title: Trends in mortality from COPD in selected U.S. States differing in tobacco control efforts.
abstract: U.S. state tobacco control programs have been associated with both temporal increases in smoking cessation rates in young adults and temporal declines in tobacco-related chronic diseases, but mortality from chronic obstructive pulmonary disease apparently has not been studied. Annual percent change (APC) (1990-2005) in age standardized mortality rate at ages 35-64 and 65+ years from this cause was analyzed for California (which started a comprehensive tobacco control program in 1989), the "U.S. exclusive of California," New Jersey and New York (which had relatively high cigarette prices in the 1990s), and a group of six southern tobacco-growing states (which had limited tobacco control efforts and low cigarette prices in the 1990s). Declines in mortality rates from 1990-2005 for age 35-64 were larger and statistically significant in California (annual % change -1.6%) and New Jersey-New York (annual % change -1.8%), while declines the "U.S. exclusive of California" (annual % change -0.5%) and in six southern tobacco-growing states (annual % change -0.3%). Declines in mortality at age 65+ years were small or nonexistent. The geographic differences in mortality for age 35-64 years after 1990 were not a continuation of earlier trends (in 1980-89), and may be related to differences in tobacco control efforts. This suggests that states should increase their tobacco-control efforts, to reduce chronic obstructive pulmonary disease mortality in the entire U.S.
authors.affiliation: Connecticut Department of Public Health, Hartford, 06134-0308, USA. anthony.polednak@ct.gov
authors.forename: Anthony P
authors.initials: AP
authors.lastname: Polednak
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D015980:Public Health Practice; D029424:Pulmonary Disease, Chronic Obstructive / Q000401:mortality*; D017678:Sex Distribution; D012907:Smoking / Q000331:legislation & jurisprudence*; D016540:Smoking Cessation / Q000331:legislation & jurisprudence*; D013660:Taxes; D014481:United States / Q000453:epidemiology; D014026:Nicotiana