eprintid: 10046224 rev_number: 36 eprint_status: archive userid: 608 dir: disk0/10/04/62/24 datestamp: 2018-04-10 16:11:02 lastmod: 2021-12-13 23:42:59 status_changed: 2018-04-10 16:11:02 type: article metadata_visibility: show creators_name: Stefler, D creators_name: Azarova, A creators_name: Irdam, D creators_name: Scheiring, G creators_name: Murphy, M creators_name: McKee, M creators_name: King, L creators_name: Bobak, M title: Smoking, alcohol and cancer mortality in Eastern European men: Findings from the PrivMort retrospective cohort study ispublished: inpress divisions: UCL divisions: B02 divisions: D12 divisions: G19 keywords: Eastern Europe, Smoking, alcohol consumption, cancer, mortality rate note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. abstract: Eastern European men have among the highest cancer mortality rates globally. Prevalence of smoking and alcohol intake in this region is also high. The aim of this study was to calculate population attributable risk fraction (PARF) of cancer deaths from smoking and alcohol in Russia, Belarus and Hungary, and to examine the contribution of these lifestyle factors to differences in male cancer mortality in the three countries. Data was collected as part of the PrivMort retrospective cohort study. Randomly selected participants living in mid-size towns in Russia, Belarus and Hungary provided information on smoking habits, alcohol consumption, vital status and cause of death (if applicable) of male relatives (fathers, siblings and partners). PARF of cancer deaths (age 35 to 79) due to smoking, alcohol consumption and both combined was estimated between 2001 and 2013. Among 72,190 men, 4,702 died of cancer. Age standardized cancer mortality rates were similar to official data in all three countries. The estimated PARF (95% CI) associated with measures of smoking, alcohol consumption, both combined, and overall smoking or drinking were 25% (19-30), 2% (0-4), 29% (19-39) 43% (32-53) in Russia, 18% (8-28), 2% (-1-6), 28% (20-35), 38% (25-50) in Belarus, and 17% (13-20), 1% (0-3), 25% (20-30) 35% (28-42) in Hungary, respectively. These results suggest that in Eastern Europe, at least one third of cancer deaths in males may have been attributable to smoking and/or alcohol consumption in recent years. Health policies targeting these lifestyle factors can have a major impact on population health. This article is protected by copyright. All rights reserved. date: 2018-03-26 date_type: published official_url: https://doi.org/10.1002/ijc.31406 oa_status: green full_text_type: other language: eng primo: open primo_central: open_green article_type_text: Journal Article verified: verified_manual elements_id: 1545480 doi: 10.1002/ijc.31406 lyricists_name: Bobak, Martin lyricists_name: Stefler, Denes lyricists_id: MBOBA10 lyricists_id: DSTEF71 actors_name: Stacey, Thomas actors_id: TSSTA20 actors_role: owner full_text_status: public publication: International Journal of Cancer event_location: United States issn: 1097-0215 citation: Stefler, D; Azarova, A; Irdam, D; Scheiring, G; Murphy, M; McKee, M; King, L; Stefler, D; Azarova, A; Irdam, D; Scheiring, G; Murphy, M; McKee, M; King, L; Bobak, M; - view fewer <#> (2018) Smoking, alcohol and cancer mortality in Eastern European men: Findings from the PrivMort retrospective cohort study. International Journal of Cancer 10.1002/ijc.31406 <https://doi.org/10.1002/ijc.31406>. (In press). Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10046224/1/ijc_31406%28accepted%29.pdf document_url: https://discovery.ucl.ac.uk/id/eprint/10046224/7/Bobak%20Supplementary_material.pdf