HealthStats NSW
HealthStats NSW
HealthStats NSW

Smoking attributable deaths

  • + Source

    Mortality estimates for years up to 2005 are based on Australian Bureau of Statistics death registration data. Data from 2006 onwards were provided by the Australian Coordinating Registry, Cause of Death Unit Record File; the data for the most 2 recent years are preliminary (SAPHaRI, Centre for Epidemiology and Evidence, NSW Ministry of Health)  Unpublished tables from Australian Burden of Disease Study, 2015. Australian Institute of Health and Welfare

  • + Notes

    Calculated using age and sex-specific aetiological fractions from the Australian Burden of Disease Study 2015: methods and supplementary information.

    Only NSW residents are included. Deaths were classified using ICD-10. Rates were age-adjusted using the Australian population as at 30 June 2001.

    Counts of deaths for the latest year of data include an estimate of the number of deaths occurring in that year but registered in the next year.

    Interpretation: '0' result not statistically different than state average, '-' lower than the state average at the 5% level of statistical significance , '--' at the 1% level; '+' greater than the state average at the 5% level of significance, '++' at the 1% level.

    Direct age standardisation was used to calculate standardised rates and counts; Spatial adjustment methods were used to calculate the adjusted rates.

    Local Government Area boundaries used were defined in 2016.

    LL/UL 95%CI = lower and upper limits of the 95% confidence interval for the point estimate.

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  • + Methods
  • + Codes
    • Codes for Population Attributable Conditions: Tobacco smoking

      Mortality: Tobacco smoking attributable conditions

      Condition ICD10 codes
      PARTIALLY ATTRIBUTABLE CONDITIONS
      Malignant Neoplasms
      Lip and oral cavity cancer C00-C08
      Nasopharyngeal cancer C11
      Oesophageal cancer C15
      Stomach cancer C16
      Bowel cancer C18-C20
      Liver cancer C22
      Pancreatic cancer C25
      Laryngeal cancer C32
      Lung cancer C33-C34
      Breast Cancer C50
      Cervical cancer C53
      Prostate cancer C61
      Bladder cancer C67
      Kidney cancer C64
      Acute lymphoblastic leukaemia C91.0
      Chronic lymphocytic leukaemia C91.1
      Chronic myeloid leukaemia C92.1
      Acute myeloid leukaemia C92.0 C92.3-C92.8 C93.0 C94.0 C94.2-C94.5
      Other leukaemias C91.2-C91.9 C92.2 C92.7 C92.9 C93.1-C93.3 C93.7 C93.9 C94.1 C94.3 C94.6-C94.7 C95
      Endocrine diseases
      Type 2 diabetes E11 O24.1
      Neurological disorders
      Dementia  F00-F03 G30-G31
      Multiple sclerosis G35
      Eye and ear diseases
      Cataract  H25-H26
      Age-related macular degeneration H35.3
      Otitis media H65-H66 H68 H70
      Cardiovascular disease
      Hypertensive heart disease I11
      Coronary heart disease I20-I25
      Atrial fibrillation and flutter I48
      Stroke I60-I69
      Peripheral vascular disease I70 I72-I74
      Aortic aneurysm I71
      Other cardiovascular diseases G45 I26-I28 I44-I45 I47 I49 I51-I52 I77-I84 I86-I89 I95 I97-I99
      Respiratory diseases
      Influenza J09-J11
      Lower Respiratory Infections J12 J14-J18 J20-J22 J85-J86
      COPD J40-J44
      Asthma J45-J46
      Other respiratory disease
      J47 J66-J68 J70 J80-J82 J90-J95 J98-J99
      Digestive system diseases
      Gastroduodenal disorders K22.1 K25-K27 K29
      Gallbladder and bile duct disease K80-K83
      Muscle and connective tissue diseases
      Rheumatoid arthritis M05-M06 M08
      Back pain and problems M40-M41 M45-M51 M53-M54 M99

      Note: ICD codes have been summarised. Numbers are calculated using age and sex-specific population attributable fractions from the Australian Burden of Disease Study 2015. For information on how these were applied in HealthStats NSW please see the Methods paper on Population Attributable Fractions.

  • + Related Indicators
  • + Associated Information
    • Key points: Smoking

      Latest available information

      Data from the NSW Population Health Survey is used to measure the NSW State Government targets on reducing smoking in the population and is comparable with other sources of information on smoking in NSW.

      • 11.2% of adults aged 16 years and over (12.1% of men and 10.2% of women) smoked daily in NSW in 2019 and 15.5% (18.0% of men and 13.1% of women) were current (daily or occasional) smokers. Estimates were produced from the NSW Adult Population Health Survey (self-reported using Computer Assisted Telephone Interviewing or CATI).

      • 13.9% of NSW adults aged 18 years and over (17.0% of males and 10.9% of females) were daily smokers, as estimated from the 2017-18 National Health Survey (interviewer-administered questionnaire).

      • 8.8% of mothers smoked during pregnancy in 2019, as reported to the NSW Perinatal Data Collection.

      Latest available data for secondary school students in NSW

      • 6.4% of students aged 12-17 years (7.0% of boys and 5.7% of girls) were current smokers, as estimated from the 2017 NSW School Students Health Behaviours Survey (self-completed questionnaire).

      Latest available data for adult Aboriginal persons in NSW

      • 26.4% of Aboriginal adults aged 16 years and over smoked daily in NSW in 2018-2019 and 31.5% were current (daily or occasional) smokers. Estimates were produced from the NSW Adult Population Health Survey (self-reported using CATI).

      • 43.2% of Aboriginal mothers smoked during pregnancy in 2019, as reported to the NSW Perinatal Data Collection.

      Overall trends in NSW

      Self-reported data on current smoking have been collected for adults in NSW since 1997 through the NSW Population Health Survey, since 1977-78 through the National Health Survey (from 1995), since 1985 through the National Drug Strategy Household Survey, and since 2011 through the Australian Health Survey.

      Self-reported data on current smoking have been collected for students in NSW since 1984 through the NSW School Students Health Behaviours Survey.

      Prevalence estimates, although differing slightly between surveys because of different sampling frames, participation rates and modes of collection (telephone, self-completed questionnaires, face-to-face personal interview and drop-and-collect), have all been decreasing over time.

      Hospitalisations attributable to smoking

      A total of 62,930 hospitalisations were attributed to smoking in NSW in 2018-19, which was approximately 2.0% of all hospitalisations.

      The rate of hospitalisations attributable to smoking decreased in males by nearly 36%, compared to a 15% decrease among females in NSW between 2001-02 and 2018-19. Rates have stabilised in recent years.

      The rate of hospitalisations attributable to smoking increased in both Aboriginal males and Aboriginal females by 32% aand 24% respectively in the period between 2009-10 and 2018-19. 

      Deaths attributable to smoking

      A total of 6,702 deaths were attributed to smoking in NSW in 2018, which was 12.5% of all deaths in 2018. In 2018, the rate of deaths attributable to smoking in males and females was 84.2 and 50.3 deaths per 100,000 population, respectively.

      References

      Australian Institute of Health and Welfare. National Drug Strategy Household Survey report. Available at: https://www.aihw.gov.au/about-our-data/our-data-collections/national-drug-strategy-household-survey

      Australian Bureau of Statistics. National Health Survey: First Results, 2017-18. Available at: https://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/4364.0.55.001~2017-18~Main%20Features~New%20South%20Wales~10002

    • Introduction: Smoking

      Smoking and health implications

      Tobacco smoking is one of the biggest causes of premature death and is a leading preventable cause of chronic disease in New South Wales. It is a major risk factor for cardiovascular disease, a range of cancers, chronic obstructive pulmonary disease, coronary heart disease and a variety of other diseases and conditions. Approximately one in five of all cancer deaths are due to tobacco smoking.

      There is a no safe level of exposure to second-hand tobacco smoke. In adults, breathing second-hand smoke can increase the risk of heart disease, lung cancer and other lung diseases. It can worsen the effects of existing illnesses such as asthma and bronchitis. For children, inhaling second-hand smoke is even more dangerous. Children are more likely to suffer health problems due to second-hand smoke such as bronchitis, pneumonia and asthma.

      Interventions 

      Australia has one of the most comprehensive tobacco control policies and programs in the world. The aim of the tobacco control programs in NSW is to contribute to a continuing reduction of smoking prevalence rates in the community.

      Information on NSW Health tobacco and smoking control programs and policies is available at: http://www.health.nsw.gov.au/tobacco.

      Useful websites:

      Cancer Institute at: https://www.cancerinstitute.org.au/

      I Can Quit at http://www.icanquit.com.au

      Quitline at http://www.quit.org.au/preparing-to-quit/choosing-best-way-to-quit/quitline

    • Interventions in NSW: Smoking

      Information on NSW Health programs and policies is available at http://www.health.nsw.gov.au/tobacco.

    • For more information: Smoking

      Useful websites include:

      Australian Bureau of Statistics at http://www.abs.gov.au

      Australian Institute of Health and Welfare at http://www.aihw.gov.au

      I Can Quit at http://www.icanquit.com.au

      Quitline at https://www.cancer.nsw.gov.au/how-we-help/cancer-prevention/stopping-smoking/quitline

Last Updated At: Tuesday, 11 August 2020