The regional variation in tobacco smoking - attributable mortality in Poland, 2006-2010
Journal Title: Przegląd Epidemiologiczny - Year 2015, Vol 69, Issue 1
Abstract
STUDY OBJECTIVE. To explain the regional variation in smoking-attributable mortality in Poland by selected environmental characteristics. MATERIAL AND METHODS. On the basis of the simplified Peto method, standardized smoking-attributable death rates were estimated by applying data on overall mortality and mortality due to malignant neoplasms of trachea, bronchus and lung for the years 2006-2010 obtained from the Central Statistical Office. The correlation between smoking-attributable mortality (SAM) and selected regional characteristics was estimated in two models of linear regression (for men and women). The characteristics of 379 NUTS-4 regions for the years 2006-2010 were derived from the CSO and other public data sources. RESULTS. In both absolute and relative terms, the male and female SAM appeared to be higher in the northern and western regions of Poland. For both men and women, the linear regression confirmed the significant positive correlation between the level of SAM and poverty, hazardous working conditions, crime level, low level of settlement, low proportion of persons in agriculture and of University graduates. Additional variables correlating with the male SAM pointed to unemployment, proportion employed in services, mortality due to intentional self-harm and electoral turnout. CONCLUSION. At the NUTS-4 level, the territorial variation in male and female SAM can be partially explained by the variation in regional characteristics indicating unfavourable economic and social conditions.
Authors and Affiliations
Agnieszka Fihel, Magdalena M. Muszyńska
Keywords
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