与烟草制品有关的全球疾病负担和预测趋势：1990-2021年

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-05-24 DOI:10.1016/j.addbeh.2025.108391

Quanzheng Chen , Chuan Zhang , Fengjin Zhong, Yuxuan Huang, Yuanyu Zeng, Shuna Zhang

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引用次数: 0

摘要

烟草制品的使用被认为是世界范围内最严重的公共卫生威胁之一，本研究旨在评估由烟草使用引起的各种疾病的全球负担，为公共卫生当局提供必要的科学依据，并提出烟草控制政策和干预措施。方法利用全球疾病负担数据库（GBD）对1990 - 2021年烟草制品引起的主要疾病负担进行分析。采用R4.2.3软件计算年龄标准化率（ASR）、年变化百分率（EAPC）。基于BAPC和INLA软件包的疾病负担预测分析。研究结果表明，从1990年到2021年，全球因烟草制品导致的死亡和伤残调整生命年（DALYs）数量每年都在增加。心血管疾病和慢性呼吸系统疾病是烟草制品引起的主要疾病类型，男性的疾病负担明显高于女性。不同地区的社会人口指数（SDI）差异显著。高SDI国家的负担减少更为明显，而低、中、中高SDI国家的疾病负担更高。到2040年，全球因烟草制品造成的死亡人数和疾病负担预计将继续每年增加，尽管速度有所放缓。结论：尽管烟草引起的全球疾病负担有所减轻，但低、中、中高SDI水平的国家仍然承担着沉重的负担。

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Global burden of disease related to tobacco products and trends projected: 1990–2021

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.

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

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.