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Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Stroke | Research

Examining the influence of global smoking prevalence on stroke mortality: insights from 27 countries across income strata

Authors: Isuri Abeysekera, Roshinie De Silva, Disuri Silva, Lakindu Piumika, Ruwan Jayathilaka, Lochana Rajamanthri

Published in: BMC Public Health | Issue 1/2024

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Abstract

Background

This study investigates the influence of Global Smoking Prevalence (GSP) on Stroke Death Rates (SDR) across 27 countries categorized into High-Income Countries (HIC), Upper Middle-Income Countries (UMIC), Lower Middle-Income Countries (LMIC), and Low-Income Countries (LIC).

Methods

Analysing data from two distinct periods (1990–1999 and 2010–2019), countries exhibiting an increased SDR were selected. The study uses a polynomial regression model, treating income groups as cross-sectional and years as time series data.

Results

Results from the regression model reveal that 17 countries observed a significant impact of GSP on SDR, with only Turkey, Solomon Islands, and Timor-Leste resulting in negative values. However, the study emphasises that out of all 27 countries, the highest occurrence of the impact of GSP on SDR has been reported in the LMIC stratum for the period under review.

Conclusion

It is evident that GSP affects the risk of incidence of stroke death, specifically in the LMIC stratum. Furthermore, it has been identified that GSP is a major preventable risk factor affecting global mortality. To mitigate the risk of stroke death attributable to smoking prevalence, necessary preventive steps should be adopted to encourage smoking cessation, and essential policies should be implemented to reduce the burden of SDR.
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Literature
2.
go back to reference Collantes MEV, Zuñiga YMH, Uezono DR. Incidence and prevalence of stroke and its risk factors in the Philippines: a systematic review. Acta Med Philippina. 2022;56(14). Collantes MEV, Zuñiga YMH, Uezono DR. Incidence and prevalence of stroke and its risk factors in the Philippines: a systematic review. Acta Med Philippina. 2022;56(14).
4.
go back to reference Pan B, Jin X, Jun L, Qiu S, Zheng Q, Pan M. The relationship between smoking and stroke: a meta-analysis. Med (Baltim). 2019;98(12):e14872.CrossRef Pan B, Jin X, Jun L, Qiu S, Zheng Q, Pan M. The relationship between smoking and stroke: a meta-analysis. Med (Baltim). 2019;98(12):e14872.CrossRef
6.
7.
go back to reference Dichgans M, Leys D. Vascular cognitive impairment. Circul Res. 2017;120(3):573–91.CrossRef Dichgans M, Leys D. Vascular cognitive impairment. Circul Res. 2017;120(3):573–91.CrossRef
8.
go back to reference Maznyczka A, Sen S, Cook C, Francis D.P. The ischaemic constellation: an alternative to the ischaemic cascade-implications for the validation of new ischaemic tests. Open Heart. 2015;2. Maznyczka A, Sen S, Cook C, Francis D.P. The ischaemic constellation: an alternative to the ischaemic cascade-implications for the validation of new ischaemic tests. Open Heart. 2015;2.
9.
go back to reference Chen L, Deng H, Cui H, Fang J, Zuo Z, Deng J, Li Y, Wang X, Zhao L. Inflammatory responses and inflammation-associated diseases in organs. PubMed Cent. 2018;9(6):7204–18. Chen L, Deng H, Cui H, Fang J, Zuo Z, Deng J, Li Y, Wang X, Zhao L. Inflammatory responses and inflammation-associated diseases in organs. PubMed Cent. 2018;9(6):7204–18.
10.
go back to reference De Giuli V, Grassi M, Besana M, Zedde M, Zini A, Lodigiani C, Marcheselli S, Cavallini A, Micieli G, Rasura M, et al. Subclinical vascular brain lesions in young adults with acute ischemic stroke. Stroke. 2022;53(4):1190–8.CrossRefPubMed De Giuli V, Grassi M, Besana M, Zedde M, Zini A, Lodigiani C, Marcheselli S, Cavallini A, Micieli G, Rasura M, et al. Subclinical vascular brain lesions in young adults with acute ischemic stroke. Stroke. 2022;53(4):1190–8.CrossRefPubMed
11.
go back to reference Ovbiagele B, Bath PM, Cotton D, Vinisko R, Diener HC. Obesity and recurrent vascular risk after a recent ischemic stroke. Stroke. 2011;42(12):3397–402.CrossRefPubMed Ovbiagele B, Bath PM, Cotton D, Vinisko R, Diener HC. Obesity and recurrent vascular risk after a recent ischemic stroke. Stroke. 2011;42(12):3397–402.CrossRefPubMed
12.
go back to reference Eberth B, Olajide D, Craig P, Ludbrook A. Smoking-related disease risk, area deprivation and health behaviours. J Public Health (Oxf). 2014;36(1):72–80.CrossRefPubMed Eberth B, Olajide D, Craig P, Ludbrook A. Smoking-related disease risk, area deprivation and health behaviours. J Public Health (Oxf). 2014;36(1):72–80.CrossRefPubMed
13.
go back to reference Luo J, Tang X, Li F, Wen H, Wang L, Ge S, Tang C, Xu N, Lu L. Cigarette smoking and risk of different pathologic types of stroke: a systematic review and dose-response meta-analysis. Front Neurol. 2021;12:772373.CrossRefPubMed Luo J, Tang X, Li F, Wen H, Wang L, Ge S, Tang C, Xu N, Lu L. Cigarette smoking and risk of different pathologic types of stroke: a systematic review and dose-response meta-analysis. Front Neurol. 2021;12:772373.CrossRefPubMed
14.
go back to reference Summers AD, Sirin H, Palipudi K, Erguder T, Ciobanu A, Ahluwalia IB. Changes in prevalence and predictors of tobacco smoking and interest in smoking cessation in Turkey: evidence from the global adult tobacco survey, 2008–2016. Tobacco Prevention and Cessation. 2022;8:35. Summers AD, Sirin H, Palipudi K, Erguder T, Ciobanu A, Ahluwalia IB. Changes in prevalence and predictors of tobacco smoking and interest in smoking cessation in Turkey: evidence from the global adult tobacco survey, 2008–2016. Tobacco Prevention and Cessation. 2022;8:35.
15.
go back to reference Memon A, Moody PM, Sugathan TN, Gerges NE, Bustan MA, Shatti AA, Jazzaf HA. Epidemiology of smoking among Kuwaiti adults: prevalence, characteristics, and attitudes. Bulletine World Health Organ. 2000;78(11):1306–15. Memon A, Moody PM, Sugathan TN, Gerges NE, Bustan MA, Shatti AA, Jazzaf HA. Epidemiology of smoking among Kuwaiti adults: prevalence, characteristics, and attitudes. Bulletine World Health Organ. 2000;78(11):1306–15.
16.
go back to reference Baldeh M, Youkee D, Lakoh S, Rudd A, Langhorne P, Deen GF, Conteh ZF, Lisk DR, O’Hara J, Thompson M, et al. Stroke in Sierra Leone. The stroke risk factors for people with hiv: a prospective case-control study. J Stroke Cerebrovasc Dis. 2023;32(9):107279.CrossRefPubMed Baldeh M, Youkee D, Lakoh S, Rudd A, Langhorne P, Deen GF, Conteh ZF, Lisk DR, O’Hara J, Thompson M, et al. Stroke in Sierra Leone. The stroke risk factors for people with hiv: a prospective case-control study. J Stroke Cerebrovasc Dis. 2023;32(9):107279.CrossRefPubMed
17.
go back to reference Cisse FA, Ligot N, Conde K, Barry DS, Toure LM, Konate M, Soumah MF, Diawara K, Traore M, Naeije G. Predictors of stroke favorable functional outcome in Guinea, results from the Conakry stroke registry. Sci Rep. 2022;12(1):1125.ADSCrossRefPubMedPubMedCentral Cisse FA, Ligot N, Conde K, Barry DS, Toure LM, Konate M, Soumah MF, Diawara K, Traore M, Naeije G. Predictors of stroke favorable functional outcome in Guinea, results from the Conakry stroke registry. Sci Rep. 2022;12(1):1125.ADSCrossRefPubMedPubMedCentral
18.
go back to reference Collantes MEV, Zuñiga YMH, Granada CN, Uezono DR, De Castillo LC, Enriquez CG, Ignacio KD, Ignacio SD, Jamora RD. Current state of stroke care in the Philippines. Front Neurol. 2021;12. Collantes MEV, Zuñiga YMH, Granada CN, Uezono DR, De Castillo LC, Enriquez CG, Ignacio KD, Ignacio SD, Jamora RD. Current state of stroke care in the Philippines. Front Neurol. 2021;12.
19.
go back to reference Oono IP, Mackay DF, Pell JP. Meta-analysis of the association between secondhand smoke exposure and stroke. J Public Health (Oxf). 2011;33(4):496–502.CrossRefPubMed Oono IP, Mackay DF, Pell JP. Meta-analysis of the association between secondhand smoke exposure and stroke. J Public Health (Oxf). 2011;33(4):496–502.CrossRefPubMed
20.
go back to reference Houehanou YCN, Agbetou M, Kossi O, Agonnoude M, Hountada H, Adoukonou T. Prevalence and factors associated with stroke risk factors in an urban community of Parakou, Northern Benin, 2016. PLOS Glob Public Health. 2022;2(7):e0000667.CrossRefPubMedPubMedCentral Houehanou YCN, Agbetou M, Kossi O, Agonnoude M, Hountada H, Adoukonou T. Prevalence and factors associated with stroke risk factors in an urban community of Parakou, Northern Benin, 2016. PLOS Glob Public Health. 2022;2(7):e0000667.CrossRefPubMedPubMedCentral
21.
go back to reference Punzalan FER, Reganit PFM, Reyes EB. Smoking burden in the Philippines. Acta Med Philippina. 2013;47(3). Punzalan FER, Reganit PFM, Reyes EB. Smoking burden in the Philippines. Acta Med Philippina. 2013;47(3).
22.
go back to reference Abduboriyevna RK, Yusufjonovich NS. Stroke burden in Asia: to the epidemiology in Uzbekistan. Eur Sci Rev. 2018;7(8):156–61. Abduboriyevna RK, Yusufjonovich NS. Stroke burden in Asia: to the epidemiology in Uzbekistan. Eur Sci Rev. 2018;7(8):156–61.
23.
go back to reference Kaduka L, Korir A, Oduor CO, Kwasa J, Mbui J, Wabwire S, Gakunga R, Okerosi N, Opanga Y, Kisiang’ani I, et al. Stroke distribution patterns and characteristics in Kenya’s leading public health tertiary institutions: Kenyatta National Hospital and Moi Teaching and Referral Hospital. Cardiovasc J Afr. 2018;29(2):68–72.CrossRefPubMed Kaduka L, Korir A, Oduor CO, Kwasa J, Mbui J, Wabwire S, Gakunga R, Okerosi N, Opanga Y, Kisiang’ani I, et al. Stroke distribution patterns and characteristics in Kenya’s leading public health tertiary institutions: Kenyatta National Hospital and Moi Teaching and Referral Hospital. Cardiovasc J Afr. 2018;29(2):68–72.CrossRefPubMed
24.
go back to reference Al Omari O, Abu Sharour L, Heslop K, Wynaden D, Alkhawaldeh A, Al Qadire M, Khalaf A. Knowledge, attitudes, prevalence and associated factors of cigarette smoking among university students: a cross sectional study. J Community Health. 2021;46(3):450–6.CrossRefPubMed Al Omari O, Abu Sharour L, Heslop K, Wynaden D, Alkhawaldeh A, Al Qadire M, Khalaf A. Knowledge, attitudes, prevalence and associated factors of cigarette smoking among university students: a cross sectional study. J Community Health. 2021;46(3):450–6.CrossRefPubMed
26.
go back to reference Soliman D, Akram SA, AlMutairi A, AlShammari K, Al Hubaidah M, AlMaayoufi M, AlMutairi M, AlDaihani S, AlKhudher S, Alkandari AF. Prevalence of tobacco smoking and associated risk factors among public sector employees in Kuwait: a cross-sectional study. Cureus. 2023;15(3):e35925.PubMedPubMedCentral Soliman D, Akram SA, AlMutairi A, AlShammari K, Al Hubaidah M, AlMaayoufi M, AlMutairi M, AlDaihani S, AlKhudher S, Alkandari AF. Prevalence of tobacco smoking and associated risk factors among public sector employees in Kuwait: a cross-sectional study. Cureus. 2023;15(3):e35925.PubMedPubMedCentral
27.
go back to reference Avan A, Digaleh H, Di Napoli M, Stranges S, Behrouz R, Shojaeianbabaei G, Amiri A, Tabrizi R, Mokhber N, Spence JD, et al. Socioeconomic status and stroke incidence, prevalence, mortality, and worldwide burden: an ecological analysis from the global burden of disease study 2017. BioMed Cent. 2019;17(1):191. Avan A, Digaleh H, Di Napoli M, Stranges S, Behrouz R, Shojaeianbabaei G, Amiri A, Tabrizi R, Mokhber N, Spence JD, et al. Socioeconomic status and stroke incidence, prevalence, mortality, and worldwide burden: an ecological analysis from the global burden of disease study 2017. BioMed Cent. 2019;17(1):191.
28.
go back to reference Venketasubramanian N. Stroke epidemiology in Oceania: a review. Neuroepidemiology. 2021:1–10. Venketasubramanian N. Stroke epidemiology in Oceania: a review. Neuroepidemiology. 2021:1–10.
29.
go back to reference Rahbar MH, Medrano M, Diaz-Garelli F, Villiam CG, Saroukhani S, Kim S, Tahanan A, Franco Y, Castro-Tejada G, Diaz SA, et al. Younger age of stroke in low-middle income countries is related to healthcare access and quality. Ann Clin Transl Neurol. 2022;9(3):415–27.CrossRefPubMedPubMedCentral Rahbar MH, Medrano M, Diaz-Garelli F, Villiam CG, Saroukhani S, Kim S, Tahanan A, Franco Y, Castro-Tejada G, Diaz SA, et al. Younger age of stroke in low-middle income countries is related to healthcare access and quality. Ann Clin Transl Neurol. 2022;9(3):415–27.CrossRefPubMedPubMedCentral
30.
go back to reference Leshargie CT, Alebel A, Kibret GD, Birhanu MY, Mulugeta H, Malloy P, Wagnew F, Ewunetie AA, Ketema DB, Aderaw A, et al. The impact of peer pressure on cigarette smoking among high school and university students in Ethiopia: a systemic review and meta-analysis. PLoS ONE. 2019;14(10):e0222572.CrossRefPubMedPubMedCentral Leshargie CT, Alebel A, Kibret GD, Birhanu MY, Mulugeta H, Malloy P, Wagnew F, Ewunetie AA, Ketema DB, Aderaw A, et al. The impact of peer pressure on cigarette smoking among high school and university students in Ethiopia: a systemic review and meta-analysis. PLoS ONE. 2019;14(10):e0222572.CrossRefPubMedPubMedCentral
31.
go back to reference Nordahl H, Osler M, Frederiksen BL, Andersen I, Prescott E, Overvad K, Diderichsen F, Rod NH. Combined effects of socioeconomic position, smoking, and hypertension on risk of ischemic and hemorrhagic stroke. Stroke. 2014;45(9):2582–7.CrossRefPubMed Nordahl H, Osler M, Frederiksen BL, Andersen I, Prescott E, Overvad K, Diderichsen F, Rod NH. Combined effects of socioeconomic position, smoking, and hypertension on risk of ischemic and hemorrhagic stroke. Stroke. 2014;45(9):2582–7.CrossRefPubMed
32.
go back to reference Nutakki A, Chomba M, Chishimba L, Zimba S, Gottesman RF, Bahouth MN, Saylor D. Risk factors and outcomes of hospitalized stroke patients in Lusaka. Zambia J Neurol Sci. 2021;424:117404.CrossRefPubMed Nutakki A, Chomba M, Chishimba L, Zimba S, Gottesman RF, Bahouth MN, Saylor D. Risk factors and outcomes of hospitalized stroke patients in Lusaka. Zambia J Neurol Sci. 2021;424:117404.CrossRefPubMed
33.
go back to reference Wu F, Chen Y, Parvez F, Segers S, Argos M, Islam T, Ahmed A, Rakibuz-Zaman M, Hasan R, Sarwar G, et al. A prospective study of tobacco smoking and mortality in Bangladesh. PLoS ONE. 2013;8(3):e58516.ADSCrossRefPubMedPubMedCentral Wu F, Chen Y, Parvez F, Segers S, Argos M, Islam T, Ahmed A, Rakibuz-Zaman M, Hasan R, Sarwar G, et al. A prospective study of tobacco smoking and mortality in Bangladesh. PLoS ONE. 2013;8(3):e58516.ADSCrossRefPubMedPubMedCentral
Metadata
Title
Examining the influence of global smoking prevalence on stroke mortality: insights from 27 countries across income strata
Authors
Isuri Abeysekera
Roshinie De Silva
Disuri Silva
Lakindu Piumika
Ruwan Jayathilaka
Lochana Rajamanthri
Publication date
01-12-2024
Publisher
BioMed Central
Keyword
Stroke
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-18250-1

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