Trends in prevalence and mortality burden attributable to smoking, Brazil and federated units, 1990 and 2017.

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dc.contributor.authorMalta, Deborah Carvalho
dc.contributor.authorFlor, Luisa Sorio
dc.contributor.authorMachado, Ísis Eloah
dc.contributor.authorMendes, Mariana Santos Felisbino
dc.contributor.authorBrant, Luisa Campos Caldeira
dc.contributor.authorRibeiro, Antônio Luiz Pinho
dc.contributor.authorTeixeira, Renato Azeredo
dc.contributor.authorMacário, Eduardo Marques
dc.contributor.authorReitsma, Marissa Bettay
dc.contributor.authorGlenn, Scott
dc.contributor.authorNaghavi, Mohsen
dc.contributor.authorGakidou, Emmanuela
dc.date.accessioned2023-06-21T21:35:53Z
dc.date.available2023-06-21T21:35:53Z
dc.date.issued2020pt_BR
dc.description.abstractBackground: The present study sought to analyze smoking prevalence and smoking-attributable mortality estimates produced by the 2017 Global Burden of Disease Study for Brazil, 26 states, and the Federal District. Methods: Prevalence of current smokers from 1990 to 2017 by sex and age was estimated using spatiotemporal Gaussian process regression. Population-attributable fractions were calculated for different risk-outcome pairs to generate estimates of smoking-attributable mortality. A cohort analysis of smoking prevalence by birth-year cohort was performed to better understand temporal age patterns in smoking. Smoking-attributable mortality rates were described and analyzed by development at state levels, using the Socio-Demographic Index (SDI). Finally, a decomposition analysis was conducted to evaluate the contribution of different factors to the changes in the number of deaths attributable to smoking between 1990 and 2017. Results: Between 1990 and 2017, prevalence of smoking in the population (≥ 20 years old) decreased from 35.3 to 11.3% in Brazil. This downward trend was seen for both sexes and in all states, with a marked reduction in exposure to this risk factor in younger cohorts. Smoking-attributable mortality rates decreased by 57.8% (95% UI − 61.2, − 54.1) between 1990 and 2017. Overall, larger reductions were observed in states with higher SDI (Pearson correlation 0.637; p < 0.01). In Brazil, smoking remains responsible for a considerable amount of deaths, especially due to cardiovascular diseases and neoplasms. Conclusions: Brazil has adopted a set of regulatory measures and implemented anti-tobacco policies that, along with improvements in socioeconomic conditions, have contributed to the results presented in the present study. Other regulatory measures need to be implemented to boost a reduction in smoking in order to reach the goals established in the scope of the 2030 United Nations Agenda for Sustainable Development.pt_BR
dc.identifier.citationMALTA, D. C. et al. Trends in prevalence and mortality burden attributable to smoking, Brazil and federated units, 1990 and 2017. Population Health Metrics, v. 18, artigo 24, 2020. Disponível em: <https://pophealthmetrics.biomedcentral.com/articles/10.1186/s12963-020-00215-2>. Acesso em: 11 out. 2022.pt_BR
dc.identifier.doihttps://doi.org/10.1186/s12963-020-00215-2pt_BR
dc.identifier.issn1478-7954
dc.identifier.urihttp://www.repositorio.ufop.br/jspui/handle/123456789/16781
dc.language.isoen_USpt_BR
dc.rightsabertopt_BR
dc.rights.licenseThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Fonte: PDF do artigo.pt_BR
dc.subjectGlobal burden of diseasept_BR
dc.subjectQuality-adjusted life yearspt_BR
dc.subjectRisk factorspt_BR
dc.subjectTobacco usept_BR
dc.titleTrends in prevalence and mortality burden attributable to smoking, Brazil and federated units, 1990 and 2017.pt_BR
dc.typeArtigo publicado em periodicopt_BR
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