American Journal of Epidemiology, Vol 152, Issue 6 573-584, Copyright © 2000 by Oxford University Press
AM Malarcher, J Schulman, LA Epstein, MJ Thun, P Mowery, B Pierce, L Escobedo and GA Giovino
The authors explored two methodological issues in the estimation of
smoking-attributable mortality for the United States. First, age- specific
and age-adjusted relative risk, attributable fraction, and
smoking-attributable mortality estimates obtained using data from the
American Cancer Society's second Cancer Prevention Study (CPS II), a cohort
study of 1.2 million participants (1982-1988), were compared with those
obtained using a combination of data from the National Mortality
Follow-back Survey (NMFS), a representative sample of US decedents in which
information was collected from informants (1986), and the National Health
Interview Survey (NHIS), a nationally representative household survey
(1987). Second, the potential for residual confounding of the
disease-specific age-adjusted smoking- attributable mortality estimates was
addressed with a model-based approach. The estimated smoking-attributable
mortality based on the CPS II for the four most common smoking-related
diseases-lung cancer, chronic obstructive pulmonary disease, coronary heart
disease, and cerebrovascular disease-was 19% larger than the estimated
smoking- attributable mortality based on the NMFS/NHIS, yet the two data
sources yielded essentially the same smoking-attributable mortality
estimate for lung cancer alone. Further adjustment of smoking-attributable
mortality for disease-appropriate confounding factors (education, alcohol
intake, hypertension status, and diabetes status) indicated little residual
confounding once age was taken into account.
ARTICLES
Methodological issues in estimating smoking-attributable mortality in the United States
Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. aym8@cdc.gov
![]()
CiteULike
Connotea
Del.icio.us What's this?
This article has been cited by other articles:
![]() |
S. Neubauer, R. Welte, A. Beiche, H.-H. Koenig, K. Buesch, and R. Leidl Mortality, morbidity and costs attributable to smoking in Germany: update and a 10-year comparison Tob. Control, December 1, 2006; 15(6): 464 - 471. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Crothers, A. A. Butt, C. L. Gibert, M. C. Rodriguez-Barradas, S. Crystal, A. C. Justice, and for the Veterans Aging Cohort 5 Project Team Increased COPD Among HIV-Positive Compared to HIV-Negative Veterans. Chest, November 1, 2006; 130(5): 1326 - 1333. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. Bursi, W. A. Rocca, J. M. Killian, S. A. Weston, D. S. Knopman, S. J. Jacobsen, and V. L. Roger Heart Disease and Dementia: A Population-based Study Am. J. Epidemiol., January 15, 2006; 163(2): 135 - 141. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Ezzati, S. J. Henley, M. J. Thun, and A. D. Lopez Role of Smoking in Global and Regional Cardiovascular Mortality Circulation, July 26, 2005; 112(4): 489 - 497. [Abstract] [Full Text] [PDF] |
||||
![]() |
C P Wen, S P Tsai, C-J Chen, T Y Cheng, M-C Tsai, and D T Levy Smoking attributable mortality for Taiwan and its projection to 2020 under different smoking scenarios Tob. Control, June 1, 2005; 14(suppl_1): i76 - i80. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Tanuseputro, D. G. Manuel, S. E. Schultz, H. Johansen, and C. A. Mustard Improving Population Attributable Fraction Methods: Examining Smoking-attributable Mortality for 87 Geographic Regions in Canada Am. J. Epidemiol., April 15, 2005; 161(8): 787 - 798. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. Zorrilla-Torras, N. Garcia-Marin, I. Galan-Labaca, and A. Gandarillas-Grande Smoking attributable mortality in the community of Madrid: 1992-1998 Eur J Public Health, February 1, 2005; 15(1): 43 - 50. [Abstract] [Full Text] [PDF] |
||||
![]() |
M Ezzati and A D Lopez Regional, disease specific patterns of smoking-attributable mortality in 2000 Tob. Control, December 1, 2004; 13(4): 388 - 395. [Abstract] [Full Text] [PDF] |
||||
![]() |
W Sumner II Estimating the health consequences of replacing cigarettes with nicotine inhalers Tob. Control, June 1, 2003; 12(2): 124 - 132. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. A. Levy, M. J. Thun, L. F. Apicella, and S. J. Henley Estimating the Numbers of Smoking-Related Deaths JAMA, November 8, 2000; 284(18): 2319 - 2320. [Full Text] [PDF] |
||||





