Correlation between tobacco control policies and mortality of haematological cancers across Europe: an ecological study
Author
Mehta, Dipal
Dennis, Rory
Nallamilli, Susanna
Vithayathil, Mathew
Martínez Sánchez, Jose María
Publication date
2021ISSN
2459-3087
Abstract
Introduction: To determine the correlation between tobacco control policies and mortality of haematological malignancies: leukemia, lymphoma and multiple myeloma (MM). Methods: Ecological study with the countries as the unit of analysis. Tobacco Control Scale (TCS) scores from 2010, 2013 and 2016 were used as measures for the level of tobacco control policy implementation in 27 European countries. Mortality rates for leukemia, lymphoma, and MM, were obtained from the WHO Mortality Database and the European Cancer Information System for each country for 2010, 2013, 2015 and 2018. Correlation between yearly TCS scores and mortality rates from the same and prospective years were calculated using Spearman’s rank correlation coefficients (rsp) and 95% confidence intervals (95% CI) (2010 TCS scores vs 2010, 2013, 2015, 2018 mortality rates; 2013 TCS scores vs 2013, 2015, 2018 mortality rates; and 2016 TCS scores vs 2018 mortality rates). Results:
The 2010 TCS scores were significantly negatively associated with leukemia mortality rates in 2013 (rsp=-0.58; 95% CI: -0.79, -0.24; p=0.002), 2015 (rsp=-0.65; 95% CI: -0.85, -0.30; p=0.001) and 2018 (rsp=-0.44; 95% CI: -0.71, -0.06; p=0.021). TCS scores from 2013 and 2016 had significant negative associations with leukemia mortality in all prospective years. TCS scores did not demonstrate consistent correlations with lymphoma and MM mortality. Conclusions: The level of tobacco control policies in European countries correlates negatively with leukemia mortality at ecological level, with no correlation seen for lymphoma and MM. This study advocates that increased tobacco control implementation may improve leukemia mortality.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
616 - Pathology. Clinical medicine
Keywords
Càncer
Mieloma múltiple
Leucèmia
Control del tabac
Limfoma
Cáncer
Mieloma múltiple
Leucemia
Control del tabaco
Linfoma
Cancer
Multiple myeloma
Leukemia
Tobacco control
Lymphoma
Pages
6
Publisher
European Publishing
Collection
7;
Is part of
Tobacco, Prevention & Cessation
Citation
Mehta, Dipal; Dennis, Rory; Nallamilli, Susanna [et al.]. Correlation between tobacco control policies and mortality of haematological cancers across Europe: an ecological study. Tobacco, Prevention & Cessation, 2021, 7, [p. 1-6]. Disponible en: <http://www.tobaccopreventioncessation.com/Correlation-between-tobacco-control-policies-and-mortality-of-haematological-cancers,133008,0,2.html>. Fecha de acceso: 10 dic. 2021. DOI: 10.18332/tpc/133008
This item appears in the following Collection(s)
- Ciències de la Salut [740]
Rights
© 2021 Mehta D. et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial 4.0 International License. (http://creativecommons.org/licenses/by-nc/4.0).
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc/4.0/