Abstract
OBJECTIVES: This report analyzes cigarette smoking over 10 years in populations in the World Health Organization (WHO) MONICA Project (to monitor trends and determinants of cardiovascular disease). METHODS: Over 300,000 randomly selected subjects aged 25 to 64 years participated in surveys conducted in geographically defined populations. RESULTS: For men, smoking prevalence decreased by more than 5% in 16 of the 36 study populations, remained static in most others, but increased in Beijing. Where prevalence decreased, this was largely due to higher proportions of never smokers in the younger age groups rather than to smokers quitting. Among women, smoking prevalence increased by more than 5% in 6 populations and decreased by more than 5% in 9 populations. For women, smoking tended to increase in populations with low prevalence and decrease in populations with higher prevalence; for men, the reverse pattern was observed. CONCLUSIONS: These data illustrate the evolution of the smoking epidemic in populations and provide the basis for targeted public health interventions to support the WHO priority for tobacco control.
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Selected References
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- Amos A. Women and smoking. Br Med Bull. 1996 Jan;52(1):74–89. doi: 10.1093/oxfordjournals.bmb.a011534. [DOI] [PubMed] [Google Scholar]
- Dear K. B., Puterman M. L., Dobson A. J. Estimating correlations from epidemiological data in the presence of measurement error. Stat Med. 1997 Oct 15;16(19):2177–2189. doi: 10.1002/(sici)1097-0258(19971015)16:19<2177::aid-sim646>3.0.co;2-n. [DOI] [PubMed] [Google Scholar]
- Dobson A. J., Kuulasmaa K., Moltchanov V., Evans A., Fortmann S. P., Jamrozik K., Sans S., Tuomilehto J. Changes in cigarette smoking among adults in 35 populations in the mid-1980s. WHO MONICA Project. Tob Control. 1998 Spring;7(1):14–21. doi: 10.1136/tc.7.1.14. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Peto R., Lopez A. D., Boreham J., Thun M., Heath C., Jr Mortality from tobacco in developed countries: indirect estimation from national vital statistics. Lancet. 1992 May 23;339(8804):1268–1278. doi: 10.1016/0140-6736(92)91600-d. [DOI] [PubMed] [Google Scholar]
- Samet J. M., Yach D., Taylor C., Becker K. Research for effective global tobacco control in the 21st century: report of a working group convened during the 10th World Conference on Tobacco or Health. Tob Control. 1998 Spring;7(1):72–77. doi: 10.1136/tc.7.1.72. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tunstall-Pedoe H., Kuulasmaa K., Amouyel P., Arveiler D., Rajakangas A. M., Pajak A. Myocardial infarction and coronary deaths in the World Health Organization MONICA Project. Registration procedures, event rates, and case-fatality rates in 38 populations from 21 countries in four continents. Circulation. 1994 Jul;90(1):583–612. doi: 10.1161/01.cir.90.1.583. [DOI] [PubMed] [Google Scholar]