{"title":"Global burden of disease related to tobacco products and trends projected: 1990–2021","authors":"Quanzheng Chen , Chuan Zhang , Fengjin Zhong, Yuxuan Huang, Yuanyu Zeng, Shuna Zhang","doi":"10.1016/j.addbeh.2025.108391","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The use of tobacco products is considered to be one of the most serious public health threats worldwide, and this study aims to assess the global burden of various diseases caused by tobacco use, provide the necessary scientific basis for public health authorities, and propose tobacco control policies and interventions.</div></div><div><h3>Methods</h3><div>This study analyzed the major burden of disease caused by tobacco products using the Global Burden of Disease (GBD) database from 1990 to 2021. Age Standardization Rate (ASR), annual Percentage Change (EAPC) were calculated using R4.2.3 software. Disease burden prediction analysis with the help of BAPC and INLA software packages.</div></div><div><h3>Results</h3><div>The study findings indicated that from 1990 to 2021, the number of deaths and disability-adjusted life years (DALYs) attributable to tobacco products increased annually worldwide. Cardiovascular diseases and chronic respiratory diseases are the primary disease types caused by tobacco products, with the disease burden significantly higher in males than females. Significant disparities were observed between regions with different Socio-Demographic Index (SDI) levels. High SDI countries experienced more pronounced reductions in burden, whereas countries with low, middle, and middle-high SDI levels bore higher disease burdens. By 2040, the number of deaths and disease burden attributable to tobacco products globally is projected to continue increasing annually, albeit at a slower rate.</div></div><div><h3>Conclusion</h3><div>Despite a reduction in the global disease burden caused by tobacco, countries with low, middle, and middle-high SDI levels continue to bear a substantial burden.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"169 ","pages":"Article 108391"},"PeriodicalIF":3.6000,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Addictive behaviors","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0306460325001522","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background
The use of tobacco products is considered to be one of the most serious public health threats worldwide, and this study aims to assess the global burden of various diseases caused by tobacco use, provide the necessary scientific basis for public health authorities, and propose tobacco control policies and interventions.
Methods
This study analyzed the major burden of disease caused by tobacco products using the Global Burden of Disease (GBD) database from 1990 to 2021. Age Standardization Rate (ASR), annual Percentage Change (EAPC) were calculated using R4.2.3 software. Disease burden prediction analysis with the help of BAPC and INLA software packages.
Results
The study findings indicated that from 1990 to 2021, the number of deaths and disability-adjusted life years (DALYs) attributable to tobacco products increased annually worldwide. Cardiovascular diseases and chronic respiratory diseases are the primary disease types caused by tobacco products, with the disease burden significantly higher in males than females. Significant disparities were observed between regions with different Socio-Demographic Index (SDI) levels. High SDI countries experienced more pronounced reductions in burden, whereas countries with low, middle, and middle-high SDI levels bore higher disease burdens. By 2040, the number of deaths and disease burden attributable to tobacco products globally is projected to continue increasing annually, albeit at a slower rate.
Conclusion
Despite a reduction in the global disease burden caused by tobacco, countries with low, middle, and middle-high SDI levels continue to bear a substantial burden.
期刊介绍:
Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings.
Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.