Abstract:
Objective To quantitatively evaluate smoking attributable deaths, potential life lost, and labor loss of circulation system diseases in Shanghai residents based on population attributable health effect evaluation method.
Methods Data retrieved from 2013 Shanghai Non-communicable Disease and Behavioral Risk Factor Surveillance System and relative risk of smoke exposure from the Global Burden of Disease Study were used to calculate deaths of circulation system diseases, years of potential life lost (YPLL), and labor loss attributable to smoke exposure.
Results In 2013, there were 3503 deaths of circulation system diseases attributable to smoking among population aged 35 years and above in Shanghai (3329 males and 174 females). The YPLL was 50493 person years, the index of life lost was 14.41 years, and the labor loss was 10264 person years. The leading index of life lost was 20.17 years for hemorrhagic stroke, followed by ischemic heart disease (12.83 years). There were 1127 deaths of circulation system diseases attributable to secondhand smoke exposure (479 males and 648 females), the YPLL was 12395 person years, the index of life lost was 11.00 years, and the labor loss was 1390 person years. Hemorrhagic stroke had the highest index of life lost of 17.22 years, followed by ischemic stroke of 9.87 years. The population attributable risk percent of hemorrhagic stroke was the highest (26.48%), followed by ischemic heart disease (16.60%).
Conclusion There are a large number of deaths of circulation system diseases ascribing to smoke exposure in Shanghai, with critical YPLL, especially contributed by hemorrhagic stroke.
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