{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T19:01:33Z","timestamp":1784055693038,"version":"3.55.0"},"reference-count":49,"publisher":"FapUNIFESP (SciELO)","issue":"suppl 1","license":[{"start":{"date-parts":[[2017,5,1]],"date-time":"2017-05-01T00:00:00Z","timestamp":1493596800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2017,5,1]],"date-time":"2017-05-01T00:00:00Z","timestamp":1493596800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2017,5,1]],"date-time":"2017-05-01T00:00:00Z","timestamp":1493596800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>RESUMO:  Introdu\u00e7\u00e3o:  A epidemia global do tabaco j\u00e1 assumiu propor\u00e7\u00f5es de pandemia, com cerca de 1,3 bilh\u00e3o de usu\u00e1rios e 6 milh\u00f5es de mortes anuais.  Objetivo:  Este trabalho teve como objetivo analisar as tend\u00eancias de mortalidade por doen\u00e7a pulmonar obstrutiva cr\u00f4nica (DPOC) e c\u00e2ncer de pulm\u00e3o, l\u00e1bios, cavidade oral, faringe e es\u00f4fago, no Brasil, entre 1990 e 2015.  M\u00e9todos:  O estudo foi viabilizado mediante parceria entre o Instituto M\u00e9tricas e Avalia\u00e7\u00e3o em Sa\u00fade (IHME), da Universidade de Washington, Minist\u00e9rio da Sa\u00fade e o grupo t\u00e9cnico GBD Brasil, utilizando an\u00e1lise de estimativas do estudo Carga Global de Doen\u00e7as 2015.  Resultados:  As taxas de mortalidade por DPOC ca\u00edram, j\u00e1 que, em 1990, foi de 64,5\/100.000 habitantes e, em 2015, 44,5, queda de 31%. Para os v\u00e1rios tipos de c\u00e2ncer relacionados ao tabaco, a queda foi em menor propor\u00e7\u00e3o do que a verificada para DPOC. A mortalidade por c\u00e2ncer de pulm\u00e3o permaneceu est\u00e1vel, com taxa de 18,7\/100.000 habitantes, em 1990, e 18,3\/100.000 habitantes, em 2015. Entre as mulheres, observa-se curva ascendente, com aumento de 20,7%.  Discuss\u00e3o:  O estudo aponta o tabaco como fator de risco para mortalidade prematura e incapacidades por DPOC e c\u00e2ncer. A importante redu\u00e7\u00e3o da preval\u00eancia do tabaco nas \u00faltimas d\u00e9cadas poderia explicar redu\u00e7\u00f5es nas tend\u00eancias de doen\u00e7as relacionadas com o tabaco. A maior mortalidade por c\u00e2ncer de pulm\u00e3o em mulheres pode expressar o aumento tardio do tabagismo nesse sexo.  Conclus\u00e3o:  A\u00e7\u00f5es nacionais nas \u00faltimas d\u00e9cadas t\u00eam tido grande efeito na diminui\u00e7\u00e3o da mortalidade de doen\u00e7as relacionadas ao tabaco, mas ainda h\u00e1 grandes desafios, principalmente quando se trata de mulheres e jovens.<\/jats:p>","DOI":"10.1590\/1980-5497201700050007","type":"journal-article","created":{"date-parts":[[2017,6,23]],"date-time":"2017-06-23T18:12:35Z","timestamp":1498241555000},"page":"75-89","source":"Crossref","is-referenced-by-count":23,"title":["Mortalidade e incapacidade por doen\u00e7as relacionadas \u00e0 exposi\u00e7\u00e3o ao tabaco no Brasil, 1990 a 2015"],"prefix":"10.1590","volume":"20","author":[{"given":"Bruno Piassi de S\u00e3o","family":"Jos\u00e9","sequence":"first","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo de Amorim","family":"Corr\u00eaa","sequence":"additional","affiliation":[{"name":"Universidade Federal 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