{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T12:37:36Z","timestamp":1740141456149,"version":"3.37.3"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T00:00:00Z","timestamp":1718928000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI19\/00288"],"award-info":[{"award-number":["PI19\/00288"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000780","name":"European Union","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The objective of this study is to assess the impact of applying prevalences derived from a small-area model at a regional level on smoking-attributable mortality (SAM). A prevalence-dependent method was used to estimate SAM. Prevalences of tobacco use were derived from a small-area model. SAM and population attributable fraction (PAF) estimates were compared against those calculated by pooling data from three national health surveys conducted in Spain (2011\u20132014\u20132017). We calculated the relative changes between the two estimates and assessed the width of the 95% CI of the PAF. Applying surveys-based prevalences, tobacco use was estimated to cause 53\u2009825 (95% CI: 53\u2009182\u201354\u2009342) deaths in Spain in 2017, a figure 3.8% lower obtained with the small-area model prevalences. The lowest relative change was observed in the Castile-La Mancha region (1.1%) and the highest in Navarre (14.1%). The median relative change between regions was higher for women (26.1%), population aged \u226565\u2009years (6.6%), and cardiometabolic diseases (9.0%). The differences between PAF by cause of death were never greater than 2%. Overall, the differences between estimates of SAM, PAF, and confidence interval width are small when using prevalences from both sources. Having these data available by region will allow decision-makers to implement smoking control measures based on more accurate data.<\/jats:p>","DOI":"10.1093\/eurpub\/ckae104","type":"journal-article","created":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T20:09:46Z","timestamp":1719000586000},"page":"1218-1224","source":"Crossref","is-referenced-by-count":0,"title":["Impact of the use of small-area models on estimation of attributable mortality at a regional level"],"prefix":"10.1093","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2960-8437","authenticated-orcid":false,"given":"Julia","family":"Rey-Brandariz","sequence":"first","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela , Santiago de Compostela,","place":["Spain"]},{"name":"Consortium for Biomedical Research in Epidemiology and Public Health (CIBER en Epidemiolog\u00eda y Salud P\u00fablica\/CIBERESP) , Madrid,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda I","family":"Santiago-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Epidemiology Department, Directorate-General of Public Health, Galician Regional Health Authority , Santiago de Compostela,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Candal-Pedreira","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela , Santiago de Compostela,","place":["Spain"]},{"name":"Consortium for Biomedical Research in Epidemiology and Public Health (CIBER en Epidemiolog\u00eda y Salud P\u00fablica\/CIBERESP) , Madrid,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonor","family":"Varela-Lema","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela , Santiago de Compostela,","place":["Spain"]},{"name":"Consortium for Biomedical Research in Epidemiology and Public Health (CIBER en Epidemiolog\u00eda y Salud P\u00fablica\/CIBERESP) , Madrid,","place":["Spain"]},{"name":"Health Research Institute of Santiago de Compostela (Instituto de Investigaci\u00f3n Sanitaria de Santiago de Compostela\u2014IDIS) , Santiago de Compostela,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Ruano-Ravina","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela , Santiago de Compostela,","place":["Spain"]},{"name":"Consortium for Biomedical Research in Epidemiology and Public Health (CIBER en Epidemiolog\u00eda y Salud P\u00fablica\/CIBERESP) , Madrid,","place":["Spain"]},{"name":"Health Research Institute of Santiago de Compostela (Instituto de Investigaci\u00f3n Sanitaria de Santiago de Compostela\u2014IDIS) , Santiago de Compostela,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther","family":"L\u00f3pez-Vizca\u00edno","sequence":"additional","affiliation":[{"name":"Galician Statistics Institute, Santiago de Compostela ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Guerra-Tort","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela , Santiago de Compostela,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasjit S","family":"Ahluwalia","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Social Sciences and Center for Alcohol and Addiction Studies, Brown University School of Public Health , Providence, RI,","place":["United States"]},{"name":"Department of Medicine, Alpert Medical School, Brown University , Providence, RI,","place":["United States"]},{"name":"Legorreta Cancer Center, Brown University , Providence, RI,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agust\u00edn","family":"Montes","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Universidade de Santiago de Compostela , Santiago de Compostela,","place":["Spain"]},{"name":"Consortium for Biomedical Research in Epidemiology and Public Health (CIBER en Epidemiolog\u00eda y Salud P\u00fablica\/CIBERESP) , Madrid,","place":["Spain"]},{"name":"Health Research Institute of Santiago de Compostela (Instituto de Investigaci\u00f3n Sanitaria de Santiago de Compostela\u2014IDIS) , Santiago de Compostela,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00f3nica","family":"P\u00e9rez-R\u00edos","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Universidade de Santiago 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