoking on deaths from major smoking-related diseases (neoplasms, vascular diseases and respiratory diseases) in Chinese adults by estimating the potential gains in life expectancy (LE) that would accrue from eliminating deaths from these diseases, and to determine the contribution of each disease to the reduction in LE associated with smoking. METHODS: Two cohorts of Chinese smokers and non-smokers were constructed from a retrospective national mortality survey that had been conducted in 1989–1991 and included one million all-cause deaths among adults during 1986–1988 in 103 geographical regions. For each cohort, potential gains in LE by eliminating deaths from each major smoking-related disease were estimated. The contributions of each disease to smoking-associated reduction in LE were assessed using the LE decomposition approach. RESULTS: Among the major smoking-related diseases, it was estimated that elimination of vascular diseases would provide the greatest potential gain in LE (years), regardless of smoking status. The gains for smokers versus non-smokers in populations of urban men, urban women, rural men and rural women aged 35 years were 3.5 vs. 4.3, 3.8 vs. 4.1, 2.4 vs. 3.0, and 2.6 vs. 2.9 years, respectively. Respiratory diseases contributed most to smoking-associated LE reductions in urban women, rural men and rural women of 43.6%, 46.4%, and 62.9%, respectively. In urban men, neoplasms contributed most to smoking-associated LE reduction, their contribution being estimated as 45.8%. CONCLUSIONS: Respiratory disease has the greatest influence on the LE reduction associated with smoking. Thus, smoking prevention could significantly reduce deaths from respiratory disease and improve LE. BioMed Central 2013-12-09 /pmc/articles/PMC3979040/ /pubmed/24321034 http://dx.doi.org/10.1186/1471-2458-13-1147 Text en Copyright © 2013 Han et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Han, Wei
Jiang, Jingmei
Li, Junyao
Zeng, Xianjia
Zou, Xiaonong
Wu, Yanping
Chen, Yuanli
Zhao, Ping
Hou, Lei
Pang, Haiyu
Liu, Boqi
Contributions of major smoking-related diseases to reduction in life expectancy associated with smoking in Chinese adults: a cross-sectional study
title Contributions of major smoking-related diseases to reduction in life expectancy associated with smoking in Chinese adults: a cross-sectional study
title_full Contributions of major smoking-related diseases to reduction in life expectancy associated with smoking in Chinese adults: a cross-sectional study
title_fullStr Contributions of major smoking-related diseases to reduction in life expectancy associated with smoking in Chinese adults: a cross-sectional study
title_full_unstemmed Contributions of major smoking-related diseases to reduction in life expectancy associated with smoking in Chinese adults: a cross-sectional study
title_short Contributions of major smoking-related diseases to reduction in life expectancy associated with smoking in Chinese adults: a cross-sectional study
title_sort contributions of major smoking-related diseases to reduction in life expectancy associated with smoking in chinese adults: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3979040/
https://www.ncbi.nlm.nih.gov/pubmed/24321034
http://dx.doi.org/10.1186/1471-2458-13-1147
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