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  • Title: [Mortality attributable to tobacco use in Mexico].
    Author: Kuri-Morales P, Alegre-Díaz J, Mata-Miranda Mdel P, Hernández-Avila M.
    Journal: Salud Publica Mex; 2002; 44 Suppl 1():S29-33. PubMed ID: 12055742.
    Abstract:
    OBJECTIVE: To study the mortality attributable to tobacco and alcohol consumption. MATERIAL AND METHODS: Deaths occurring in 1998, abstracted from the mortality statistics registry in the Coyoacan District of Mexico City, were classified by cause as: Cardiovascular Diseases, Respiratory Diseases, and Neoplasias. Relatives of the deceased were interviewed to answer a questionnaire on tobacco smoking and alcohol drinking. RESULTS: Smoking during the last ten years of life was significantly associated with cardiovascular disease in men aged 70 years or older (OR 2.06, 95% CI 1.18-3.58). Persistent smoking in the last year of life was significantly associated with deaths from neoplasias and respiratory diseases in women aged 70 years or older (OR: 7.24, 95% CI 1.71-30.53; OR: 4.82 95% CI 1.41-16.50, respectively). The regression model for cardiovascular disease showed that subjects with intense tobacco consumption were almost twice as likely to die from cardiovascular disease (OR 1.83, 95% CI 1.1-2.8, p < 0.01). The population attributable risk for cardiovascular disease was 45%. CONCLUSIONS: Tobacco smoking is an important predictor of dead among the elderly in Mexico. Tobacco control programs should also be targeted to the elderly.
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