2000～2004年间美国吸烟归因死亡率、可能的寿命损失年数和生产力损失
2009/07/30
背景：主动吸烟及被动吸烟暴露与慢性疾病导致的过早死亡及社会经济损失相关，并给美国卫生保健系统带来沉重的负担。吸烟是至少30%的各种癌症死亡、近80%的慢性阻塞性肺病的死亡以及早期心血管疾病和死亡的首要致病因素。
目的：分析2000～2004年间美国吸烟归因死亡率、可能的寿命损失年数和生产力损失，评价吸烟带来的经济和公共卫生负担。
方法：美国疾病控制中心（CDC）综合各项数据资料，分析了全美2000～2004年吸烟归因死亡率、可能的寿命损失年数和生产力损失的结果。
结果：数据显示全美2000～2004年间主动及被动吸烟导致至少443,000人过早死亡，大约510万的寿命损失年数，以及968亿美元的生产力损失。
结论：与以往相比，美国的国家烟草控制建议已经影响到整个公共卫生领域，并提出了从根本上减少吸烟使得烟草不再是全国的重大公共卫生问题的目标。
目的：分析2000～2004年间美国吸烟归因死亡率、可能的寿命损失年数和生产力损失，评价吸烟带来的经济和公共卫生负担。
方法：美国疾病控制中心（CDC）综合各项数据资料，分析了全美2000～2004年吸烟归因死亡率、可能的寿命损失年数和生产力损失的结果。
结果：数据显示全美2000～2004年间主动及被动吸烟导致至少443,000人过早死亡，大约510万的寿命损失年数，以及968亿美元的生产力损失。
结论：与以往相比，美国的国家烟草控制建议已经影响到整个公共卫生领域，并提出了从根本上减少吸烟使得烟草不再是全国的重大公共卫生问题的目标。
（张永明编译 刘国梁审校）
MMWR Morb Mortal Wkly Rep. 2008 Nov 14;57(45):1226-1228
Smoking—attributable mortality, years of potential life lost, and productivity losses--United States, 2000-2004.
Centers for Disease Control and Prevention (CDC).
Cigarette smoking and exposure to tobacco smoke are associated with premature death from chronic diseases, economic losses to society, and a substantial burden on the United States health-care system. Smoking is the primary causal factor for at least 30% of all cancer deaths, for nearly 80% of deaths from chronic obstructive pulmonary disease, and for early cardiovascular disease and deaths. In 2005, to assess the economic and public health burden from smoking, CDC published results of an analysis of smoking-attributable mortality (SAM), years of potential life lost (YPLL), and productivity losses in the United States from smoking during 1997-2001. The analysis was based on data from CDC’s Smoking-Attributable Mortality, Morbidity, and Economic Costs (SAMMEC) system, which estimates SAM, YPLL, and productivity losses based on data from the National Health Interview Survey and death certificate data from the National Center for Health Statistics. This report presents an update of that analysis for 2000-2004, the most recent years for which source data are available. The updated analysis indicated that, during 2000-2004, cigarette smoking and exposure to tobacco smoke resulted in at least 443,000 premature deaths, approximately 5.1 million YPLL, and $96.8 billion in productivity losses annually in the United States. Comprehensive, national tobacco-control recommendations have been provided to the public health community with the goal of reducing smoking so substantially that it is no longer a significant public health problem in the United States.
PMID: 19008791 [PubMed - indexed for MEDLINE]
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