[Mortality attributable to tobacco use in Mexico].
OBJECTIVE
To study the mortality attributable to tobacco and alcohol consumption.


METHODS
Deaths occurring in 1998, abstracted from the mortality statistics registry in the Coyoacan District of Mexico City, were classified by cause as: Cardiovascular Diseases, Respiratory Diseases, and Neoplasias. Relatives of the deceased were interviewed to answer a questionnaire on tobacco smoking and alcohol drinking.


RESULTS
Smoking during the last ten years of life was significantly associated with cardiovascular disease in men aged 70 years or older (OR 2.06, 95% CI 1.18-3.58). Persistent smoking in the last year of life was significantly associated with deaths from neoplasias and respiratory diseases in women aged 70 years or older (OR: 7.24, 95% CI 1.71-30.53; OR: 4.82 95% CI 1.41-16.50, respectively). The regression model for cardiovascular disease showed that subjects with intense tobacco consumption were almost twice as likely to die from cardiovascular disease (OR 1.83, 95% CI 1.1-2.8, p < 0.01). The population attributable risk for cardiovascular disease was 45%.


CONCLUSIONS
Tobacco smoking is an important predictor of dead among the elderly in Mexico. Tobacco control programs should also be targeted to the elderly.
Kuri-Morales
Pablo
P
Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Alegre-Díaz
Jesús
J
Mata-Miranda
Ma del Pilar
Mdel P
Hernández-Avila
Mauricio
M
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D012907:Smoking / Q000009:adverse effects / Q000401:mortality*
Mortalidad atribuible al consumo de tabaco en México.