50-Year Trends in Smoking-Related Mortality in the United States

50-Year Trends in Smoking-Related Mortality in the United States

2013 January 24 | Michael J. Thun, M.D., Brian D. Carter, M.P.H., Diane Feskanich, Sc.D., Neal D. Freedman, Ph.D., M.P.H., Ross Prentice, Ph.D., Alan D. Lopez, Ph.D., Patricia Hartge, Sc.D., and Susan M. Gapstur, Ph.D., M.P.H.
A 50-year study of smoking-related mortality in the United States shows that the risks of death from smoking have increased over time, particularly among women. The relative risks of death from lung cancer, COPD, ischemic heart disease, stroke, and all causes are now nearly identical for men and women compared to those who have never smoked. For men, the risks associated with smoking have plateaued at high levels seen in the 1980s, except for a continuing increase in COPD mortality. Among men 55–74 years of age and women 60–74 years of age, current smokers have at least three times the mortality rate of those who have never smoked. Smoking cessation at any age significantly reduces mortality rates. The study analyzed data from three time periods: 1959–1965, 1982–1988, and 2000–2010, using data from historical and contemporary cohort studies. The relative risks of death from lung cancer increased significantly over time, with current smokers having a relative risk of 25.66 for women and 24.97 for men compared to non-smokers. The relative risks for COPD were also high, with current smokers having a relative risk of 25.61 for men and 22.35 for women. The risks for ischemic heart disease, stroke, and all causes also increased over time. The study found that the relative risks of death from smoking-related diseases increased with the number of cigarettes smoked per day and the duration of smoking. Former smokers had lower mortality rates than current smokers, with those who quit earlier having lower risks. Smoking cessation at any age significantly reduced mortality from smoking-related diseases. The study also found that educational level influenced the association between smoking and mortality, with lower-educated individuals having higher risks. The study highlights the importance of smoking cessation in reducing mortality from smoking-related diseases. It also shows that the risks of smoking-related diseases have increased over time, particularly among women. The findings suggest that smoking cessation is more effective than reducing cigarette consumption in reducing mortality. The study concludes that the risks of smoking-related deaths have increased significantly over the past 50 years, with the risks for women now comparable to those for men.A 50-year study of smoking-related mortality in the United States shows that the risks of death from smoking have increased over time, particularly among women. The relative risks of death from lung cancer, COPD, ischemic heart disease, stroke, and all causes are now nearly identical for men and women compared to those who have never smoked. For men, the risks associated with smoking have plateaued at high levels seen in the 1980s, except for a continuing increase in COPD mortality. Among men 55–74 years of age and women 60–74 years of age, current smokers have at least three times the mortality rate of those who have never smoked. Smoking cessation at any age significantly reduces mortality rates. The study analyzed data from three time periods: 1959–1965, 1982–1988, and 2000–2010, using data from historical and contemporary cohort studies. The relative risks of death from lung cancer increased significantly over time, with current smokers having a relative risk of 25.66 for women and 24.97 for men compared to non-smokers. The relative risks for COPD were also high, with current smokers having a relative risk of 25.61 for men and 22.35 for women. The risks for ischemic heart disease, stroke, and all causes also increased over time. The study found that the relative risks of death from smoking-related diseases increased with the number of cigarettes smoked per day and the duration of smoking. Former smokers had lower mortality rates than current smokers, with those who quit earlier having lower risks. Smoking cessation at any age significantly reduced mortality from smoking-related diseases. The study also found that educational level influenced the association between smoking and mortality, with lower-educated individuals having higher risks. The study highlights the importance of smoking cessation in reducing mortality from smoking-related diseases. It also shows that the risks of smoking-related diseases have increased over time, particularly among women. The findings suggest that smoking cessation is more effective than reducing cigarette consumption in reducing mortality. The study concludes that the risks of smoking-related deaths have increased significantly over the past 50 years, with the risks for women now comparable to those for men.
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