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Auteur T. McAFEE
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21st-Century hazards of smoking and benefits of cessation in the United States / P. JHA ; C. RAMASUNDARAHETTIGE ; V. LANDSMAN ; B. ROSTRON ; M. THUN ; R. N. ANDERSON ; T. McAFEE ; R. PETO in New England Journal of Medicine, Vol.368, n°4 (January 24, 2013)
Titre : 21st-Century hazards of smoking and benefits of cessation in the United States Type de document : Périodique Auteurs : P. JHA ; C. RAMASUNDARAHETTIGE ; V. LANDSMAN ; B. ROSTRON ; M. THUN ; R. N. ANDERSON ; T. McAFEE ; R. PETO Année de publication : 2013 Article en page(s) : 341-350 Note générale : Edirotial: New evidence that cigarette smoking remains the most important health hazard. Schroeder S.A., p. 389-390 Langues : Anglais (eng) Mots-clés : Thésaurus Géographique
TABAC ; ABSTINENCE ; FACTEUR DE RISQUE ; BENEFICE ; ESPERANCE DE VIE ; MORTALITE ; COHORTE ; EPIDEMIOLOGIE ; NON FUMEUR ; SEXE ; AGE
Discipline : EPI Epidémiologie / Epidemiology Résumé : Background: Extrapolation from studies in the 1980s suggests that smoking causes 25% of deaths among women and men 35 to 69 years of age in the United States. Nationally representative measurements of the current risks of smoking and the benefits of cessation at various ages are unavailable.
Methods: We obtained smoking and smoking-cessation histories from 113,752 women and 88,496 men 25 years of age or older who were interviewed between 1997 and 2004 in the U.S. National Health Interview Survey and related these data to the causes of deaths that occurred by December 31, 2006 (8236 deaths in women and 7479 in men). Hazard ratios for death among current smokers, as compared with those who had never smoked, were adjusted for age, educational level, adiposity, and alcohol consumption.
Results: For participants who were 25 to 79 years of age, the rate of death from any cause among current smokers was about three times that among those who had never smoked (hazard ratio for women, 3.0; 99% confidence interval [CI], 2.7 to 3.3; hazard ratio for men, 2.8; 99% CI, 2.4 to 3.1). Most of the excess mortality among smokers was due to neoplastic, vascular, respiratory, and other diseases that can be caused by smoking. The probability of surviving from 25 to 79 years of age was about twice as great in those who had never smoked as in current smokers (70% vs. 38% among women and 61% vs. 26% among men). Life expectancy was shortened by more than 10 years among the current smokers, as compared with those who had never smoked. Adults who had quit smoking at 25 to 34, 35 to 44, or 45 to 54 years of age gained about 10, 9, and 6 years of life, respectively, as compared with those who continued to smoke.
Conclusions: Smokers lose at least one decade of life expectancy, as compared with those who have never smoked. Cessation before the age of 40 years reduces the risk of death associated with continued smoking by about 90%.
Domaine : Tabac / Tobacco Refs biblio. : 30 Affiliation : Center for Global Health Research, St. Michael's Hospital, and Dalla Lana
School of Public Health, University of Toronto, Toronto, ON, Canada
Lien : http://dx.doi.org/10.1056/NEJMsa1211128 Permalink :
in New England Journal of Medicine > Vol.368, n°4 (January 24, 2013) . - 341-350[article]Cigarette, cigar, and marijuana use among high school students - United States, 1997-2013 / I. V. ROLLE ; S. M. KENNEDY ; I. AGAKU ; S. E. JONES ; R. BUNNELL ; R. CARABALLO ; X. XU ; G. SCHAUER ; T. McAFEE in Morbidity and Mortality Weekly Report, Vol.64, n°40 (October 16, 2015)
Titre : Cigarette, cigar, and marijuana use among high school students - United States, 1997-2013 Type de document : Périodique Auteurs : I. V. ROLLE ; S. M. KENNEDY ; I. AGAKU ; S. E. JONES ; R. BUNNELL ; R. CARABALLO ; X. XU ; G. SCHAUER ; T. McAFEE Année de publication : 2015 Article en page(s) : 1136-1141 Langues : Anglais (eng) Mots-clés : Thésaurus Géographique
TABAC ; CANNABIS ; ENSEIGNEMENT SECONDAIRE ; ADOLESCENT ; EVOLUTION ; CIGARETTE ; CIGARE ; PREVALENCE
Discipline : EPI Epidémiologie / Epidemiology Résumé : What is already known on this topic?
Since 2010, the proportion of U.S. 12th grade students who reported using marijuana during the preceding 30 days (21.4%) has surpassed the proportion reporting use of cigarettes during the preceding 30 days (19.2%).
What is added by this report?
During 1997-2013, the proportion of white, black, and Hispanic high school students overall who were exclusive cigarette or cigar users decreased 64%, from 20.5% to 7.4%. The proportion of white, black, and Hispanic students who were exclusive marijuana users more than doubled from 4.2% to 10.2%, and among cigarette or cigar users, marijuana use increased, with considerable increases identified among black and Hispanic students toward the end of the study period.
What are the implications for public health practice?
Despite significant declines since 1997, approximately 30% of white, black, and Hispanic U.S. high school students were current users of cigarettes, cigars, or marijuana in 2013. Policy and programmatic efforts might benefit from integrated approaches that focus on reducing the use of tobacco and marijuana among youths.
Domaine : Drogues illicites / Illicit drugs ; Tabac / Tobacco Refs biblio. : 10 Affiliation : Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, USA Lien : http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6440a2.htm Permalink :
in Morbidity and Mortality Weekly Report > Vol.64, n°40 (October 16, 2015) . - 1136-1141[article]National estimates of marijuana use and related indicators - National Survey on Drug Use and Health, United States, 2002-2014 / A. AZOFEIFA ; M. E. MATTSON ; G. SCHAUER ; T. McAFEE ; A. GRANT ; R. LYERLA in Morbidity and Mortality Weekly Report, Vol.65, n°SS-11 (September 2, 2016)
Titre : National estimates of marijuana use and related indicators - National Survey on Drug Use and Health, United States, 2002-2014 Type de document : Périodique Auteurs : A. AZOFEIFA ; M. E. MATTSON ; G. SCHAUER ; T. McAFEE ; A. GRANT ; R. LYERLA Année de publication : 2016 Article en page(s) : 1-28 Langues : Anglais (eng) Mots-clés : Thésaurus Géographique
CANNABIS ; PREVALENCE ; EVOLUTION ; ENQUETE ; EPIDEMIOLOGIE DESCRIPTIVE ; ADOLESCENT ; ADULTE ; PERCEPTION ; ATTITUDE ; INITIATION ; POSSESSION DE DROGUE
Discipline : EPI Epidémiologie / Epidemiology Résumé : PROBLEM/CONDITION: In the United States, marijuana is the most commonly used illicit drug. In 2013, 7.5% (19.8 million) of the U.S. population aged >=12 years reported using marijuana during the preceding month. Because of certain state-level policies that have legalized marijuana for medical or recreational use, population-based data on marijuana use and other related indicators are needed to help monitor behavioral health changes in the United States.
PERIOD COVERED: 2002-2014.
DESCRIPTION OF SYSTEM: The National Survey on Drug Use and Health (NSDUH) is a national- and state-level survey of a representative sample of the civilian, noninstitutionalized U.S. population aged >=12 years. NSDUH collects information about the use of illicit drugs, alcohol, and tobacco; initiation of substance use; frequency of substance use; substance dependence and abuse; perception of substance harm risk or no risk; and other related behavioral health indicators. This report describes national trends for selected marijuana use and related indicators, including prevalence of marijuana use; initiation; perception of harm risk, approval, and attitudes; perception of availability and mode of acquisition; dependence and abuse; and perception of legal penalty for marijuana possession.
RESULTS: In 2014, a total of 2.5 million persons aged >=12 years had used marijuana for the first time during the preceding 12 months, an average of approximately 7,000 new users each day. During 2002-2014, the prevalence of marijuana use during the past month, past year, and daily or almost daily increased among persons aged >=18 years, but not among those aged 12-17 years. Among persons aged >=12 years, the prevalence of perceived great risk from smoking marijuana once or twice a week and once a month decreased and the prevalence of perceived no risk increased. The prevalence of past year marijuana dependence and abuse decreased, except among persons aged >=26 years. Among persons aged >=12 years, the percentage reporting that marijuana was fairly easy or very easy to obtain increased. The percentage of persons aged >=12 reporting the mode of acquisition of marijuana was buying it and growing it increased versus getting it for free and sharing it. The percentage of persons aged >=12 years reporting that the perceived maximum legal penalty for the possession of an ounce or less of marijuana in their state is a fine and no penalty increased versus probation, community service, possible prison sentence, and mandatory prison sentence.
INTERPRETATION: Since 2002, marijuana use in the United States has increased among persons aged >=18 years, but not among those aged 12-17 years. A decrease in the perception of great risk from smoking marijuana combined with increases in the perception of availability (i.e., fairly easy or very easy to obtain marijuana) and fewer punitive legal penalties (e.g., no penalty) for the possession of marijuana for personal use might play a role in increased use among adults.
PUBLIC HEALTH ACTION: National- and state-level data can help federal, state, and local public health officials develop targeted prevention activities to reduce youth initiation of marijuana use, prevent marijuana dependence and abuse, and prevent adverse health effects. As state-level laws on medical and recreational marijuana use change, modifications might be needed to national- and state-level surveys and more timely and comprehensive surveillance systems might be necessary to provide these data. Marijuana use in younger age groups is a particular public health concern, and changing the perception of harm risk from smoking marijuana is needed.
Domaine : Drogues illicites / Illicit drugs Refs biblio. : 22 Affiliation : Division of Evaluation, Analysis and Quality, Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, USA Lien : https://www.cdc.gov/mmwr/volumes/65/ss/ss6511a1.htm Permalink :
in Morbidity and Mortality Weekly Report > Vol.65, n°SS-11 (September 2, 2016) . - 1-28[article]