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Global, Regional, and National Burden of Cancers Attributable to Tobacco Smoking in 204 Countries and Territories, 1990–2019 Publisher Pubmed



Safiri S1, 2 ; Nejadghaderi SA1, 3 ; Abdollahi M4 ; Carsonchahhoud K5, 6 ; Kaufman JS7 ; Bragazzi NL8 ; Moradilakeh M9 ; Mansournia MA10 ; Sullman MJM11, 12 ; Almasihashiani A13 ; Taghizadieh A14 ; Collins GS15, 16 ; Kolahi AA4
Authors
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Authors Affiliations
  1. 1. Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
  2. 2. Social Determinants of Health Research Center, Department of Community Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
  3. 3. Systematic Review and Meta-analysis Expert Group (SRMEG), Universal Scientific Education and Research Network (USERN), Tehran, Iran
  4. 4. Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5. Australian Centre for Precision Health, University of South Australia, Adelaide, SA, Australia
  6. 6. School of Medicine, University of Adelaide, Adelaide, SA, Australia
  7. 7. Department of Epidemiology, Biostatistics and Occupational Health, Faculty of Medicine, McGill University, Quebec, Canada
  8. 8. Centre for Disease Modelling, York University, Toronto, ON, Canada
  9. 9. Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
  10. 10. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  11. 11. Department of Life and Health Sciences, University of Nicosia, Nicosia, Cyprus
  12. 12. Department of Social Sciences, University of Nicosia, Nicosia, Cyprus
  13. 13. Department of Epidemiology, School of Health, Arak University of Medical Sciences, Arak, Iran
  14. 14. Tuberculosis and Lung Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  15. 15. Centre for Statistics in Medicine, NDORMS, Botnar Research Centre, University of Oxford, Oxford, United Kingdom
  16. 16. NIHR Oxford Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom

Source: Cancer Medicine Published:2022


Abstract

Background: Cancers are leading causes of mortality and morbidity, with smoking being recognized as a significant risk factor for many types of cancer. We aimed to report the cancer burden attributable to tobacco smoking by sex, age, socio-demographic index (SDI), and cancer type in 204 countries and territories from 1990 to 2019. Methods: The burden of cancers attributable to smoking was reported between 1990 and 2019, based upon the Comparative Risk Assessment approach used in the Global Burden of Disease (GBD) study 2019. Results: Globally, in 2019 there were an estimated 2.5 million cancer-related deaths (95% UI: 2.3 to 2.7) and 56.4 million DALYs (51.3 to 61.7) attributable to smoking. The global age-standardized death and DALY rates of cancers attributable to smoking per 100,000 decreased by 23.0% (−29.5 to −15.8) and 28.6% (−35.1 to −21.5), respectively, over the period 1990–2019. Central Europe (50.4 [44.4 to 57.6]) and Western Sub-Saharan Africa (6.7 [5.7 to 8.0]) had the highest and lowest age-standardized death rates, respectively, for cancers attributable to smoking. In 2019, the age-standardized DALY rate of cancers attributable to smoking was highest in Greenland (2224.0 [1804.5 to 2678.8]) and lowest in Ethiopia (72.2 [51.2 to 98.0]). Also in 2019, the global number of DALYs was highest in the 65–69 age group and there was a positive association between SDI and the age-standardized DALY rate. Conclusions: The results of this study clearly illustrate that renewed efforts are required to increase utilization of evidence-based smoking cessation support in order to reduce the burden of smoking-related diseases. © 2022 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.
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