The impact of tobacco consumption on the individual and population risk of non-communicable diseases in the Russian Federation

Abstract

The aim of the study was to assess the individual and population risks of 20 non-communicable diseases (NCD) among the adult population of the Russian Federation.Materials and methods. The study used a database of Selective monitoring of the health status of the population conducted by Rosstat in 2023. To estimate the association of tobacco consumption with NCD, two groups were analyzed: current tobacco users and people who have never used tobacco. The prevalence of tobacco use and nicotine dependence were calculated. The relationship between tobacco consumption and development of disease was assessed using individual relative risk (RR), as well as age-adjusted RR (RRv) and nicotine dependence-adjusted RR (RRn). The impact of tobacco consumption on public health was assessed using population attributive risk.Results. The prevalence of tobacco/nicotine consumption in 2023 was 21.3% among the adults, 35.0% among men and 10.2% among women. Nicotine dependence of moderate and higher degree was detected in 16.7% of the total adult population, 28.9% of men and 6.9% of women. When assessing RRv, tobacco was identified as a risk factor for only five diseases. RRn assessment revealed 13 diseases for which tobacco was a risk factor with a dose-dependent effect. For most of these diseases, RR in women was higher than in men.Conclusion. Tobacco is a strong risk factor for the most of NCD. In the population in 2013, at least 3–11% of additional cases of NCD was associated with tobacco that could be prevented by tackle of the tobacco consumption.