SMOKING AND MORTALITY FROM LUNG CANCER IN EUROPEAN COUNTRIES AND ASIA
DOI:
https://doi.org/10.11603/1681-2786.2023.4.14423Keywords:
mortality, lung cancer, smoking, prevalence of smoking, level of economic development, countries of Europe and AsiaAbstract
Purpose: to analyze the dependence of the prevalence of tobacco smoking and mortality from lung cancer (LRC) in European countries and Asia.
Materials and Methods. A number of sources were analyzed, from which information on mortality from RL was obtained from the database of The Institute For Health Metrics And Evaluation; smoking prevalence among persons aged 15 and over, average number of cigarettes sold per adult per day from Our World in Data. Statistical analysis was performed using correlation-regression analysis and dynamic series analysis.
Results. In countries with a high level of income during the years 2008–2018, a higher mortality rate from RL is observed, in contrast to countries with income above and below the average levels. It was found that the proportion of people in these countries aged 15 and over who smoke any tobacco product every day or not every day (this excludes smokeless tobacco use) decreased over the period from 2000 to 2018 (TR 0.51–0.90 %). In countries with income above the average (TR 0.66–0.97 %) and below average levels (TR 0.67–0.87 %), this indicator also decreased, but less than the similar indicator for countries with a high level of income. In countries with income below the average for the period from 1990 to 2010, there is an increase in the prevalence of smoking among the population of these countries during the specified period of time (TR 1.12–1.48 %), especially in Vietnam and a decrease in Mongolia. A significant effect of the proportion of smokers who smoke daily in high-income countries on mortality from lung cancer in 2010 (rxy =0.83, p=0.042) and in 2000 (rxy =0.94, p=0.000) was found.
Conclusions. The influence of the duration and intensity of smoking on mortality from lung cancer in countries with different income levels has been established. At present, mainly the countries of Europe and East and Southeast Asia considered by us with a high level of income and with an income above the average conduct a successful anti-tobacco campaign, which is evidenced by the decrease in the popularity of tobacco smoking. In these countries, a decrease in the prevalence of lung cancer is predicted in a 20-year perspective. Lower-middle-income countries show a significant increase in the proportion of people over 15 years of age who smoke, which will lead to an increase in the incidence of lung cancer in the coming decades.
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