Tobacco-related cancer mortality: projections for different geographical regions in Switzerland
PRINCIPLES: Switzerland is divided into 26 cantons of variable population size and cultural characteristics. Although a federal law to protect against passive smoking and a national tobacco control programme exist, details of tobacco-related policies are canton-specific. This study aimed to pr...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SMW supporting association (Trägerverein Swiss Medical Weekly SMW)
2013-06-01
|
| Series: | Swiss Medical Weekly |
| Subjects: | |
| Online Access: | https://www.smw.ch/index.php/smw/article/view/1704 |
| _version_ | 1797979558690947072 |
|---|---|
| author | Verena Jürgens Silvia Ess Harish C. Phuleria Martin Früh Matthias Schwenkglenks Harald Frick Thomas Cerny Penelope Vounatsou |
| author_facet | Verena Jürgens Silvia Ess Harish C. Phuleria Martin Früh Matthias Schwenkglenks Harald Frick Thomas Cerny Penelope Vounatsou |
| author_sort | Verena Jürgens |
| collection | DOAJ |
| description |
PRINCIPLES: Switzerland is divided into 26 cantons of variable population size and cultural characteristics. Although a federal law to protect against passive smoking and a national tobacco control programme exist, details of tobacco-related policies are canton-specific. This study aimed to project gender-specific tobacco-related cancer mortality in Switzerland at different geographical levels for the periods 2009–2013 and 2014–2018.
METHODS: In this analysis, data on Swiss tobacco-related cancer mortality from 1984 until 2008 were used. Bayesian age-period-cohort models were formulated to assess past trends of gender-specific tobacco-related cancer mortality and to project them up to 2018 at cantonal and language region levels. Furthermore, estimates are provided on a national scale by age categories of 50–69 and ≥70 years.
RESULTS: Model-based estimates at cantonal level identified regions with low and high tobacco-related cancer mortality rates for the observed and projected periods. Our analysis based on language regions showed the lowest mortality in the German-speaking part. Projections at national level, between younger (age 50–69) and older (age ≥70) males, indicated an ongoing decreasing trend for males but an upward trend for females. The gap in tobacco-related cancer mortality rates between younger and older males seems to be shrinking. In females, a stronger rise was obtained for the younger age group.
CONCLUSION: Our findings indicate region-, sex- and age-related differences in tobacco-related cancer mortality in Switzerland and this could be useful for healthcare planning and for evaluating the impact of canton-specific tobacco-related policies and interventions.
|
| first_indexed | 2024-04-11T05:40:34Z |
| format | Article |
| id | doaj.art-ca52410af96c41a7826a481b35500524 |
| institution | Directory Open Access Journal |
| issn | 1424-3997 |
| language | English |
| last_indexed | 2024-04-11T05:40:34Z |
| publishDate | 2013-06-01 |
| publisher | SMW supporting association (Trägerverein Swiss Medical Weekly SMW) |
| record_format | Article |
| series | Swiss Medical Weekly |
| spelling | doaj.art-ca52410af96c41a7826a481b355005242022-12-22T04:42:32ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972013-06-01143232410.4414/smw.2013.13771Tobacco-related cancer mortality: projections for different geographical regions in SwitzerlandVerena JürgensSilvia EssHarish C. PhuleriaMartin FrühMatthias SchwenkglenksHarald FrickThomas CernyPenelope Vounatsou PRINCIPLES: Switzerland is divided into 26 cantons of variable population size and cultural characteristics. Although a federal law to protect against passive smoking and a national tobacco control programme exist, details of tobacco-related policies are canton-specific. This study aimed to project gender-specific tobacco-related cancer mortality in Switzerland at different geographical levels for the periods 2009–2013 and 2014–2018. METHODS: In this analysis, data on Swiss tobacco-related cancer mortality from 1984 until 2008 were used. Bayesian age-period-cohort models were formulated to assess past trends of gender-specific tobacco-related cancer mortality and to project them up to 2018 at cantonal and language region levels. Furthermore, estimates are provided on a national scale by age categories of 50–69 and ≥70 years. RESULTS: Model-based estimates at cantonal level identified regions with low and high tobacco-related cancer mortality rates for the observed and projected periods. Our analysis based on language regions showed the lowest mortality in the German-speaking part. Projections at national level, between younger (age 50–69) and older (age ≥70) males, indicated an ongoing decreasing trend for males but an upward trend for females. The gap in tobacco-related cancer mortality rates between younger and older males seems to be shrinking. In females, a stronger rise was obtained for the younger age group. CONCLUSION: Our findings indicate region-, sex- and age-related differences in tobacco-related cancer mortality in Switzerland and this could be useful for healthcare planning and for evaluating the impact of canton-specific tobacco-related policies and interventions. https://www.smw.ch/index.php/smw/article/view/1704age-period-cohort modelsBayesian inferenceprojectionstobacco-related cancer mortality |
| spellingShingle | Verena Jürgens Silvia Ess Harish C. Phuleria Martin Früh Matthias Schwenkglenks Harald Frick Thomas Cerny Penelope Vounatsou Tobacco-related cancer mortality: projections for different geographical regions in Switzerland Swiss Medical Weekly age-period-cohort models Bayesian inference projections tobacco-related cancer mortality |
| title | Tobacco-related cancer mortality: projections for different geographical regions in Switzerland |
| title_full | Tobacco-related cancer mortality: projections for different geographical regions in Switzerland |
| title_fullStr | Tobacco-related cancer mortality: projections for different geographical regions in Switzerland |
| title_full_unstemmed | Tobacco-related cancer mortality: projections for different geographical regions in Switzerland |
| title_short | Tobacco-related cancer mortality: projections for different geographical regions in Switzerland |
| title_sort | tobacco related cancer mortality projections for different geographical regions in switzerland |
| topic | age-period-cohort models Bayesian inference projections tobacco-related cancer mortality |
| url | https://www.smw.ch/index.php/smw/article/view/1704 |
| work_keys_str_mv | AT verenajurgens tobaccorelatedcancermortalityprojectionsfordifferentgeographicalregionsinswitzerland AT silviaess tobaccorelatedcancermortalityprojectionsfordifferentgeographicalregionsinswitzerland AT harishcphuleria tobaccorelatedcancermortalityprojectionsfordifferentgeographicalregionsinswitzerland AT martinfruh tobaccorelatedcancermortalityprojectionsfordifferentgeographicalregionsinswitzerland AT matthiasschwenkglenks tobaccorelatedcancermortalityprojectionsfordifferentgeographicalregionsinswitzerland AT haraldfrick tobaccorelatedcancermortalityprojectionsfordifferentgeographicalregionsinswitzerland AT thomascerny tobaccorelatedcancermortalityprojectionsfordifferentgeographicalregionsinswitzerland AT penelopevounatsou tobaccorelatedcancermortalityprojectionsfordifferentgeographicalregionsinswitzerland |