Article
Mortality attributed to tobacco consumption in Brazil, 2016
Registro en:
Giraldo-Osorio A, Moreira RDS, Alburquerque Neto P, Santiago-Pérez MI, Rey J, Mourino N, Martinez AM, Ruano-Ravina A, Pérez-Rios M. Mortality attributed to tobacco consumption in Brazil, 2016. Rev Bras Epidemiol. 2020.
1980-5497
Autor
Giraldo-Osorio, Alexandra
Moreira, Rafael da Silveira
Alburquerque Neto, Paulino
Santiago-Pérez, María Isolina
Rey, Julia
Mourino, Nerea
Martinez, Agustín Montes
Ruano-Ravina, Alberto
Pérez-Rios, Mónica
Resumen
Objective: To update the estimation of tobacco attributable mortality (AM) in the Brazilian
population aged 35 years old and older. Methods: A prevalence-dependent analysis was applied based on the
population attributed fraction. This method estimates the tobacco AM taking into account the mortality
observed in Brazil (source: Brazilian Mortality Information System – 2016); the prevalence of smokers, former
smokers, and never smokers (National Health Survey Brazil – 2013) and the excess of risk of death (relative
risk) of smokers and former smokers in comparison to never smokers (derived from 5 North American
cohorts). Estimates of overall AM are shown by gender, age group (35–54; 55–64; 65–74; and 75 years old and
older) and 3 groups: malignant tumors, cardiometabolic diseases, and respiratory diseases. Results: In 2016,
tobacco consumption caused 163,831 deaths in Brazil, 67% (109,369) were in men and four out of ten (62,791)
occurred before the age of 65. Without differences by gender, 42% of the AM is associated with cardiometabolic
diseases, followed by respiratory diseases (34%) and malignant tumors (24%). Conclusion: During 2016, 14%
of the deaths occurred in the Brazilian population aged 35 years old and older were attributed to tobacco
consumption. Periodic tobacco AM estimations are mandatory to assess and strengthen smoking control
strategies and policies.