[Smoking and mortality fro ischemic heart disease. Comparative study in capitals of Brazilian metropolitan regions, 1988].
OBJECTIVE
An ecological study was performed to test the association between coronary heart disease (CHD) mortality and smoking in Brazil. Lung cancer mortality was used as a surrogate for smoking habit.


METHODS
The mortality rate for CHD (ICD-9:410-414) and lung cancer (ICD-9: 162) were determined in the following metropolitan areas: Belém, Recife, Salvador, Belo Horizonte, Rio de Janeiro, São Paulo, Curitiba and Porto Alegre for males and females between 30 and 69 year old. ANOVA test was used to compare both age-adjusted mortality rates.


RESULTS
A positive association by ANOVA was determined only for males ages 60-69 and to age-adjusted rates.


CONCLUSIONS
The relationship between smoking and CHD mortality as determined in Brazilian cities, among men, mainly in the older ages, is a proof that tobacco control would contribute to downward trends in CHD mortality rates.
Lotufo
P A
PA
Faculdade de Medicina-USP e Faculdade de Saúde Pública.
Benseñor
I J
IJ
de Lolio
C A
CA
D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001938:Brazil / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D008175:Lung Neoplasms / Q000209:etiology / Q000401:mortality; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000209:etiology / Q000401:mortality*; D015995:Prevalence; D012907:Smoking / Q000009:adverse effects*
Tabagismo e mortalidade por doença isquêmica do coração. Estudo comparativo das capitais de regiões metropolitanas do Brasil, 1988.