Analysis of the disease burden of stroke attributable to smoking and tobacco exposure in public places among residents of Hangzhou before and after the implementation of the Regulations on Smoking Control in Public Places of Hangzhou City (2019)
10.3760/cma.j.cn115624-20240820-00672
- VernacularTitle:《杭州市公共场所控制吸烟条例》（2019）实施前后杭州市居民归因于吸烟和公共场所烟草暴露的脑卒中疾病负担分析
- Author:
Muwen LIU
1
;
Xinyue ZHANG
;
Meng WANG
;
Haiyan MA
;
Feng YU
Author Information
1. 杭州市疾病预防控制中心（杭州市卫生监督所）健康教育所，杭州 310021
- Publication Type:Journal Article
- Keywords:
Smoking;
Stroke;
Public health and environment;
Tobacco exposure;
Disease burden;
Economic burden;
Hangzhou
- From:
Chinese Journal of Health Management
2025;19(6):421-428
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the disease burden and economic burden of stroke attributed to smoking and tobacco exposure in public places among residents of Hangzhou before and after the implementation of the regulations on smoking control in public places of Hangzhou City (2019) ("Regulations").Methods:It was a cross-sectional study. Data were obtained from the tobacco use survey and stroke mortality surveillance system in Hangzhou in 2018 and 2021. Population Attributable Fractions and Disability-Adjusted Life Years (DALYs) attributable to smoking and tobacco exposure in public places were calculated following the methodology framework of the Global Burden of Disease Study 2019 (GBD 2019). The economic burden of stroke disease attributable to smoking and tobacco exposure in public places, was calculated based on medical costs, direct non-medical costs and indirect cost data obtained from a self-designed questionnaire.Results:The smoking rate in Hangzhou decreased from 43.03% in 2018 to 34.73% in 2021 for males, whereas it marginally increased from 0.75% to 0.97% for females. The tobacco exposure rate in public places decreased from 53.74% to 35.73% for males and from 35.24% to 23.03% for females. The DALY rate for stroke attributable to smoking decreased from 92.13×10 -5 to 71.04×10 -5 for males, whereas it increased from 1.49×10 -5 to 1.83×10 -5 for females. Similarly, the DALY rate for stroke attributable to tobacco exposure in public places decreased from 70.52×10 -5 to 45.22×10 -5 for males and from 43.91×10 -5 to 29.64×10 -5 for females. The total economic burden of stroke attributable to smoking and tobacco exposure in public places in Hangzhou City in 2018 was 398.996 3 million yuan and 476.554 2 million yuan, respectively; both of them decreased to 349.448 6 million yuan and 339.157 0 million yuan in 2021, respectively. Conclusions:The implementation of the new version of the "Regulations" has achieved remarkable tobacco control effects in Hangzhou. The burden of disease and the economic burden of stroke attributable to smoking and exposure to tobacco in public places are significantly reduced.
