Epidemia palenia w Krakowie

2009
journal article
article
dc.abstract.enElimination of tobacco smoking is an important measure to support health and increase life expectancy. Availability of local data on smoking prevalence and health consequences of smoking is of crucial importance for any anti-smoking campaign. The aim of the present paper is to: 1) describe prevalence of smoking in population of middle-aged residents of Krakow, 2) assess a smokingrelated total mortality risk, and 3) evaluate an excess total mortality attributed to smoking. The study was based on data from Polish part of the HAPIEE Project (Health, Alcohol, Psychosocial Factors in Eastern Europe), a prospective study initiated in 2002. Krakow residents at age 45–69 years were randomly selected within age and gender strata from population registers. Out of initial 10,728 participants, 4857 men and 5127 women were included to the present analysis. Out of them 1630 (34%) men and 1330 (26%) women were current smokers, and 1763 (36%) men and 1077 (22%) women were former smokers. Altogether 71% men and 48% women were ever-smokers. Mean follow-up time was 61 (SD = 10.6) and 62 (SD = 8.0) months for men and women respectively. During the follow-up period there were 294 (6.1%) deaths in men and 135 (2.7%) deaths in women. In total 51,345 person-years were observed. After adjustment to the main cardiovascular risk factors (age, education, BMI, systolic blood pressure , total cholesterol, physical activity and alcohol consumption) more then 3 times higher hazard ratio (HR = 3.3, 95% CI: 2.25–4.99) for currently smoking men and 2 times higher hazard ratio (HR = 2.2, 95% CI: 1.29–3.39) for women compared to non-smokers were observed. In ever-smokers the hazard ratios were as follows: HR = 2.6, 95% CI: 1.78–3.71 for men and HR = 1.8, 95% CI: 1.17–2.69 for women. Among former smokers, the lowest hazard ratio was observed in those who quit smoking more than 15 years ago. In total, 53% of all deaths in men and 18% of all deaths in women were attributed to smoking. In conclusion, implementation of an effective intervention program on smoking cessation should be one of the main targets of public health and preventive medicine in Krakow.pl
dc.affiliationWydział Nauk o Zdrowiu : Instytut Zdrowia Publicznegopl
dc.contributor.authorPająk, Andrzej - 133069 pl
dc.contributor.authorSzafraniec, Krystyna - 133553 pl
dc.contributor.authorFrejek, Magdalenapl
dc.date.accession2019-11-27pl
dc.date.accessioned2019-11-27T09:32:45Z
dc.date.available2019-11-27T09:32:45Z
dc.date.issued2009pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. 85pl
dc.description.number2pl
dc.description.physical78-85pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume7pl
dc.identifier.eissn2084-2627pl
dc.identifier.issn1731-7398pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/88004
dc.identifier.weblinkhttp://www.ejournals.eu/Zdrowie-Publiczne-i-Zarzadzanie/2009/Tom-7-zeszyt-2/art/5432/pl
dc.languagepolpl
dc.language.containerpolpl
dc.rightsDozwolony użytek utworów chronionych*
dc.rights.licenceInna otwarta licencja
dc.rights.urihttp://ruj.uj.edu.pl/4dspace/License/copyright/licencja_copyright.pdf*
dc.share.typeotwarte czasopismo
dc.subject.ensmokingpl
dc.subject.enmortalitypl
dc.subject.encohort studypl
dc.subject.plpalenie tytoniupl
dc.subject.plumieralnośćpl
dc.subject.plbadania kohortowepl
dc.subtypeArticlepl
dc.titleEpidemia palenia w Krakowiepl
dc.title.alternativeSmoking epidemic in Krakowpl
dc.title.journalZeszyty Naukowe Ochrony Zdrowia, Zdrowie Publiczne i Zarządzaniepl
dc.typeJournalArticlepl
dspace.entity.typePublication
dc.abstract.enpl
Elimination of tobacco smoking is an important measure to support health and increase life expectancy. Availability of local data on smoking prevalence and health consequences of smoking is of crucial importance for any anti-smoking campaign. The aim of the present paper is to: 1) describe prevalence of smoking in population of middle-aged residents of Krakow, 2) assess a smokingrelated total mortality risk, and 3) evaluate an excess total mortality attributed to smoking. The study was based on data from Polish part of the HAPIEE Project (Health, Alcohol, Psychosocial Factors in Eastern Europe), a prospective study initiated in 2002. Krakow residents at age 45–69 years were randomly selected within age and gender strata from population registers. Out of initial 10,728 participants, 4857 men and 5127 women were included to the present analysis. Out of them 1630 (34%) men and 1330 (26%) women were current smokers, and 1763 (36%) men and 1077 (22%) women were former smokers. Altogether 71% men and 48% women were ever-smokers. Mean follow-up time was 61 (SD = 10.6) and 62 (SD = 8.0) months for men and women respectively. During the follow-up period there were 294 (6.1%) deaths in men and 135 (2.7%) deaths in women. In total 51,345 person-years were observed. After adjustment to the main cardiovascular risk factors (age, education, BMI, systolic blood pressure , total cholesterol, physical activity and alcohol consumption) more then 3 times higher hazard ratio (HR = 3.3, 95% CI: 2.25–4.99) for currently smoking men and 2 times higher hazard ratio (HR = 2.2, 95% CI: 1.29–3.39) for women compared to non-smokers were observed. In ever-smokers the hazard ratios were as follows: HR = 2.6, 95% CI: 1.78–3.71 for men and HR = 1.8, 95% CI: 1.17–2.69 for women. Among former smokers, the lowest hazard ratio was observed in those who quit smoking more than 15 years ago. In total, 53% of all deaths in men and 18% of all deaths in women were attributed to smoking. In conclusion, implementation of an effective intervention program on smoking cessation should be one of the main targets of public health and preventive medicine in Krakow.
dc.affiliationpl
Wydział Nauk o Zdrowiu : Instytut Zdrowia Publicznego
dc.contributor.authorpl
Pająk, Andrzej - 133069
dc.contributor.authorpl
Szafraniec, Krystyna - 133553
dc.contributor.authorpl
Frejek, Magdalena
dc.date.accessionpl
2019-11-27
dc.date.accessioned
2019-11-27T09:32:45Z
dc.date.available
2019-11-27T09:32:45Z
dc.date.issuedpl
2009
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. 85
dc.description.numberpl
2
dc.description.physicalpl
78-85
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
7
dc.identifier.eissnpl
2084-2627
dc.identifier.issnpl
1731-7398
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/88004
dc.identifier.weblinkpl
http://www.ejournals.eu/Zdrowie-Publiczne-i-Zarzadzanie/2009/Tom-7-zeszyt-2/art/5432/
dc.languagepl
pol
dc.language.containerpl
pol
dc.rights*
Dozwolony użytek utworów chronionych
dc.rights.licence
Inna otwarta licencja
dc.rights.uri*
http://ruj.uj.edu.pl/4dspace/License/copyright/licencja_copyright.pdf
dc.share.type
otwarte czasopismo
dc.subject.enpl
smoking
dc.subject.enpl
mortality
dc.subject.enpl
cohort study
dc.subject.plpl
palenie tytoniu
dc.subject.plpl
umieralność
dc.subject.plpl
badania kohortowe
dc.subtypepl
Article
dc.titlepl
Epidemia palenia w Krakowie
dc.title.alternativepl
Smoking epidemic in Krakow
dc.title.journalpl
Zeszyty Naukowe Ochrony Zdrowia, Zdrowie Publiczne i Zarządzanie
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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