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01.12.2015 | Research article | Ausgabe 1/2016 Open Access

BMC Public Health 1/2016

Improvements in life expectancy among Australians due to reductions in smoking: Results from a risk percentiles approach

Zeitschrift:
BMC Public Health > Ausgabe 1/2016
Autoren:
Haider Mannan, Andrea J Curtis, Andrew Forbes, Dianna J Magliano, Judy A Lowthian, Manoj Gambhir, John J McNeil
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12889-016-2750-5) contains supplementary material, which is available to authorized users.

Competing interests

There are no competing interests.

Authors’ contributions

HM led the research and was involved in every stage including conceptualization of the idea, data management, statistical analysis and preparation of the draft, AC contributed well to writing and preparation of some tables, AF provided input to the development of intervention scenarios and supervised the work, DM provided with data for the second table, JL helped supervise the work and provided feedback to initial drafts, MG confirmed the results of all analyses and JM helped to obtain grant which supported the work. All authors (except MG) participated in the weekly meetings monitoring the progress of the work and all authors read and approved the final manuscript.

Author’s information

The first author has a PhD in epidemiology and biostatistics and has published extensively in chronic disease risk prevention. When this work was conducted he was working as a Research Fellow at Monash University.

Abstract

Background

Tobacco smoking is a major burden on the Australian population in terms of health, social and economic costs. Because of this, in 2008, all Australian Governments agreed to set targets to reduce prevalence of smoking to 10 % by 2018 and subsequently introduced several very strong anti-smoking measures. On this backdrop, we estimated in 2012-13 the impact of several scenarios related to reduction of smoking prevalence to 10 % across the entire Australian population and for below specific ages, on improving life expectancy.

Methods

Using the risk percentiles method the Australian Diabetes, Obesity and Lifestyle (AUSDIAB) baseline survey and the Australian Bureau of Statistics (ABS) age-sex specific death counts were analyzed.

Results

Amongst men the gains in life expectancy associated with 10 % smoking prevalence are generally greater than those of women with average life expectancy for men increasing by 0.11 to 0.41 years, and for women by 0.12 to 0.29 years. These are at best 54 % and 49 % for men and women of the gains achieved by complete smoking cessation. The gains plateau for interventions targeting those <70 and <80 years. Amongst smokers the potential gains are much greater, with an increase in average life expectancy amongst men smokers of 0.43 to 2.08 years, and 0.73 to 2.05 years amongst women smokers. These are at best 46 % and 38 % for men and women smokers of the gains achieved by complete smoking cessation.

Conclusion

The estimated optimum gain in life expectancy is consistent with potentially moderate gains which occur when both men and women below 60 years are targeted to reduce smoking prevalence to 10 %.
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