Trends in tobacco-attributable mortality in France

Ribassin-Majed, Laureen; Hill, Catherine

doi:10.1093/eurpub/ckv078

Cited by 50 publications

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“…In 2010 in France, it has been estimated that smoking was responsible for about 59,000 deaths in men and 19,000 deaths in women, accounting for 21% and 7% of all deaths, respectively. A large part of these deaths are due to cancer: 66% in men and 42% in women …”

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Tobacco‐attributable burden of cancer according to socioeconomic position in France

Menvielle

Kulhánová

Bryère

et al. 2018

Intl Journal of Cancer

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Smoking is a major preventable cause of cancers and is increasingly concentrated among the most deprived individuals leading to increasing socioeconomic inequalities in the incidence of cancers linked to smoking. We aimed to estimate the tobacco-attributable cancer burden according to socioeconomic position in France. The analysis was restricted to cancer sites for which tobacco smoking was recognized as a risk factor. Cancer cases by sex, age group and European Deprivation Index (EDI) among people aged 30-74 between 2006 and 2009 were obtained from cancer registries covering ∼20% of the French population. The tobacco-attributable burden of cancer according to EDI was estimated applying the population attributable fraction (PAF) computed with the Peto-Lopez method. The PAF increased from 56% in the least deprived EDI quintile to 70% in the most deprived EDI quintile among men and from 26% to 38% among women. In total, 28% of the excess cancer cases in the four most deprived EDI quintiles in men and 43% in women could be prevented if smoking in these 4 EDI quintiles was similar to that of the least deprived EDI quintile. A substantial smoking-attributable burden of cancer by socioeconomic position was observed in France. The results highlight the need for policies reducing tobacco consumption. More comprehensive interventions integrating the various dimensions of health determinants and proportionate according to socioeconomic position may essentially contribute to the reduction of socioeconomic inequalities in cancer.

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Tobacco‐attributable burden of cancer according to socioeconomic position in France

Menvielle

Kulhánová

Bryère

et al. 2018

Intl Journal of Cancer

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“…Studies have established that smokers have a greatly increased risk of lung cancer and that lung cancer incidence and mortality increase in a dose‐dependent manner with smoking . The proportion of lung cancer deaths attributable to smoking vary across populations, ranging from >80% in the United States and France to 61% in a pooled analysis of 21 Asian cohorts and 40% in sub‐Saharan Africa . Previous studies havereported that the smoking‐attributed fraction for lung cancer was 50.2% in men and 32.7% in women in Tianjin …”

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Trend analysis of lung cancer mortality and years of life lost (YLL) rate from 1999 to 2016 in Tianjin, China: Does the lung cancer burden in rural areas exceed that of urban areas?

et al. 2020

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Background The aim of this study was to examine the trends in the mortality rate and years of life lost (YLL) rate of lung cancer in Tianjin, China, during the period from 1999 to 2016. Methods Lung cancer death data were obtained from Tianjin residents' all‐cause death monitoring system, which covers the whole population of Tianjin. Crude mortality rate, age‐standardized mortality rate, truncated rate (35–64 years), YLL and age‐standardized YLL rate data were calculated and trends examined. Results From 1999 to 2016, a total of 93 358 lung cancer deaths were reported in Tianjin, which accounted for 38.0% of all cancer deaths (93 358/245744). The crude mortality rate of lung cancer had increased 58.5% from 1999 (40.15/100000) to 2016 (63.64/100000), average annual percent change (AACP) = 2.9%, P < 0.01. However, the age‐standard YLL rate had decreased to 13.3% in 2016 than in 1999, AACP = –0.8%, P < 0.01, with a stable trend in males (AACP = –0.2%), and noticeable decreasing trend in females (AACP = –1.4%). The lung cancer mortality rate (ASRW) in urban areas was higher than that in rural areas in 1999, with a ratio of 1.99:1. However, it was lower in 2016, with the ratio of 0.98:1. For the truncated rate (35–64 years), it had decreased in urban areas compared with rural areas since the year 2013. Conclusion Lung cancer remains the most fatal cancer in Tianjin. However, the age‐standard YLL rate of lung cancer has decreased considerably accompanied by a decline in smoking rate years ago, especially in women and people living in urban areas. Considerable attention is therefore needed in the rural areas where cases of lung cancer are still rapidly increasing.

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“…Le pourcentage de la population qui fume quotidiennement en France demeure très supérieur à la moyenne de l'OCDE, notamment pour les femmes (graphique 20, partie A). Le tabagisme quotidien demeure aussi particulièrement élevé chez les jeunes (Spilka et al, 2015), alors que le tabagisme est à l'origine de quelque 78 000 décès par an (Ribassin-Majed et Hill, 2015). Les autorités ont élaboré plusieurs stratégies pour faire face à ce problème, en particulier en augmentant régulièrement les taxes sur le tabac (partie B) ; le nouveau gouvernement entend poursuivre cette hausse en portant progressivement le prix du paquet de cigarettes à 10 euros.…”

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France: Améliorer l’efficience du système de santé

Goujard¹

2018

OECD Economics Department Working Papers

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Les documents de travail de l'OCDE ne doivent pas être présentés comme exprimant les vues officielles de l'OCDE ou de ses pays membres. Les opinions exprimées et les arguments employés sont ceux des auteur(s). Accord pour publication donné par Álvaro Pereira, Directeur, Branche des études nationales, Département des Affaires économiques. Les Documents de travail du Département des Affaires économiques sont disponibles à www.oecd.org/eco/workingpapers JT03425123 Ce document, ainsi que les données et cartes qu'il peut comprendre, sont sans préjudice du statut de tout territoire, de la souveraineté s'exerçant sur ce dernier, du tracé des frontières et limites internationales, et du nom de tout territoire, ville ou région. ECO/WKP(2018)2 Non classifié Français-Or. Anglais ECO/WKP(2018)2 2 Les documents de travail de l'OCDE ne doivent pas être présentés comme exprimant les vues officielles de l'OCDE ou de ses pays membres. Les opinions exprimées et les arguments employés sont ceux des auteur(s). Les documents de travail exposent des résultats préliminaires ou des travaux de recherche en cours menés par l'auteur/les auteurs et sont publiés pour stimuler le débat sur un large éventail de questions sur lesquelles l'OCDE travaille. Les commentaires sur les documents de travail sont les bienvenus et peuvent être adressés au Département des Affaires économiques, OCDE, 2 rue André-Pascal, 75775 Paris Cedex 16, France ou à l'adresse mél.

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Trends in tobacco-attributable mortality in France

Abstract: While tobacco-attributable mortality among men has been declining during the past three decades, it has increased dramatically among women. Thus, effective preventive measures are urgently needed to stem the tobacco epidemic.

Cited by 50 publications

References 3 publications

Tobacco‐attributable burden of cancer according to socioeconomic position in France

Tobacco‐attributable burden of cancer according to socioeconomic position in France

Trend analysis of lung cancer mortality and years of life lost (YLL) rate from 1999 to 2016 in Tianjin, China: Does the lung cancer burden in rural areas exceed that of urban areas?

France: Améliorer l’efficience du système de santé

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