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. 2005 Aug;14(4):251–254. doi: 10.1136/tc.2005.011064

Public health measures to reduce smoking prevalence in the UK: how many lives could be saved?

S Lewis 1, D Arnott 1, C Godfrey 1, J Britton 1
PMCID: PMC1748066  PMID: 16046688

Abstract

Objective: To estimate the number of deaths that could be prevented in the UK by implementing population strategies to reduce smoking prevalence.

Design: A prospective analysis of future mortality using recent national smoking prevalence data and relative risks of mortality in current smokers, ex-smokers, and never-smokers.

Population: Smokers in the UK.

Interventions: Population measures of proven effectiveness assumed to reduce smoking prevalence by 1 percentage point per year for 10 years, or alternatively by 13% over 19 years (1 percentage point per annum for seven years, 0.5 percentage point per annum for 12 years) as considered to be achievable in a recent report to the UK Chancellor of the Exchequer.

Main outcome measure: Estimated deaths from smoking prevented in the 35–75 year age group.

Results: Reducing the prevalence of smoking by 1 percentage point each year for 10 years would prevent 69 049 deaths at ages between 35 and 74 years during that period. The model of reduction by 13% over 19 years would prevent 54 308 and 194 493 deaths in 10 and 19 years, respectively. Continued prevalence reductions at the current rate of 0.4 percentage points each year will prevent 23 192 deaths over 10 years.

Conclusions: Full implementation of simple population measures to encourage smoking cessation could prevent substantial numbers of deaths in the UK.

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Selected References

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  1. Biener L., Harris J. E., Hamilton W. Impact of the Massachusetts tobacco control programme: population based trend analysis. BMJ. 2000 Aug 5;321(7257):351–354. doi: 10.1136/bmj.321.7257.351. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Chen Xinguang, Li Guohua, Unger Jennifer B., Liu Xiaowei, Johnson C. Anderson. Secular trends in adolescent never smoking from 1990 to 1999 in California: an age-period-cohort analysis. Am J Public Health. 2003 Dec;93(12):2099–2104. doi: 10.2105/ajph.93.12.2099. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Critchley J. A., Unal B. Health effects associated with smokeless tobacco: a systematic review. Thorax. 2003 May;58(5):435–443. doi: 10.1136/thorax.58.5.435. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Doll R., Peto R., Wheatley K., Gray R., Sutherland I. Mortality in relation to smoking: 40 years' observations on male British doctors. BMJ. 1994 Oct 8;309(6959):901–911. doi: 10.1136/bmj.309.6959.901. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Doll Richard, Peto Richard, Boreham Jillian, Sutherland Isabelle. Mortality in relation to smoking: 50 years' observations on male British doctors. BMJ. 2004 Jun 22;328(7455):1519–1519. doi: 10.1136/bmj.38142.554479.AE. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Fagerström Karl Olov, Schildt Elsy-Britt. Should the European Union lift the ban on snus? Evidence from the Swedish experience. Addiction. 2003 Sep;98(9):1191–1195. doi: 10.1046/j.1360-0443.2003.00442.x. [DOI] [PubMed] [Google Scholar]
  7. Fichtenberg C. M., Glantz S. A. Association of the California Tobacco Control Program with declines in cigarette consumption and mortality from heart disease. N Engl J Med. 2000 Dec 14;343(24):1772–1777. doi: 10.1056/NEJM200012143432406. [DOI] [PubMed] [Google Scholar]
  8. Fichtenberg Caroline M., Glantz Stanton A. Effect of smoke-free workplaces on smoking behaviour: systematic review. BMJ. 2002 Jul 27;325(7357):188–188. doi: 10.1136/bmj.325.7357.188. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Flanders W. Dana, Lally Cathy A., Zhu Bao-Ping, Henley S. Jane, Thun Michael J. Lung cancer mortality in relation to age, duration of smoking, and daily cigarette consumption: results from Cancer Prevention Study II. Cancer Res. 2003 Oct 1;63(19):6556–6562. [PubMed] [Google Scholar]
  10. Foulds J., Ramstrom L., Burke M., Fagerström K. Effect of smokeless tobacco (snus) on smoking and public health in Sweden. Tob Control. 2003 Dec;12(4):349–359. doi: 10.1136/tc.12.4.349. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Gottlieb Scott. New York's war on tobacco produces record fall in smoking. BMJ. 2004 May 22;328(7450):1222–1222. doi: 10.1136/bmj.328.7450.1222. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Harris Jeffrey E., Thun Michael J., Mondul Alison M., Calle Eugenia E. Cigarette tar yields in relation to mortality from lung cancer in the cancer prevention study II prospective cohort, 1982-8. BMJ. 2004 Jan 10;328(7431):72–72. doi: 10.1136/bmj.37936.585382.44. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Hopkins D. P., Briss P. A., Ricard C. J., Husten C. G., Carande-Kulis V. G., Fielding J. E., Alao M. O., McKenna J. W., Sharp D. J., Harris J. R. Reviews of evidence regarding interventions to reduce tobacco use and exposure to environmental tobacco smoke. Am J Prev Med. 2001 Feb;20(2 Suppl):16–66. doi: 10.1016/s0749-3797(00)00297-x. [DOI] [PubMed] [Google Scholar]
  14. Hu T. W., Sung H. Y., Keeler T. E. Reducing cigarette consumption in California: tobacco taxes vs an anti-smoking media campaign. Am J Public Health. 1995 Sep;85(9):1218–1222. doi: 10.2105/ajph.85.9.1218. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Jarvis Martin J. Monitoring cigarette smoking prevalence in Britain in a timely fashion. Addiction. 2003 Nov;98(11):1569–1574. doi: 10.1046/j.1360-0443.2003.00528.x. [DOI] [PubMed] [Google Scholar]
  16. Kozlowski L. T., Strasser A. A., Giovino G. A., Erickson P. A., Terza J. V. Applying the risk/use equilibrium: use medicinal nicotine now for harm reduction. Tob Control. 2001 Sep;10(3):201–203. doi: 10.1136/tc.10.3.201. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Lam T. H., Ho S. Y., Hedley A. J., Mak K. H., Peto R. Mortality and smoking in Hong Kong: case-control study of all adult deaths in 1998. BMJ. 2001 Aug 18;323(7309):361–361. doi: 10.1136/bmj.323.7309.361. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Levy David T., Chaloupka Frank, Gitchell Joseph. The effects of tobacco control policies on smoking rates: a tobacco control scorecard. J Public Health Manag Pract. 2004 Jul-Aug;10(4):338–353. doi: 10.1097/00124784-200407000-00011. [DOI] [PubMed] [Google Scholar]
  19. Phillips A. N., Wannamethee S. G., Walker M., Thomson A., Smith G. D. Life expectancy in men who have never smoked and those who have smoked continuously: 15 year follow up of large cohort of middle aged British men. BMJ. 1996 Oct 12;313(7062):907–908. doi: 10.1136/bmj.313.7062.907. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Pierce J. P., Gilpin E. A., Emery S. L., White M. M., Rosbrook B., Berry C. C., Farkas A. J. Has the California tobacco control program reduced smoking? JAMA. 1998 Sep 9;280(10):893–899. doi: 10.1001/jama.280.10.893. [DOI] [PubMed] [Google Scholar]
  21. Siegel M. Mass media antismoking campaigns: a powerful tool for health promotion. Ann Intern Med. 1998 Jul 15;129(2):128–132. doi: 10.7326/0003-4819-129-2-199807150-00013. [DOI] [PubMed] [Google Scholar]
  22. Sumner W., 2nd Estimating the health consequences of replacing cigarettes with nicotine inhalers. Tob Control. 2003 Jun;12(2):124–132. doi: 10.1136/tc.12.2.124. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Sunyer J., Lamarca R., Alonso J. Smoking after age 65 years and mortality in Barcelona, Spain. Am J Epidemiol. 1998 Sep 15;148(6):575–580. doi: 10.1093/oxfordjournals.aje.a009683. [DOI] [PubMed] [Google Scholar]

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