Malta, Deborah CarvalhoFlor, Luisa SorioMachado, Ísis EloahMendes, Mariana Santos FelisbinoBrant, Luisa Campos CaldeiraRibeiro, Antônio Luiz PinhoTeixeira, Renato AzeredoMacário, Eduardo MarquesReitsma, Marissa BettayGlenn, ScottNaghavi, MohsenGakidou, Emmanuela2023-06-212023-06-212020MALTA, D. C. et al. Trends in prevalence and mortality burden attributable to smoking, Brazil and federated units, 1990 and 2017. Population Health Metrics, v. 18, artigo 24, 2020. Disponível em: <https://pophealthmetrics.biomedcentral.com/articles/10.1186/s12963-020-00215-2>. Acesso em: 11 out. 2022.1478-7954http://www.repositorio.ufop.br/jspui/handle/123456789/16781Background: The present study sought to analyze smoking prevalence and smoking-attributable mortality estimates produced by the 2017 Global Burden of Disease Study for Brazil, 26 states, and the Federal District. Methods: Prevalence of current smokers from 1990 to 2017 by sex and age was estimated using spatiotemporal Gaussian process regression. Population-attributable fractions were calculated for different risk-outcome pairs to generate estimates of smoking-attributable mortality. A cohort analysis of smoking prevalence by birth-year cohort was performed to better understand temporal age patterns in smoking. Smoking-attributable mortality rates were described and analyzed by development at state levels, using the Socio-Demographic Index (SDI). Finally, a decomposition analysis was conducted to evaluate the contribution of different factors to the changes in the number of deaths attributable to smoking between 1990 and 2017. Results: Between 1990 and 2017, prevalence of smoking in the population (≥ 20 years old) decreased from 35.3 to 11.3% in Brazil. This downward trend was seen for both sexes and in all states, with a marked reduction in exposure to this risk factor in younger cohorts. Smoking-attributable mortality rates decreased by 57.8% (95% UI − 61.2, − 54.1) between 1990 and 2017. Overall, larger reductions were observed in states with higher SDI (Pearson correlation 0.637; p < 0.01). In Brazil, smoking remains responsible for a considerable amount of deaths, especially due to cardiovascular diseases and neoplasms. Conclusions: Brazil has adopted a set of regulatory measures and implemented anti-tobacco policies that, along with improvements in socioeconomic conditions, have contributed to the results presented in the present study. Other regulatory measures need to be implemented to boost a reduction in smoking in order to reach the goals established in the scope of the 2030 United Nations Agenda for Sustainable Development.en-USabertoGlobal burden of diseaseQuality-adjusted life yearsRisk factorsTobacco useArtigo publicado em periodicoThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. Fonte: PDF do artigo.https://doi.org/10.1186/s12963-020-00215-2