Mortality and Burden of Disease Attributable to Cigarette Smoking in Qingdao, China

Yani Wang, Fei Qi, Xiaorong Jia, Peng Lin, Hui Liu, Meiyun Geng, Yunning Liu, Shanpeng Li and Jibin Tan
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Yani Wang: Medical College, Qingdao University, Qingdao 266071, China
Fei Qi: Center for Disease Control and Prevention, Qingdao 266033, China
Xiaorong Jia: Center for Disease Control and Prevention, Qingdao 266033, China
Peng Lin: Center for Disease Control and Prevention, Qingdao 266033, China
Hui Liu: Center for Disease Control and Prevention, Qingdao 266033, China
Meiyun Geng: Center for Disease Control and Prevention, Qingdao 266033, China
Yunning Liu: Chinese Center for Disease Control and Prevention, Beijing 100050, China
Shanpeng Li: Center for Disease Control and Prevention, Qingdao 266033, China
Jibin Tan: Chinese Center for Disease Control and Prevention, Beijing 100050, China

IJERPH, 2016, vol. 13, issue 9, 1-9

Abstract: In China, smoking is the leading preventable cause of deaths by a disease. Estimating the disease burden attributable to smoking contributes to an evaluation of the adverse impact of smoking. To aid in policy change and implementation, this study estimated the population-attributable fractions (PAFs) of smoking, the all-cause mortality and the loss of life expectancy attributable to smoking in 2014 of Qingdao. PAFs were calculated using the smoking impact ratio (SIR) or current smoking rate (P) and relative risk (RR). We determined the smoking-attributable mortality by multiplying the smoking-attributable fraction by the total mortality. This study used the method of an abridged life table to calculate the loss of life expectancy caused by smoking. Smoking caused about 8635 deaths (6883 males, 1752 females), and accounted for 16% of all deaths; 22% in males and 8% in females. The leading causes of deaths attributable to smoking were lung cancer (38%), ischemic heart disease (19%) and chronic obstructive pulmonary disease (COPD, 12%). The PAF for all causes was 22%; 30% in males and 10% in females. Tobacco use may cause a reduction of about 2.01 years of the loss of life expectancy; 3 years in males and 0.87 years in females. The findings highlight the need for taking effective measures to prevent initiation and induce cessation.

Keywords: smoking; mortality; smoking impact ratio; PAF (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
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