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Evolution of mortality attributable to passive smoking in the 27 Brazilian capitals, 2009–2021

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dc.contributor.authorFlores, Bibiana Wanderlei
dc.contributor.authorRey-Brandariz, Julia
dc.contributor.authorCorrêa, Paulo César Rodrigues Pinto
dc.contributor.authorRavara, Sofia
dc.contributor.authorMartinez, Agustín Montes
dc.contributor.authorPérez-Ríos, Mónica
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblAssocaicao Brasileira de Pos, Gradacao em Saude Coletiva
dc.date.accessioned2026-06-08T14:28:01Z
dc.date.available2026-06-08T14:28:01Z
dc.date.issued2026
dc.descriptionPublisher Copyright: © 2026 | Epidemio is a publication of Associação Brasileira de Saúde Coletiva - ABRASCO. This is an open article distributed under the CC-BY 4.0 license, which allows copying and redistribution of the material in any format and for any purpose as long as the original authorship and publication credits are maintained.
dc.description.abstractObjective: To estimate the mortality attributable to passive smoking in the population aged 35 years old and older, by gender, in the 27 Brazilian state capitals, from 2009 to 2021. Methods: A prevalence-dependent method was used, based on the calculation of population attributable fractions (PAF). Deaths from diseases causally related to passive smoking were obtained from the Mortality Information System of the Brazilian Unified Health System (SIM/SUS); prevalence data were taken on SHS exposure were obtained from Vigitel surveys (2009–2021); and relative risks were obtained from a meta-analysis. Mortality attributable to passive smoking and mortality rates were estimated by capital city, year, gender, and cause of death. Trends in crude mortality rates attributable to passive smoking were analyzed using joinpoint regression models. Results: Passive smoking accounted for 64,913 deaths in all Brazilian state capitals between 2009 and 2021. Cardiovascular diseases were the main cause of death in both genders. The mortality rate attributed to passive smoking decreased from 33.1/100,000 deaths in 2009 to 15.4/100,000 deaths in 2021. This reduction was observed in all 27 Brazilian state capitals, both overall and by gender. Conclusion: Passive smoking was responsible for 1.4 of all deaths in Brazil during the period 2009-2021 and showed a favorable trend, with rates decreasing by half during the period.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent917542
dc.identifier.doi10.1590/1980-549720260017
dc.identifier.issn1415-790X
dc.identifier.otherPURE: 164419414
dc.identifier.otherPURE UUID: be1ab984-db35-499d-aa71-d7b3cc2dc8d1
dc.identifier.otherScopus: 105035716289
dc.identifier.otherPubMed: 41950108
dc.identifier.otherPubMedCentral: PMC13053034
dc.identifier.otherWOS: 001735398300003
dc.identifier.urihttp://hdl.handle.net/10362/203703
dc.identifier.urlhttps://www.scopus.com/pages/publications/105035716289
dc.language.isomul
dc.peerreviewedyes
dc.subjectBrazil
dc.subjectCardiovascular diseases
dc.subjectEpidemiology
dc.subjectMortality
dc.subjectTobacco use disorder
dc.subjectEpidemiology
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleEvolution of mortality attributable to passive smoking in the 27 Brazilian capitals, 2009–2021
dc.title.alternativeEvolução da mortalidade atribuível ao tabagismo passivo nas 27 capitais brasileiras, 2009–2021en
dc.typejournal article
degois.publication.titleRevista Brasileira de Epidemiologia
degois.publication.volume29
dspace.entity.typePublication
rcaap.rightsopenAccess

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