Document Detail

Estimating the effect of smoking on slowdowns in mortality declines in developed countries.
MedLine Citation:
PMID:  21519979     Owner:  NLM     Status:  MEDLINE    
Declines in mortality rates for females at older ages in some developed countries, including the United States, have slowed in recent decades even as decreases have steadily continued in some other countries. This study presents a modified version of the indirect Peto-Lopez method, which uses lung cancer mortality rates as a proxy for smoking exposure, to analyze this trend. The modified method estimates smoking-attributable mortality for more-specific age groups than does the Peto-Lopez method. An adjustment factor is also introduced to account for low mortality in the indirect method's study population. These modifications are shown to be useful specifically in the estimation of deaths attributable to smoking for females at older ages, and in the estimation of smoking-attributable mortality more generally. In a comparison made between the United States and France with the modified method, smoking is found to be responsible for approximately one-half the difference in life expectancy for females at age 65.
Brian L Rostron; John R Wilmoth
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Demography     Volume:  48     ISSN:  0070-3370     ISO Abbreviation:  Demography     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-05-25     Completed Date:  2012-04-16     Revised Date:  2012-06-11    
Medline Journal Info:
Nlm Unique ID:  0226703     Medline TA:  Demography     Country:  United States    
Other Details:
Languages:  eng     Pagination:  461-79     Citation Subset:  IM    
National Center for Health Statistics, Hyattsville, MD, USA.
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MeSH Terms
Age Factors
Aged, 80 and over
Cause of Death / trends*
Cross-Cultural Comparison
Developed Countries / statistics & numerical data
Life Expectancy / trends*
Lung Neoplasms / ethnology,  mortality*
Middle Aged
Mortality, Premature / trends
Sex Factors
Smoking / adverse effects,  mortality*
United States / epidemiology
Women's Health / ethnology,  trends*
Grant Support
R01 AG011552/AG/NIA NIH HHS; R01 AG11552/AG/NIA NIH HHS; T32 AG000246-14/AG/NIA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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