Epidemiology and public health policy of tobacco use and cardiovascular disorders in low- and middle-income countries

Danish Saleheen; Wei Zhao; Asif Rasheed

doi:10.1161/ATVBAHA.114.303826

Epidemiology and public health policy of tobacco use and cardiovascular disorders in low- and middle-income countries

Arterioscler Thromb Vasc Biol. 2014 Sep;34(9):1811-9. doi: 10.1161/ATVBAHA.114.303826. Epub 2014 Jul 17.

Authors

Danish Saleheen¹, Wei Zhao², Asif Rasheed²

Affiliations

¹ From the Department of Biostatistics and Epidemiology (D.S.) and Division of Translational Medicine and Human Genetics, Perelman School of Medicine (D.S., W.Z.), University of Pennsylvania, Philadelphia; and Center for Non-Communicable Diseases, Karachi, Pakistan (D.S., A.R.). [email protected].
² From the Department of Biostatistics and Epidemiology (D.S.) and Division of Translational Medicine and Human Genetics, Perelman School of Medicine (D.S., W.Z.), University of Pennsylvania, Philadelphia; and Center for Non-Communicable Diseases, Karachi, Pakistan (D.S., A.R.).

PMID: 25035346
DOI: 10.1161/ATVBAHA.114.303826

Abstract

All forms of tobacco lead to an increased risk of cardiovascular disorders. During the past few decades, the number of people who consume tobacco has increased worldwide because of an overall increase in the global population. It is estimated that close to 80% of the >1.3 billion people who smoke tobacco in the world are in low- and middle-income countries. Smokeless forms of tobacco are also widely consumed in low- and middle-income countries, including chewable and snuffed forms. Lack of targeted and effective strategies to control tobacco consumption contributes to a large burden of cardiovascular disorders in low- and middle-income countries, where cardiovascular disorders have become the leading cause of morbidity and mortality. In this review, we evaluate the epidemiology of tobacco use in low- and middle-income countries and assess the public health policies needed to control tobacco use in such regions for the prevention of cardiovascular disorders and other tobacco-related morbidities and mortality.

Keywords: coronary disease; low- and middle-income countries; smoking; stroke; tobacco.

Publication types

Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Adult
Age Distribution
Cardiovascular Diseases / epidemiology
Cardiovascular Diseases / etiology
Cardiovascular Diseases / prevention & control*
Child
Developed Countries / economics
Developing Countries / economics
Female
Guidelines as Topic
Health Policy*
Health Promotion* / legislation & jurisprudence
Health Promotion* / organization & administration
Humans
Income
Male
Nicotine / analysis
Prevalence
Public Health*
Sex Distribution
Smoking / adverse effects
Smoking / epidemiology
Smoking / legislation & jurisprudence
Smoking Prevention
Taxes
Tobacco Industry / economics
Tobacco Industry / legislation & jurisprudence
Tobacco Smoke Pollution / adverse effects
Tobacco Smoke Pollution / legislation & jurisprudence
Tobacco Smoke Pollution / prevention & control
Tobacco Smoke Pollution / statistics & numerical data
Tobacco Use / adverse effects*
Tobacco Use / epidemiology
Tobacco Use / legislation & jurisprudence
Tobacco, Smokeless / adverse effects
Tobacco, Smokeless / statistics & numerical data
World Health Organization

Substances

Tobacco Smoke Pollution
Nicotine

Abstract

Publication types

MeSH terms

Substances

Grants and funding