ArticleJournal of epidemiology2008
Population attributable fraction of mortality associated with tobacco smoking in Japan: a pooled analysis of three large-scale cohort studies.
Article in Journal of epidemiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02519972 (Low-dose Computed Tomography Screening for Lung Cancer in Relatives With Family History of Lung Cancer), which is not on this map. Cited by 64 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Low-dose Computed Tomography Screening for Lung Cancer in Relatives With Family History of Lung Cancer
Who cites it
64 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Smoking-attributable Mortality in Korea, 2020: A Meta-analysis of 4 Databases.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Pooled it
- Dose-response association between cigarette smoking and gastric cancer risk: a systematic review and meta-analysis.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2024Pooled it
- Cigarette Smoking and Risk of Different Pathologic Types of Stroke: A Systematic Review and Dose-Response Meta-Analysis.Frontiers in neurology · 2021Pooled it
- Smoking as a risk factor for lung cancer in women and men: a systematic review and meta-analysis.BMJ open · 2018Pooled it
- Japan Atherosclerosis Society (JAS) Guidelines for Prevention of Atherosclerotic Cardiovascular Diseases 2017.Journal of atherosclerosis and thrombosis · 2018Guideline
- Association between duration of smoking cessation and depressive symptoms among community-dwelling older adults: a cross-sectional study.Environmental health and preventive medicine · 2026Article
- Has the impact of cigarette smoking on mortality been underestimated by overlooking second-hand smoke? Tohoku medical megabank community-based cohort study.BMJ public health · 2025Article
- Switching from Cigarettes to Heated Tobacco Products in Japan-Potential Impact on Health Outcomes and Associated Health Care Costs.Healthcare (Basel, Switzerland) · 2024Article
- Impact of Cardio-Ankle Vascular Index on Future Cancer in Patients With Coronary Artery Disease.Circulation reports · 2024Article
- Projecting the impact of implementation of WHO MPOWER measures on smoking prevalence and mortality in Japan.Tobacco control · 2024Article
- Smoking is associated with higher risk of contracting bacterial infection and pneumonia, intensive care unit admission and death.PloS one · 2024Article
- Article
- Global trends in pancreas cancer among Asia-Pacific population.Journal of gastrointestinal oncology · 2021Review
- Diabetes Mellitus, Obesity, and Risk of Pancreatic Ductal Adenocarcinoma: a Large Case-Control Study from Iran.Middle East journal of digestive diseases · 2021Article
- Systemic Inflammatory Response and Outcomes in Community-Acquired Pneumonia Patients Categorized According to the Smoking Habit or Presence of Chronic Obstructive Pulmonary Disease.Journal of clinical medicine · 2020Article
- Japanese Legacy Cohorts: Six-Prefecture Cohort Study (Hirayama Cohort Study).Journal of epidemiology · 2020Article
- The Association Between Education and Smoking Prevalence, Independent of Occupation: A Nationally Representative Survey in Japan.Journal of epidemiology · 2020Article
- Effectiveness of Text-Only Cigarette Health Warnings in Japan: Findings from the 2018 International Tobacco Control (ITC) Japan Survey.International journal of environmental research and public health · 2020Article
- Attributable Causes of Cancer in Vietnam.JCO global oncology · 2020Article
- Tumor mutation burden and recurrent tumors in hereditary lung cancer.Cancer medicine · 2019Article
4 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundQuantitative measures of the burden of tobacco smoking in Asian countries are limited. We estimated the population attributable fraction (PAF) of mortality associated with smoking in Japan, using pooled data from three large-scale cohort studies.
methodsIn total, 296,836 participants (140,026 males and 156,810 females) aged 40-79 years underwent baseline surveys during the 1980s and early 1990s. The average follow-up period was 9.6 years. PAFs for all-cause mortality and individual tobacco-related diseases were estimated from smoking prevalence and relative risks.
resultsThe prevalence of current and former smokers was 54.4% and 25.1% for males, and 8.1% and 2.4% for females. The PAF of all-cause mortality was 27.8% [95% confidence interval (CI): 25.2-30.4] for males and 6.7% (95% CI: 5.9-7.5) for females. The PAF of all-cause mortality calculated by summing the disease-specific PAFs was 19.1% (95% CI: 16.0-22.2) for males and 3.6% (95% CI: 3.0-4.2) for females. The estimated number of deaths attributable to smoking in Japan in 2005 was 163,000 for males and 33,000 for females based on the former set of PAFs, and 112,000 for males and 19,000 for females based on the latter set. The leading causes of smoking-attributable deaths were cancer (61% for males and 31% for females), ischemic heart diseases and stroke (23% for males and 51% for females), and chronic obstructive pulmonary diseases and pneumonia (11% for males and 13% for females).
conclusionThe health burden due to smoking remains heavy among Japanese males. Considering the high prevalence of male current smokers and increasing prevalence of young female current smokers, effective tobacco controls and quantitative assessments of the health burden of smoking need to be continuously implemented in Japan.
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