在美国吸烟相关死亡的预防

2009/07/30

    目的:测定通过减少儿童和青少年吸烟率这一预防措施可以因此减少的成人吸烟归因死亡和可能的寿命损失年数。
    方法:针对一个2000年时的18岁的队列人群,计算其到85岁时的吸烟归因死亡和可能的寿命损失年数。
    结果:在这个2000年时的3,964,704人的18岁美国队列人群中,到其85岁时将会有共计412,172人的吸烟归因死亡,其中女性吸烟归因死亡127,670人,男性吸烟归因死亡284,502人。通过大规模的媒体宣传以及每包香烟价格提高1美元可以使全美每年挽回108,466条生命并减少160万年的寿命损失年数。
    结论:减少儿童和青少年吸烟率对于降低成人死亡率有着巨大作用。
 
(张永明编译 刘国梁审校)
Am J Prev Med. 2004 Aug;27(2):118-125

Prevention of smoking-related deaths in the United States.

Rivara FP, Ebel BE, Garrison MM, Christakis DA, Wiehe SE, Levy DT.

Department  of Pediatrics, Department of Epidemiology, University of Washington, Seattle, Washington, USA. fpr@u.washington.edu

BACKGROUND: Tobacco is the leading cause of death in the United States. The majority of people who smoke begin before age 18.  
OBJECTIVE: Determine the number of smoking-attributable deaths and years of potential life lost (YPLL) in adults that might be saved through interventions to reduce smoking prevalence among children and adolescents.  
METHODS: Calculation of the smoking-attributable mortality and years of potential life lost by age 85 among the cohort of people aged 18 in 2000.  
RESULTS: By age 85, there would be 127,670 smoking-attributable deaths among women and 284,502 deaths among men, for a total 412,172 smoking-attributable deaths in the United States among the cohort of 3,964,704 people aged 18 years alive in 2000. Through large-scale multimedia campaigns and a $1 increase in the price per pack of cigarettes, smoking prevalence could be reduced by 26% and would result in an annual savings of 108,466 lives and 1.6 million YPLL.  
CONCLUSIONS: Interventions to decrease smoking prevalence among children and adolescents can have large effects on adult mortality.

PMID: 15261898 [PubMed - indexed for MEDLINE]


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