Death, Disability, and Premature Life Years Lost Due to Cigarettes, Bidis, and Smokeless Tobacco in India: A Comparative Assessment
Background: Due to the staggering number of tobacco users in India, it is important to determine the exact mortality and morbidity rates due to tobacco use. This study aimed to estimate deaths, disability-adjusted life years (DALYs), and years of life lost (YLLs) attributable to cigarettes, bidis, a...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2023-01-01
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| Series: | Addiction and Health |
| Subjects: | |
| Online Access: | https://ahj.kmu.ac.ir/article_92176_ebc1337b77db4407a55d6ff5aac8b7aa.pdf |
| _version_ | 1797693715094962176 |
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| author | Yogesh Kumar Jain Pankaj Bhardwaj Nitin Kumar Joshi Manoj Kumar Gupta Akhil Dhanesh Goel Prem Prakash Sharma |
| author_facet | Yogesh Kumar Jain Pankaj Bhardwaj Nitin Kumar Joshi Manoj Kumar Gupta Akhil Dhanesh Goel Prem Prakash Sharma |
| author_sort | Yogesh Kumar Jain |
| collection | DOAJ |
| description | Background: Due to the staggering number of tobacco users in India, it is important to determine the exact mortality and morbidity rates due to tobacco use. This study aimed to estimate deaths, disability-adjusted life years (DALYs), and years of life lost (YLLs) attributable to cigarettes, bidis, and smokeless tobacco (SLT) in India.
Methods: Data pooling and meta-analysis were done using case-control studies available on the three types of tobacco products. Health burden was estimated by applying the population attributable fraction (PAF) value to the total disease burden.
Findings: A total of 33 studies were included. PAF was calculated for oral and lung cancer as well as ischemic heart disease (IHD) due to cigarettes, oral and lung cancer, IHD, and chronic obstructive pulmonary disease due to bidi, and oral and stomach cancer and IHD due to SLT. Cigarettes resulted in 8.4 million DALYs, 8.26 million YLLs, and 341 deaths; bidis led to 11.7 million DALYs, 10.7 million YLLs, and 478 thousand deaths, and SLTs accounted for 4.38 million DALYs, 4.3 million YLLs, and 171 thousand deaths annually.
Conclusion: Evidence of measurable health burden and methodology for calculation for individual states was provided in the study. The generated evidence could be utilized for policy recommendations and revision of the existing taxation norms. |
| first_indexed | 2024-03-12T02:47:35Z |
| format | Article |
| id | doaj.art-c2d9a1a333884ac0a37597bce5bf94d1 |
| institution | Directory Open Access Journal |
| issn | 2008-4633 2008-8469 |
| language | English |
| last_indexed | 2024-03-12T02:47:35Z |
| publishDate | 2023-01-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | Addiction and Health |
| spelling | doaj.art-c2d9a1a333884ac0a37597bce5bf94d12023-09-04T06:42:14ZengKerman University of Medical SciencesAddiction and Health2008-46332008-84692023-01-01151536210.34172/ahj.2023.142092176Death, Disability, and Premature Life Years Lost Due to Cigarettes, Bidis, and Smokeless Tobacco in India: A Comparative AssessmentYogesh Kumar Jain0Pankaj Bhardwaj1Nitin Kumar Joshi2Manoj Kumar Gupta3Akhil Dhanesh Goel4Prem Prakash Sharma5PhD Scholar, Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Jodhpur, IndiaDepartment of Community Medicine and Family Medicine, School of Public Health, All India Institute of Medical Sciences, Jodhpur, IndiaSchool of Public Health, All India Institute of Medical Sciences, Jodhpur, IndiaDepartment of Community Medicine and Family Medicine, School of Public Health, All India Institute of Medical Sciences, Jodhpur, IndiaDepartment of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Jodhpur, IndiaDepartment of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Jodhpur, IndiaBackground: Due to the staggering number of tobacco users in India, it is important to determine the exact mortality and morbidity rates due to tobacco use. This study aimed to estimate deaths, disability-adjusted life years (DALYs), and years of life lost (YLLs) attributable to cigarettes, bidis, and smokeless tobacco (SLT) in India. Methods: Data pooling and meta-analysis were done using case-control studies available on the three types of tobacco products. Health burden was estimated by applying the population attributable fraction (PAF) value to the total disease burden. Findings: A total of 33 studies were included. PAF was calculated for oral and lung cancer as well as ischemic heart disease (IHD) due to cigarettes, oral and lung cancer, IHD, and chronic obstructive pulmonary disease due to bidi, and oral and stomach cancer and IHD due to SLT. Cigarettes resulted in 8.4 million DALYs, 8.26 million YLLs, and 341 deaths; bidis led to 11.7 million DALYs, 10.7 million YLLs, and 478 thousand deaths, and SLTs accounted for 4.38 million DALYs, 4.3 million YLLs, and 171 thousand deaths annually. Conclusion: Evidence of measurable health burden and methodology for calculation for individual states was provided in the study. The generated evidence could be utilized for policy recommendations and revision of the existing taxation norms.https://ahj.kmu.ac.ir/article_92176_ebc1337b77db4407a55d6ff5aac8b7aa.pdftobaccodisability-adjusted life yearsmorbiditymouth neoplasmslung diseasespolicy |
| spellingShingle | Yogesh Kumar Jain Pankaj Bhardwaj Nitin Kumar Joshi Manoj Kumar Gupta Akhil Dhanesh Goel Prem Prakash Sharma Death, Disability, and Premature Life Years Lost Due to Cigarettes, Bidis, and Smokeless Tobacco in India: A Comparative Assessment Addiction and Health tobacco disability-adjusted life years morbidity mouth neoplasms lung diseases policy |
| title | Death, Disability, and Premature Life Years Lost Due to Cigarettes, Bidis, and Smokeless Tobacco in India: A Comparative Assessment |
| title_full | Death, Disability, and Premature Life Years Lost Due to Cigarettes, Bidis, and Smokeless Tobacco in India: A Comparative Assessment |
| title_fullStr | Death, Disability, and Premature Life Years Lost Due to Cigarettes, Bidis, and Smokeless Tobacco in India: A Comparative Assessment |
| title_full_unstemmed | Death, Disability, and Premature Life Years Lost Due to Cigarettes, Bidis, and Smokeless Tobacco in India: A Comparative Assessment |
| title_short | Death, Disability, and Premature Life Years Lost Due to Cigarettes, Bidis, and Smokeless Tobacco in India: A Comparative Assessment |
| title_sort | death disability and premature life years lost due to cigarettes bidis and smokeless tobacco in india a comparative assessment |
| topic | tobacco disability-adjusted life years morbidity mouth neoplasms lung diseases policy |
| url | https://ahj.kmu.ac.ir/article_92176_ebc1337b77db4407a55d6ff5aac8b7aa.pdf |
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