Mortality attributable to smoking in Vietnamese men in 2008

Norman, Rosana E., Vos, Theo, Barendregt, Jan J., Linh, Bui Ngoc, Huong, Nguyen Thanh, Higashi, Hideki, Carnahan, Emily and Lopez, Alan D. (2013) Mortality attributable to smoking in Vietnamese men in 2008. Preventive Medicine, 57 3: 232-237. doi:10.1016/j.ypmed.2013.05.016


Author Norman, Rosana E.
Vos, Theo
Barendregt, Jan J.
Linh, Bui Ngoc
Huong, Nguyen Thanh
Higashi, Hideki
Carnahan, Emily
Lopez, Alan D.
Title Mortality attributable to smoking in Vietnamese men in 2008
Journal name Preventive Medicine   Check publisher's open access policy
ISSN 0091-7435
1096-0260
Publication date 2013-09
Sub-type Article (original research)
DOI 10.1016/j.ypmed.2013.05.016
Open Access Status
Volume 57
Issue 3
Start page 232
End page 237
Total pages 6
Place of publication Maryland Heights, MO, United States
Publisher Preventive Medicine
Collection year 2014
Language eng
Formatted abstract
Highlights
• We provide important evidence on the health impact of tobacco in Vietnam.
• Tobacco is a major cause of preventable premature death among Vietnamese males.
• In Vietnam, about half (52%) of those killed by tobacco were in middle age (35–69 years).
• About a quarter of all adult male deaths in Vietnam in 2008 were attributable to smoking.
• There is a need for immediate action to adopt and enforce stronger tobacco control measures.

Objective Smoking prevalence among Vietnamese men is among the highest in the world. Our aim was to provide estimates of tobacco attributable mortality to support tobacco control policies.

Method We used the Peto–Lopez method using lung cancer mortality to derive a Smoking Impact Ratio (SIR) as a marker of cumulative exposure to smoking. SIRs were applied to relative risks from the Cancer Prevention Study, Phase II. Prevalence-based and hybrid methods, using the SIR for cancers and chronic obstructive pulmonary disease and smoking prevalence for all other outcomes, were used in sensitivity analyses.

Results When lung cancer was used to measure cumulative smoking exposure, 28% (95% uncertainty interval 24–31%) of all adult male deaths (> 35 years) in Vietnam in 2008 were attributable to smoking. Lower estimates resulted from prevalence-based methods [24% (95% uncertainty interval 21–26%)] with the hybrid method yielding intermediate estimates [26% (95% uncertainty interval 23–28%)].

Conclusion Despite uncertainty in these estimates of attributable mortality, tobacco smoking is already a major risk factor for death in Vietnamese men. Given the high current prevalence of smoking, this has important implications not only for preventing the uptake of tobacco but also for immediate action to adopt and enforce stronger tobacco control measures.
Keyword Vietnam
Tobacco
Smoking attributable mortality
Population attributable fraction
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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Created: Fri, 13 Sep 2013, 15:48:33 EST by Dr Rosana Norman on behalf of Child Health Research Centre