Quantifying the contribution of smoking to regional mortality disparities in Germany: a cross-sectional study.

ABSTRACT:

Objectives

Substantial regional variation in smoking behaviour in Germany has been well documented. However, little is known about how these regional differences in smoking affect regional mortality disparities. We aim to assess the contribution of smoking to regional mortality differentials in Germany over the last four decades.

Design

A cross-sectional study using official cause-specific mortality data by German Federal State aggregated into five macro-regions: East, North, South, West-I and West-II.

Participants

The entire population of Germany stratified by sex, age and region during 1980-2019.

Main outcome measures

Smoking-attributable fraction estimated using the Preston-Glei-Wilmoth method; life expectancy at birth before and after the elimination of smo

SUBMITTER: Grigoriev P 

PROVIDER: S-EPMC9528608 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature