Impact of the use of small-area models on estimation of attributable mortality at a regional level.
The objective of this study is to assess the impact of applying prevalences derived from a small-area model at a regional level on smoking-attributable mortality (SAM). A prevalence-dependent method was used to estimate SAM. Prevalences of tobacco use were derived from a small-area model. SAM and po...
| Published in: | European Journal of Public Health Vol. 34; no. 6; pp. 1218 - 1225 |
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| Main Authors: | , , , , , , , , , |
| Format: | equations & formulas research tables/charts Journal Article |
| Published: |
Oxford University Press / USA
Dec2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181680540&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181680540 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Dec2024 vid: 34 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 181680540 181680540 181680540 10.1093/eurpub/ckae104 181680540 ppf: 1218 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Impact of the use of small-area models on estimation of attributable mortality at a regional level. aug: au: Rey-Brandariz, Julia Santiago-Pérez, María I Candal-Pedreira, Cristina Varela-Lema, Leonor Ruano-Ravina, Alberto López-Vizcaíno, Esther Guerra-Tort, Carla Ahluwalia, Jasjit S Montes, Agustín Pérez-Ríos, Mónica affil: Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain sug: subj: Smoking Mortality Mortality Trends Sample Size Models, Statistical Evaluation Human Funding Source Spain Male Female Descriptive Statistics Confidence Intervals Geographic Factors Sex Factors Age Factors Cardiovascular Diseases Metabolic Diseases Cause of Death Tobacco Control Male Female ab: The objective of this study is to assess the impact of applying prevalences derived from a small-area model at a regional level on smoking-attributable mortality (SAM). A prevalence-dependent method was used to estimate SAM. Prevalences of tobacco use were derived from a small-area model. SAM and population attributable fraction (PAF) estimates were compared against those calculated by pooling data from three national health surveys conducted in Spain (2011–2014–2017). We calculated the relative changes between the two estimates and assessed the width of the 95% CI of the PAF. Applying surveys-based prevalences, tobacco use was estimated to cause 53 825 (95% CI: 53 182–54 342) deaths in Spain in 2017, a figure 3.8% lower obtained with the small-area model prevalences. The lowest relative change was observed in the Castile-La Mancha region (1.1%) and the highest in Navarre (14.1%). The median relative change between regions was higher for women (26.1%), population aged ≥65 years (6.6%), and cardiometabolic diseases (9.0%). The differences between PAF by cause of death were never greater than 2%. Overall, the differences between estimates of SAM, PAF, and confidence interval width are small when using prevalences from both sources. Having these data available by region will allow decision-makers to implement smoking control measures based on more accurate data. pubtype: Academic Journal doctype: equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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