Smoking prevalence and lung cancer morbimortality in Brazilian states
DOI:
https://doi.org/10.5712/rbmfc19(46)3598Keywords:
Lung cancer, Tobacco use disorder, Tobacco products, Carcinogens.Abstract
Introduction: Lung cancer is a serious disease, being the second leading cause of death worldwide. Moreover, in some developed countries, it has already become the leading cause of death. About 90% of lung cancer cases are caused by cigarette smoking. Objective: To correlate the prevalence of smoking and lung cancer morbidity and mortality in Brazilian states, and to demonstrate their association with sex and age group as well. Methods: An ecological study on the prevalence of smoking and lung cancer morbidity and mortality in Brazilian states between 2013 and 2019, divided by sex and age group. The data collection databases Tabnet and National Health Survey were used. Results: The highest rates of mortality and hospital admissions were among men, in 2013 with a rate of 2.7 and 10, respectively, and in 2019 with 3.3 and 11.9, respectively. In addition, the highest prevalence of smoking was found in men, but this rate has fallen, while the number of women smokers has increased. The South region showed higher mortality rates in both periods studied, with rates of 4.9 and 5.8 per 100,000 inhabitants, and hospital morbidity with 19.9 and 23.5 per 100,000 inhabitants. The North region had the lowest prevalence, where in 2013, it had a death rate from lung cancer of 1.0 and hospital morbidity of 3.5/100 thousand inhabitants, and where in 2019, it had a mortality rate of 4.6 and hospitalizations of 1.6/100 thousand inhabitants. The correlation coefficients for hospital morbidity and smoking prevalence were R2=0.0628, r=0.251 and p=0.042, while for mortality and smoking prevalence, these were R2=0.0337, r=0.183 and p=0.140. Conclusions: In the present study, it can be inferred that there was a positive association between hospital morbidity rate and prevalence of smoking, while it was not possible to observe a correlation between lung cancer mortality rate and prevalence of smoking.
Downloads
Metrics
References
Instituto Nacional de Câncer (INCA). Estatísticas de câncer [Internet]. [acessado em 02 dez. 2021]. Disponível em: https://www.inca.gov.br/numeros-de-cancer.
Proctor RN. The history of the discovery of the cigarette–lung cancer link: evidentiary traditions, corporate denial, global toll. Tob Control 2012;21(2):87-91. https://doi.org/10.1136/tobaccocontrol-2011-050338 DOI: https://doi.org/10.1136/tobaccocontrol-2011-050338
Berto SJP, Carvalhaes MABL, Moura ECD. Tabagismo associado a outros fatores comportamentais de risco de doenças e agravos crônicos não transmissíveis. Cad Saúde Pública 2010;1573-1582. https://doi.org/10.1590/S0102-311X2010000800011 DOI: https://doi.org/10.1590/S0102-311X2010000800011
Loeb LA. Tobacco causes human cancers-a concept founded on epidemiology and an insightful experiment now requires translation worldwide [Internet]. 2016 [acessado em 29 nov. 2021]; Disponível em: www.aacrjournals.org. DOI: https://doi.org/10.1158/0008-5472.CAN-16-0149
Borhani NO. Primary prevention of coronary heart disease: a critique. Am J Cardiol 1977;40(2):251-259. https://doi.org/10.1016/0002-9149(77)90016-9. DOI: https://doi.org/10.1016/0002-9149(77)90016-9
Barta JA, Powell CA, Wisnivesky JP. Global Epidemiology of Lung Cancer. Ann Glob Health 2019;85(1):8. https://doi.org/10.5334/aogh.2419 DOI: https://doi.org/10.5334/aogh.2419
Instituto Nacional de Câncer (INCA). Tipos de câncer [Internet]. [acessado em 13 out. 2021]. Disponível em: https://www.inca.gov.br/tipos-de-cancer/cancer-de-pulmao
Algranti E, Menezes AMB, Achutti AC. Lung cancer in Brazil. Semin Oncol 2001;28(2):143-52. https://doi.org/10.1016/s0093-7754(01)90085-5 DOI: https://doi.org/10.1053/sonc.2001.21955
World Health Organization. Global status report on noncommunicable diseases. World Heal Organ 2010;53(9):1689-9. ISBN: 9789241564229
Reitsma MB, Flor LS, Mullany EC, Gupta V, Hay SI, Gakidou E. Spatial, temporal, and demographic patterns in prevalence of smoking tobacco use and initiation among young people in 204 countries and territories, 1990–2019. Lancet Public Heal 2021;6(7):e472-81. https://doi.org/10.1016/S2468-2667(21)00102-X DOI: https://doi.org/10.1016/S2468-2667(21)00102-X
de São José BP, de Amorim Corrêa R, Malta DC, de Azeredo Passos VM, França EB, Teixeira RA, et al. Mortalidade e incapacidade por doenças relacionadas à exposição ao tabaco no Brasil, 1990 a 2015. Rev Bras Epidemiol 2017;20(Suppl 1):75-89. https://doi.org/10.1590/1980-5497201700050007 DOI: https://doi.org/10.1590/1980-5497201700050007
Instituto Nacional de Câncer (INCA). Estimativa 2020 [Internet]. [acessado em 25 out. 2021]. Disponível em: https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/estimativa-2020-incidencia-de-cancer-no-brasil.pdf.
Pesquisa Nacional de Saúde (PNS) O que é PNS? [Internet]. [acessado em 02 dez. 2021]. Disponível em: https://www.pns.icict.fiocruz.br/.
Instituto Brasileiro de Geografia e Estatística (IBGE). PNS - Pesquisa Nacional de Saúde [Internet]. 2019 [acessado em 06 dez. 2021]. Disponível em: https://www.ibge.gov.br/estatisticas/sociais/saude/9160-pesquisa-nacional-de-saude.html?edicao=29270&t=resultados.
TabNet Win32 3.0: Morbidade Hospitalar do SUS - por local de internação - Brasil [Internet]. [acessado em 06 dez. 2021]. Disponível em: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?sih/cnv/niuf.def.
TabNet Win32 3.0: Mortalidade - Brasil [Internet]. [acessado em 06 dez. 2021]. Disponível em: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sim/cnv/obt10uf.def.
TabNet Win32 3.0: Morbidade Hospitalar do SUS - por local de internação - Brasil [Internet]. [acessado em 09 dez. 2021]. Disponível em: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sih/cnv/niuf.def.
Ali HA. Prevalência de câncer na região sul do brasil: principais fatores determinantes e condicionantes. Foz do Iguaçu: Faculdade União das Américas – Uniamérica [Internet]. 2010 [acessado em 09 dez. 2021]. Disponível em: https://pleiade.uniamerica.br/index.php/bibliotecadigital/article/view/473.
Oliveira MMD, Malta DC, Guauche H, Moura LD, Silva GA. Estimativa de pessoas com diagnóstico de câncer no Brasil: dados da Pesquisa Nacional de Saúde, 2013 Rev Bras Epidemiol 2015;18:146-57. https://doi.org/10.1590/1980-5497201500060013 DOI: https://doi.org/10.1590/1980-5497201500060013
Bade BC, Dela Cruz CS. Lung Cancer 2020. Clin Chest Med 2020;41(1);1-24. https://doi.org/10.1016/j.ccm.2019.10.001 DOI: https://doi.org/10.1016/j.ccm.2019.10.001
Silva JAG. Estimativa, I. N. C. A. (2020). Incidência de Câncer no Brasil [Internet]. 2020 [acessado em 14 dez. 2021]; 2019. Disponível em: https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/estimativa-2020-incidencia-de-cancer-no-brasil.pdf
Torre LA, Siegel RL, Jemal A. Lung cancer statistics. In: Ahmad A, Gadgeel S, eds. Lung cancer and personalized medicine [Internet]. 2016. p. 1-19 [acessado em 16 dez. 2021]. Disponível em: https://sci-hub.se/10.1007/978-3-319-24223-1_1. DOI: 10.1007/978-3-319-24223-1_1. DOI: https://doi.org/10.1007/978-3-319-24223-1_1
Bialous SA, Sarna, L. Lung cancer and tobacco: What is new? Nurs Clin North Am 2017;52(1):53-63. https://doi.org/10.1016/j.cnur.2016.10.003 DOI: https://doi.org/10.1016/j.cnur.2016.10.003
Bertolini DNP, Simonetti JP. O gênero masculino e os cuidados de saúde: a experiência de homens de um centro de saúde. Esc Anna Nery 2014;18(4):722-7. https://doi.org/10.5935/1414-8145.20140103 DOI: https://doi.org/10.5935/1414-8145.20140103
Tolwin Y, Gillis R, Peled N. Gender and lung cancer—seer-based analysis. Ann Epidemiol 2020;46:14-19. https://doi.org/10.1016/j.annepidem.2020.04.003 DOI: https://doi.org/10.1016/j.annepidem.2020.04.003
Malhotra J, Malvezzi M, Negri E, La Vecchia C, Boffetta P. Risk factors for lung cancer worldwide. Eur Respir J 2016;48(3):889-902. https://doi.org/10.1183/13993003.00359-2016 DOI: https://doi.org/10.1183/13993003.00359-2016
Curado MP, de Souza DLB. Cancer burden in Latin America and the Caribbean. Ann Glob Health 2014;80(5):370-7. https://doi.org/10.1016/j.aogh.2014.09.009 DOI: https://doi.org/10.1016/j.aogh.2014.09.009
de Souza MC, Giunta DH, Szklo AS, de Almeida LM, Szklo M. The tobacco epidemic curve in Brazil: Where are we going? Cancer Epidemiol 2020:67:101736. https://doi.org/10.1016/j.canep.2020.101736 DOI: https://doi.org/10.1016/j.canep.2020.101736
Cruz CSD, Tanoue LT, Matthay RA. Lung cancer: epidemiology, etiology, and prevention. Clin Chest Med 2011;32(4):605-44. https://doi.org/10.1016/j.ccm.2011.09.001 DOI: https://doi.org/10.1016/j.ccm.2011.09.001
Camargos MCS, Gonzaga MR. Viver mais e melhor? Estimativas de expectativa de vida saudável para a população brasileira. Cad Saúde Pública 2015;31(7):1460-72. https://doi.org/10.1590/0102-311X00128914 DOI: https://doi.org/10.1590/0102-311X00128914
Araujo LH, Baldotto C, Castro Jr G de, Katz A, Ferreira CG, Mathias C, et al. Lung cancer in Brazil. J Bras Pneumol 2018;44(1):55-64. https://doi.org/10.1590/S1806-37562017000000135 DOI: https://doi.org/10.1590/s1806-37562017000000135
Barros AJD, Cascaes AM, Wehrmeister FC, Martínez-Mesa J, Menezes AMB. Tabagismo no Brasil: desigualdades regionais e prevalência segundo características ocupacionais. Ciênc Saúde Coletiva 2011;16(9):3707-16. https://doi.org/10.1590/S1413-81232011001000008 DOI: https://doi.org/10.1590/S1413-81232011001000008
Vollset SE, Tverdal A, Gjessing HK. Smoking and deaths between 40 and 70 years of age in women and men. Ann Intern Med 2006;144(6):381-9. https://doi.org/10.7326/0003-4819-144-6-200603210-00004 DOI: https://doi.org/10.7326/0003-4819-144-6-200603210-00004
Brown CC, Chu KC. Use of multistage models to infer stage affected by carcinogenic exposure: example of lung cancer and cigarette smoking. J Chronic Dis 1987;40:171S-179S. https://doi.org/10.1016/s0021-9681(87)80020-6. DOI: https://doi.org/10.1016/S0021-9681(87)80020-6
Zamboni M. Epidemiologia do câncer do pulmão. J Pneumologia 2002;28(1):41-7. https://doi.org/10.1590/S0102-35862002000100008 DOI: https://doi.org/10.1590/S0102-35862002000100008
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Silvya de Freitas Nunes, Kelser de Souza Kock
This work is licensed under a Creative Commons Attribution 4.0 International License.
By submitting a manuscript to the RBMFC, authors retain ownership of the copyright in the article, and authorize RBMFC to publish that manuscript under the Creative Commons Attribution 4.0 license and identify itself as the vehicle of its original publication.
