Prevalence of smoking and its changes over time in Russia: data from the ESSE-RF study
https://doi.org/10.15829/1728-8800-2023-3790
EDN: NLZAXM
Abstract
Aim. To analyze the prevalence of smoking according to the Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation-3 (ESSE-RF3) study, and compare these data with the previous two stages.
Material and methods. Data from following three cross sections of the ESSE-RF study were used: 2013-2014, 2017, 2020-2022. At the first stage, the prevalence and probability of smoking was assessed according to ESSE-RF3 data in 2020-2022 (n=28628, 35-74 years). At the second stage, an analysis was carried out over time using data from all three ESSE-RF sections (n=43804, 35-64 years).
Results. In the overall ESSE-RF3 sample, the prevalence of smoking was 17,0% (men — 27,7%, women — 7,6%). Smoking probability varies significantly by sex, age, education level and income. Over time, the standardized prevalence of smoking increases from 25,0% in 20132014 to 26,2% in 2017, and then decreases to 21,5% in 2020-2022. Women are characterized by the same direction of trends, while men had consistent decrease in prevalence from 41,3 to 37,0 and 34,3%, respectively. The probability of smoking in 2017, relative to 20132014, decreases only in some socio-demographic categories of the population. In 2020-2022, a decrease in the probability of smoking is typical for both the general sample and all subgroups of the population.
Conclusion. The results obtained characterize the current situation and time trends of the last decade and contain important information on smoking epidemiology in Russia.
About the Authors
O. M. DrapkinaRussian Federation
Moscow
S. A. Maksimov
Russian Federation
Moscow
S. A. Shalnova
Russian Federation
Moscow
Yu. A. Balanova
Russian Federation
Moscow
A. E. Imaeva
Russian Federation
Moscow
V. A. Kutsenko
Russian Federation
Moscow
G. A. Muromtseva
Russian Federation
Moscow
M. B. Kotova
Russian Federation
Moscow
N. S. Karamnova
Russian Federation
Moscow
S. E. Evstifeeva
Russian Federation
Moscow
A. V. Kapustina
Russian Federation
Moscow
A. A. Zelenina
Russian Federation
Moscow
O. A. Litinskaya
Russian Federation
Moscow
M. S. Pokrovskaya
Russian Federation
Moscow
E. B. Yarovaya
Russian Federation
Moscow
T. V. Repkina
Russian Federation
Barnaul
T. O. Gonoshilova
Russian Federation
Barnaul
A. V. Kudryavtsev
Russian Federation
Arkhangelsk
N. I. Belova
Russian Federation
Arkhangelsk
L. L. Shagrov
Russian Federation
Arkhangelsk
M. A. Samotrueva
Russian Federation
Astrakhan
A. L. Yasenyavskaya
Russian Federation
Astrakhan
E. N. Chernysheva
Russian Federation
Astrakhan
S. V. Glukhovskaya
Russian Federation
Ekaterinburg
I. A. Levina
Russian Federation
Ekaterinburg
E. A. Shirshova
Russian Federation
Ekaterinburg
E. B. Dorzhieva
Russian Federation
Ulan-Ude
E. Z. Urbanova
Russian Federation
Ulan-Ude
N. Yu. Borovkova
Russian Federation
Nizhny Novgorod
V. K. Kurashin
Russian Federation
Nizhny Novgorod
A. S. Tokareva
Russian Federation
Nizhny Novgorod
Yu. I. Ragino
Russian Federation
Novosibirsk
G. I. Simonova
Russian Federation
Novosibirsk
A. D. Khudyakova
Russian Federation
Novosibirsk
V. N. Nikulin
Russian Federation
Orenburg
O. R. Aslyamov
Russian Federation
Orenburg
G. V. Khokhlova
Russian Federation
Orenburg
A. V. Solovyova
Russian Federation
Tver
A. A. Rodionov
Russian Federation
Tver
A. V. Kryachkova
Russian Federation
Tver
Yu. Yu. Shamurova
Russian Federation
Chelyabinsk
I. V. Tantsyreva
Russian Federation
Chelyabinsk
I. N. Baryshikova
Russian Federation
Chelyabinsk
M. G. Ataev
Russian Federation
Makhachkala
M. O. Radzhabov
Russian Federation
Makhachkala
M. M. Isakhanova
Russian Federation
Makhachkala
M. A. Umetov
Russian Federation
Nalchik
L. V. Elgarova
Russian Federation
Nalchik
I. A. Khakuasheva
Russian Federation
Nalchik
E. I. Yamashkina
Russian Federation
Saransk
M. V. Esina
Russian Federation
Saransk
T. A. Kunyaeva
Russian Federation
Saransk
A. M. Nikitina
Russian Federation
Yakutsk
N. V. Savvina
Russian Federation
Yakutsk
Yu. E. Spiridonova
Russian Federation
Yakutsk
E. A. Naumova
Russian Federation
Cheboksary
B. M. Nazarov
Russian Federation
Moscow
A. A. Keskinov
Russian Federation
Moscow
V. S. Yudin
Russian Federation
Moscow
S. M. Yudin
Russian Federation
Moscow
A. V. Kontsevaya
Russian Federation
Moscow
References
1. GBD 2016 Risk Factors Collaborators. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1345-422. doi:10.1016/S0140-6736(17)32366-8.
2. Shalnova SA, Balanova YuA, Vilkov VG, et al. How to interpret and use the results of epidemiological studies in healthcare practice. Methodological Rationale. Cardiovascular Therapy and Prevention. 2022;21(11):139-66. (In Russ.) doi:10.15829/1728-8800-2022-3475.
3. Gambaryan MG, Boytsov SA, Salagai OO. Setting up a system for monitoring аnd evaluation of tobacco control measures aimed at protection from the environmental tobacco smoke аnd reduction of tobacco соnsumption. Profilakticheskaya Meditsina. 2016;19(6):4-11. (In Russ.) doi:10.17116/profmed20161954-11.
4. Islami F, Stoklosa M, Drope J, et al. Global and regional patterns of tobacco smoking and tobacco control policies. Eur Urol Focus. 2015;(1):3-16. doi:10.1016/j.euf.2014.10.001.
5. GBD 2015 Tobacco Collaborators. Smoking prevalence and attributable disease burden in 195 countries and territories, 1990-2015: a systematic analysis from the Global Burden of Disease Study 2015. Lancet. 2017;389(10082):1885-906. doi:10.1016/S0140-6736(17)30819-X.
6. Giovino GA, Mirza SA, Samet JM, et al. Tobacco use in 3 billion individuals from 16 countries: an analysis of nationally representative cross-sectional household surveys. Lancet. 2012;380(9842):668-79. doi:10.1016/S0140-6736(12)61085-X.
7. Balanova IuA, Shalnova SA, Deev A.D, et al. Smoking prevalence in Russia. What has changed over 20 years? Profilakticheskaya Meditsina. 2015;18(6):47-52. (In Russ.) doi:10.17116/profmed201518647-52.
8. Shkolnikov VM, Churilova E, Jdanov DA, et al. Time trends in smoking in Russia in the light of recent tobacco control measures: synthesis of evidence from multiple sources. BMC Public Health. 2020;20(1):378. doi:10.1186/s12889-020-08464-4.
9. Artamonova GV, Maksimov SA, Tsygankova DP, et al. Changes in cardiovascular risk factors in residents of the Siberian region (according to epidemiological studies). Rational Pharmacotherapy in Cardiology. 2021;17(3):362-8. (In Russ.) doi:10.20996/1819-6446-2021-06-02.
10. Shalnova SA, Maksimov SA, Balanova YA, et al. Adherence to a healthy lifestyle of the Russian population depending on the socio-demographics. Cardiovascular Therapy and Prevention. 2020;19(2):33-41. (In Russ.) doi:10.15829/1728-8800-2020-2452.
11. Muromtseva GA, Kontsevaya AV, Konstantinov VV, et al. The prevalence of non-infectious diseases risk factors in Russian population in 2012-2013 years. The results of ECVD-RF. Cardiovascular Therapy and Prevention. 2014;13(6):4-11. (In Russ.) doi:10.15829/1728-8800-2014-6-4-11.
12. Drapkina OM, Shalnova SA, Imaeva AE, et al. Epidemiology of Cardiovascular Diseases in Regions of Russian Federation. Third survey (ESSE-RF-3). Rationale and study design. Cardiovascular Therapy and Prevention. 2022;21(5):3246. (In Russ.) doi:10.15829/1728-8800-2022-3246.
13. Boitsov SA, Chazov EI, Shlyakhto EV, et al. Epidemiology of cardiovascular diseases in different regions of Russia (ESSE-RF). The rationale for and design of the study. Profilakticheskaya meditsina. 2013;16(6):25-34. (In Russ.)
14. Gambaryan MG, Kontsevaya AV, Popovich MV, et al. Assessment of the implementation of legislative restrictions on tobacco retailers and point-of-sale tobacco display bans based on a literature review and results from Russian tobacco control policy evaluation survey EPOCHA-RF. Profilakticheskaya meditsina. 2022;25(12):21-31. (In Russ.) doi:10.17116/profmed20222512121.
15. Gambaryan MG, Drapkina OM. Impact of implementation of tobacco control legislative measures on smoking prevalence in 10 Russian Federal subjects from 2013 to 2018. Profilakticheskaya meditsina. 2021;24(2):44-51. (In Russ.) doi:10.17116/profmed20212402144.
16. Zavala-Arciniega L, Reynales-Shigematsu LM, Levy DT, et al. Smoking trends in Mexico, 2002-2016: before and after the ratification of the WHO's Framework Convention on Tobacco Control. Tob Control. 2020;29(6):687-91. doi:10.1136/tobaccocontrol-2019-055153.
17. Catalano MA, Gilleskie DB. Impacts of local public smoking bans on smoking behaviors and tobacco smoke exposure. Health Econ. 2021;30(8):1719-44. doi:10.1002/hec.4280.
18. Maksimov SA, Shalnova SA, Balanova YA, et al. What regional living conditions affect individual smoking of adults in Russia. Int J Public Health. 2021;66:599570. doi:10.3389/ijph.2021.599570.
19. Zozaya N, Vallejo L. The effect of the economic crisis on adolescents' perceived health and risk behaviors: A multilevel analysis. Int J Environ Res Public Health. 2020;17(2):643. doi:10.3390/ijerph17020643.
20. Sane Schepisi M, Di Napoli A, Asciutto R, et al. The 2008 financial crisis and changes in lifestyle-related behaviors in Italy, Greece, Spain, and Portugal: A systematic review. Int J Environ Res Public Health. 2021;18(16):8734. doi:10.3390/ijerph18168734.
21. Maziak W, Taleb ZB, Bahelah R, et al. The global epidemiology of waterpipe smoking. Tob Control. 2015;24(Suppl 1):i3-12. doi:10.1136/tobaccocontrol-2014-051903.
22. Zhao Z, Zhang M, Wu J, et al. E-cigarette use among adults in China: findings from repeated cross-sectional surveys in 2015-16 and 2018-19. Lancet Public Health. 2020;5(12):e639-49. doi:10.1016/S2468-2667(20)30145-6.
Supplementary files
What is already known about the subject?
- In recent decades, the smoking prevalence has been decreasing in the vast majority of developed countries, but in a number of countries, including Russia, the trends are multidirectional.
- As part of the ESSE-RF epidemiological study, the prevalence of smoking in Russia was assessed, but a direct comparison of different ESSE-RF sections was not carried out.
What might this study add?
- Standardized smoking prevalence and individual probability of smoking increase from 2013-2014 to 2017, and further decrease in 2020-2022.
- Prevalence changes over time and individual probability of smoking differ in sex and socio-demographic groups of the population.
Review
For citations:
Drapkina O.M., Maksimov S.A., Shalnova S.A., Balanova Yu.A., Imaeva A.E., Kutsenko V.A., Muromtseva G.A., Kotova M.B., Karamnova N.S., Evstifeeva S.E., Kapustina A.V., Zelenina A.A., Litinskaya O.A., Pokrovskaya M.S., Yarovaya E.B., Repkina T.V., Gonoshilova T.O., Kudryavtsev A.V., Belova N.I., Shagrov L.L., Samotrueva M.A., Yasenyavskaya A.L., Chernysheva E.N., Glukhovskaya S.V., Levina I.A., Shirshova E.A., Dorzhieva E.B., Urbanova E.Z., Borovkova N.Yu., Kurashin V.K., Tokareva A.S., Ragino Yu.I., Simonova G.I., Khudyakova A.D., Nikulin V.N., Aslyamov O.R., Khokhlova G.V., Solovyova A.V., Rodionov A.A., Kryachkova A.V., Shamurova Yu.Yu., Tantsyreva I.V., Baryshikova I.N., Ataev M.G., Radzhabov M.O., Isakhanova M.M., Umetov M.A., Elgarova L.V., Khakuasheva I.A., Yamashkina E.I., Esina M.V., Kunyaeva T.A., Nikitina A.M., Savvina N.V., Spiridonova Yu.E., Naumova E.A., Nazarov B.M., Keskinov A.A., Yudin V.S., Yudin S.M., Kontsevaya A.V. Prevalence of smoking and its changes over time in Russia: data from the ESSE-RF study. Cardiovascular Therapy and Prevention. 2023;22(8S):3790. (In Russ.) https://doi.org/10.15829/1728-8800-2023-3790. EDN: NLZAXM