Mortality attributable to cigarette smoking in Taiwan: a 12-year follow-up study

作者: K.-M. Liaw , C.-J. Chen

DOI: 10.1136/TC.7.2.141

关键词: DemographyPublic healthSurgeryPopulationMedicineCancerProspective cohort studyTobacco controlCohortRelative riskCohort study

摘要: BACKGROUND Assessment of the impact cigarette smoking on mortality helps to indicate importance tobacco control in a given country. OBJECTIVES To examine relative risk dying from various diseases for and estimate annual attributable Taiwan. DESIGN Prospective cohort study. SUBJECTS AND SETTING A 14 397 male female residents aged 40 years or older recruited 12 townships precincts Taiwan 1982 1986. Information was collected each subject at local health centres through standardised personal interview based structured questionnaire. They were followed up regularly determine their vital status until 1994. MAIN OUTCOME MEASURES Cox’s proportional hazards regression models used derive risks cause-specific current smokers compared with never-smokers, dose-response relationships between causes several measures (daily consumption, duration, age initiation, cumulative pack-years). RESULTS total 2552 persons died during study period. Among men, significantly associated an increased all combined (relative (RR) = 1.3); cancer sites (RR = 1.5); cancers stomach 1.9), liver 2.2), lung 3.7); ischaemic heart disease 1.8); other 1.4); chronic obstructive pulmonary 1.9). women, 1.8), 3.6), peptic ulcer 17.8). The estimated number deaths 1994 8161 (13.9% deaths) men 1216 (3.3% women. In same year caused 21.3% 2.9% respectively, CONCLUSIONS Cigarette has striking overall Taiwanese population. Tobacco should be established as top priority public programmes

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