Cited by 61Smoking Behavior and CessationGlobal Cancer Incidence and ScreeningHealthcare Systems and Public Health

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Smoking attributable mortality for Taiwan and its projection to 2020 under different smoking scenarios

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Abstract

OBJECTIVES: To estimate smoking attributable mortality (SAM) in Taiwan for the years 2001 through 2020 under scenarios of reductions in smoking rates by 0%, 2%, 4%, and 10% per year. METHOD: The smoking attributable fraction (SAF) was used to calculate SAM from the risk experience in following up a large cohort (86 580 people) in Taiwan. Smoking rates were based on the 2001 National Health Interview Survey and other national surveys. An average 10 year lag was assumed between smoking rates and subsequent mortality. RESULTS: In 2001, 18 803 deaths, or 1 out of 4 deaths (27%), in middle aged men (35-69 years old) were attributable to smoking. SAM has been increasing and will continue to increase if smoking rates remain constant or even if reduced annually by 2%. SAM would begin to decrease only if rates were to be reduced by at least 4% a year. CONCLUSIONS: The projected SAM in this study illustrates the seriousness of smoking caused mortality. Current efforts in tobacco control would lead to a progressive increase in SAM, unless efforts were doubled and smoking rates reduced by more than 4% a year. The urgency in requiring stronger tobacco control programmes to attenuate the staggering death tolls is compelling.

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Metadata

Authors
Wen, C. P., Tsai, S. P., Chen, C.-J., Cheng, T. Y., Tsai, M.-C., & Levy, D. T.
Affiliations
  • National Health Research Institutes (TW)
  • The University of Texas Health Science Center at Houston (US)
  • National Taiwan University (TW)
  • Pacific Institute For Research and Evaluation (US)
Corresponding author
Wen, C P
Venue
Tobacco Control
Publisher
BMJ
Published
2005-05-27
Volume
14
Issue
suppl 1
Pages
i76-i80
ISSN
  • 0964-4563 (ISSN-L)
  • 1468-3318
OpenAlex
W2080280229
Cited by
61
References
1
Citations by year
2024: 1 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 1 · 2018: 3 · 2017: 3 · 2016: 1 · 2015: 1 · 2014: 6 · 2013: 2 · 2012: 6
FWCI
3.41
Type
journal article
Language
en
Open access
Locations
  • Tobacco Control (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
  • Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
Keywords
smoking-attributable mortality, smoking-attributable fraction, mortality projections, middle-aged men, Taiwan, cohort studies
MeSH terms
Smoking Prevention, Adult, Cause of Death, Female, Forecasting, Humans, Male, Middle Aged, Risk Factors, Smoking, Taiwan, Tobacco Smoke Pollution, Prevalence, Smoking Cessation

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