Spatial, Temporal, and Demographic Patterns in Prevalence of Smoking Tobacco Use and Attributable Disease Burden in 204 Countries and Territories, 1990–2019: A Systematic Analysis From the Global Burden of Disease Study 2019

aut.relation.endpage2360
aut.relation.issue10292en_NZ
aut.relation.journalThe Lanceten_NZ
aut.relation.startpage2337
aut.relation.volume397en_NZ
aut.researcherFeigin, Valery
dc.contributor.authorReitsma, MBen_NZ
dc.contributor.authorKendrick, PJen_NZ
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dc.contributor.authorZastrozhin, MSen_NZ
dc.contributor.authorZastrozhina, Aen_NZ
dc.contributor.authorZavala-Arciniega, Len_NZ
dc.contributor.authorZhang, Jen_NZ
dc.contributor.authorZhang, Z-Jen_NZ
dc.contributor.authorZhong, Cen_NZ
dc.contributor.authorZuniga, YMHen_NZ
dc.contributor.authorGakidou, Een_NZ
dc.date.accessioned2021-10-08T01:24:36Z
dc.date.available2021-10-08T01:24:36Z
dc.date.copyright2021en_NZ
dc.date.issued2021en_NZ
dc.description.abstractSummary Background Ending the global tobacco epidemic is a defining challenge in global health. Timely and comprehensive estimates of the prevalence of smoking tobacco use and attributable disease burden are needed to guide tobacco control efforts nationally and globally. Methods We estimated the prevalence of smoking tobacco use and attributable disease burden for 204 countries and territories, by age and sex, from 1990 to 2019 as part of the Global Burden of Diseases, Injuries, and Risk Factors Study. We modelled multiple smoking-related indicators from 3625 nationally representative surveys. We completed systematic reviews and did Bayesian meta-regressions for 36 causally linked health outcomes to estimate non-linear dose-response risk curves for current and former smokers. We used a direct estimation approach to estimate attributable burden, providing more comprehensive estimates of the health effects of smoking than previously available. Findings Globally in 2019, 1·14 billion (95% uncertainty interval 1·13–1·16) individuals were current smokers, who consumed 7·41 trillion (7·11–7·74) cigarette-equivalents of tobacco in 2019. Although prevalence of smoking had decreased significantly since 1990 among both males (27·5% [26·5–28·5] reduction) and females (37·7% [35·4–39·9] reduction) aged 15 years and older, population growth has led to a significant increase in the total number of smokers from 0·99 billion (0·98–1·00) in 1990. Globally in 2019, smoking tobacco use accounted for 7·69 million (7·16–8·20) deaths and 200 million (185–214) disability-adjusted life-years, and was the leading risk factor for death among males (20·2% [19·3–21·1] of male deaths). 6·68 million [86·9%] of 7·69 million deaths attributable to smoking tobacco use were among current smokers. Interpretation In the absence of intervention, the annual toll of 7·69 million deaths and 200 million disability-adjusted life-years attributable to smoking will increase over the coming decades. Substantial progress in reducing the prevalence of smoking tobacco use has been observed in countries from all regions and at all stages of development, but a large implementation gap remains for tobacco control. Countries have a clear and urgent opportunity to pass strong, evidence-based policies to accelerate reductions in the prevalence of smoking and reap massive health benefits for their citizens.
dc.identifier.citationLancet 2021; 397: 2337–60
dc.identifier.doi10.1016/s0140-6736(21)01169-7en_NZ
dc.identifier.issn0140-6736en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/14565
dc.languageenen_NZ
dc.publisherElsevier BVen_NZ
dc.relation.urihttps://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)01169-7
dc.rights© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.
dc.rights.accessrightsOpenAccessen_NZ
dc.titleSpatial, Temporal, and Demographic Patterns in Prevalence of Smoking Tobacco Use and Attributable Disease Burden in 204 Countries and Territories, 1990–2019: A Systematic Analysis From the Global Burden of Disease Study 2019en_NZ
dc.typeJournal Article
pubs.elements-id432034
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Science
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HY Public Health & Psychosocial Studies 2018 PBRF
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