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    "titulo" => "Impacto del tabaquismo y del consumo excesivo de alcohol en la mortalidad de la población de la ciudad de Barcelona: 1983–1998"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizar la mortalidad atribuible al tabaquismo y al consumo excesivo de alcohol&#44; as&#237; como su evoluci&#243;n&#44; en la ciudad de Barcelona entre 1983 y 1998&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se incluyen todas las defunciones de las personas residentes en Barcelona desde 1983 a 1998&#46; Los datos poblacionales se han obtenido de los Padrones de Habitantes&#46; La mortalidad atribuible al tabaquismo y al consumo de alcohol se obtiene calculando las Fracciones Atribuibles Poblacionales a partir de los riesgos relativos de estudios previos en la poblaci&#243;n de los EE&#46;UU&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En 1998 se produjeron 2&#46;205 muertes atribuibles al h&#225;bito tab&#225;quico&#44; lo que represent&#243; el 13&#44;8&#37; de la mortalidad en la poblaci&#243;n de 35 a&#241;os o m&#225;s&#44; y una reducci&#243;n del 9&#44;6&#37; respecto a 1983&#46; Durante el per&#237;odo 1983- 1998 aument&#243;&#44; en varones y mujeres&#44; la mortalidad por c&#225;ncer de pulm&#243;n atribuible al tabaquismo &#40;155&#44;84&#47;100&#46;000 y 9&#44;39&#47;100&#46;000 habitantes en 1998&#44; respectivamente&#41; y la enfermedad pulmonar obstructiva cr&#243;nica &#40;EPOC&#41; &#40;95&#44;82 y 11&#44;29&#47;100&#46;000 habitantes en 1998&#41;&#46; La mortalidad por consumo de alcohol en 1998 represent&#243; el 4&#44;3&#37; de la mortalidad total&#44; reduci&#233;ndose en un 26&#37; desde 1983&#46; La cirrosis hep&#225;tica sigui&#243; siendo la primera causa de muerte atribuible al consumo de alcohol en varones en 1998&#44; aunque su importancia relativa disminuy&#243; &#40;17&#44;1&#37; de la mortalidad atribuible al consumo de alcohol en 1998&#44; 24&#44;3&#37; en 1983&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La mortalidad atribuible al h&#225;bito tab&#225;quico y al consumo excesivo de alcohol ha descendido en la ciudad de Barcelona durante el per&#237;odo de estudio&#46; Asimismo&#44; se ha incrementado la importancia relativa de la mortalidad atribuible al tabaquismo para el c&#225;ncer de pulm&#243;n y la EPOC en ambos sexos&#44; mientras que se ha reducido la proporci&#243;n de mortalidad atribuible al consumo excesivo de alcohol para las cirrosis hep&#225;ticas en el caso de los varones&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To analyze the mortality attributable to smoking and alcohol consumption in the city of Barcelona from 1983 to 1998&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">All deaths among residents of the city of Barcelona from 1983 to 1998 were included&#46; Population data were obtained from the city inhabitants register&#46; The mortality attributable to smoking and alcohol consumption was calculated by population attributable fractions using relative risks from previous studies in the US population&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">In 1998&#44; 2&#44;205 deaths were attributable to smoking&#44; representing 13&#46;8&#37; of all deaths among the population aged 35 years or older and a decrease of 9&#46;6&#37; compared with deaths in 1983&#46; From 1983 to 1998 there was an increase in smoking-attributable adjusted mortality rates for lung cancer &#40;155&#46;84&#47;100&#44;000 inhabitants in men and 9&#46;39&#47;100&#44;000 in women in 1998&#41; and chronic obstructive pulmonary disease &#40;COPD&#41; &#40;95&#46;89&#47;100&#44;000 in men and 11&#46;29&#47; 100&#44;000 in women in 1998&#41;&#46; In 1998&#44; deaths attributed to alcohol consumption accounted for 4&#46;3&#37; of total mortality&#44; representing a reduction of 26&#37; since 1983&#46; Among men&#44; the primary cause of alcohol-attributable mortality was liver cirrhosis &#40;17&#46;1&#37;&#41;&#44; although its relative importance decreased &#40;accounting for 17&#46;1&#37; of alcohol-attributable mortality in 1998 compared with 24&#46;3&#37; in 1983&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The mortality attributable to smoking and alcohol consumption decreased in the city of Barcelona during the study period&#46; Smoking-attributable mortality from lung cancer and COPD increased in both sexes&#46; Alcohol consumption- attributable mortality from liver cirrhosis decreased in men&#46;</p>"
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Vol. 17. Núm. 2.
Páginas 108-115 (marzo - abril 2003)
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Vol. 17. Núm. 2.
Páginas 108-115 (marzo - abril 2003)
Open Access
Impacto del tabaquismo y del consumo excesivo de alcohol en la mortalidad de la población de la ciudad de Barcelona: 1983–1998
Impact of smoking and alcohol consumption on mortality in the population of Barcelona [Spain]: 1983–1998
Visitas
6009
M. Jané
Autor para correspondencia
mireia_jane@eresmas.com

Correspondencia: Dra. M. Jané. Travessera de les Corts, 64-68. 08028 Barcelona. España.
, C. Borrell, M. Nebot, M.I. Pasarín
Agència de Salut Pública de Barcelona (ASPB). Barcelona. España
Este artículo ha recibido

Under a Creative Commons license
Información del artículo
Resumen
Objetivos

Analizar la mortalidad atribuible al tabaquismo y al consumo excesivo de alcohol, así como su evolución, en la ciudad de Barcelona entre 1983 y 1998.

Métodos

Se incluyen todas las defunciones de las personas residentes en Barcelona desde 1983 a 1998. Los datos poblacionales se han obtenido de los Padrones de Habitantes. La mortalidad atribuible al tabaquismo y al consumo de alcohol se obtiene calculando las Fracciones Atribuibles Poblacionales a partir de los riesgos relativos de estudios previos en la población de los EE.UU.

Resultados

En 1998 se produjeron 2.205 muertes atribuibles al hábito tabáquico, lo que representó el 13,8% de la mortalidad en la población de 35 años o más, y una reducción del 9,6% respecto a 1983. Durante el período 1983- 1998 aumentó, en varones y mujeres, la mortalidad por cáncer de pulmón atribuible al tabaquismo (155,84/100.000 y 9,39/100.000 habitantes en 1998, respectivamente) y la enfermedad pulmonar obstructiva crónica (EPOC) (95,82 y 11,29/100.000 habitantes en 1998). La mortalidad por consumo de alcohol en 1998 representó el 4,3% de la mortalidad total, reduciéndose en un 26% desde 1983. La cirrosis hepática siguió siendo la primera causa de muerte atribuible al consumo de alcohol en varones en 1998, aunque su importancia relativa disminuyó (17,1% de la mortalidad atribuible al consumo de alcohol en 1998, 24,3% en 1983).

Conclusiones

La mortalidad atribuible al hábito tabáquico y al consumo excesivo de alcohol ha descendido en la ciudad de Barcelona durante el período de estudio. Asimismo, se ha incrementado la importancia relativa de la mortalidad atribuible al tabaquismo para el cáncer de pulmón y la EPOC en ambos sexos, mientras que se ha reducido la proporción de mortalidad atribuible al consumo excesivo de alcohol para las cirrosis hepáticas en el caso de los varones.

Palabras clave:
Mortalidad
Hábito tabáquico
Alcohol
Abstract
Objectives

To analyze the mortality attributable to smoking and alcohol consumption in the city of Barcelona from 1983 to 1998.

Methods

All deaths among residents of the city of Barcelona from 1983 to 1998 were included. Population data were obtained from the city inhabitants register. The mortality attributable to smoking and alcohol consumption was calculated by population attributable fractions using relative risks from previous studies in the US population.

Results

In 1998, 2,205 deaths were attributable to smoking, representing 13.8% of all deaths among the population aged 35 years or older and a decrease of 9.6% compared with deaths in 1983. From 1983 to 1998 there was an increase in smoking-attributable adjusted mortality rates for lung cancer (155.84/100,000 inhabitants in men and 9.39/100,000 in women in 1998) and chronic obstructive pulmonary disease (COPD) (95.89/100,000 in men and 11.29/ 100,000 in women in 1998). In 1998, deaths attributed to alcohol consumption accounted for 4.3% of total mortality, representing a reduction of 26% since 1983. Among men, the primary cause of alcohol-attributable mortality was liver cirrhosis (17.1%), although its relative importance decreased (accounting for 17.1% of alcohol-attributable mortality in 1998 compared with 24.3% in 1983).

Conclusions

The mortality attributable to smoking and alcohol consumption decreased in the city of Barcelona during the study period. Smoking-attributable mortality from lung cancer and COPD increased in both sexes. Alcohol consumption- attributable mortality from liver cirrhosis decreased in men.

Key words:
Mortality
Smoking
Alcohol
El Texto completo está disponible en PDF
Biblografía
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