Prevalence of Smoking in 15-64 Years Old Population of North of Iran: Meta-Analysis of the Results of Non-Communicable Diseases Risk Factors Surveillance System


Smoking is known as a major cause of chronic obstructive pulmonary disease (COPD) and hence immediate and effective interventions are required for its elimination. This study aimed to collect valid data with regard to cigarette smoking in adult population of north of Iran for policy making by a meta-analysis of the documents of national non-communicable disease risk factors surveillance system. We investigated relevant evidences by searching in published and non-electronic databases. Data were extracted based on variables such as year of the study, sex, age group and prevalence of smoking habit. Based on results of heterogeneity, we applied fixed or random effects model to estimate the overall prevalence of cigarette smoking. All analyses were performed using STATA 11 software. A total of 20747 subjects (10381 males and 10366 females) in five age groups 15-24, 25-34, 35-44, 45-54 and 55-64 years were interviewed. Meta-analysis in men and women showed prevalence of 19.2% (15.8-22.6%) and 0.3% (0.2-0.5%) respectively. Results of the present meta-analysis showed as much as one fifth of male population of north of Iran are smoker. Subgroup analysis also revealed that the rate of smoking was higher among the middle-aged men.

Haenle MM, Brockmann SO, Kron M, Bertling U, Mason RA, Steinbach G, Boehm BO, Koenig W, Kern P, Piechotowski I, Kratzer W;EMIL-Study group.Overweight, physical activity, tobacco and alcoholconsumption in a cross-sectional random sample of German adults. BMC Public Health 2006;6(1):233.

Oliveira A, Barros H, Maciel MJ, Lopes C. Tobaccosmoking and acute myocardial Infarction in young adults:A population based case-control study. Prev Med 2007;44(4):311-6.

Ezzati M, Henley SJ, Thun MJ, Lopez AD. Role of smoking in global and regional cardiovascular mortality. Circulation 2005; 112(4): 489-97.

Doll R, Peto R, Boreham J, Sutherland I. Mortalityin relation to smoking: 50 year's observations on male British doctors. BMJ 2004;328(7455): 1519-28.

Jamrozik K. Estimate of deaths attributable to passive smoking among UK adults: database analysis. BMJ 2005; 330(7495): 812.

Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med 2006;3(11):e442

The World Health Report. Combating the Tobacco Epidemic, World health organization. Geneva: 1999.

Sarrafzadegan N, Boshtam M, Shahrokhi S, Alinaderi G, Asgary S, Shahparian M, Tafazoli F. Tobacco use amongIranian men, women and Adolescents. Eur J Public Health 2004;14(1):76–8.

Emami H, Habibian S, Salehi P, Azizi F. Pattern of smoking habit in an urban area in Tehran, 2001: Tehran Glucose and Lipid study. Shaheed Beheshti Uni Med J2003;1(27):47–52. (Persian).

Fotouhi A, Khabazkhoob M, Hashemi H, Mohammad K. The Prevalence of Cigarette Smoking in Residents of Tehran. ArchIran Med 2009;12(4):358–64.

Boskabady MH, Mahmoudinia M, Eslamizade J, Boskabady M, Shakeri MT, Heydari GR. The prevalenceof smoking among the population in the city of Mashhad (north east of Iran) and pulmonary function tests among smokers. Pneumonol Alergol Pol 2011;79(1):21–5.

Ahmadi J, Khalili H, Jooybar R, Namazi N, Mohammadagaei P. Prevalence of cigarette smoking in Iran. Psychol Rep 2001;89(2):339-41.

Muula AS, Mpabulungi L. Cigarette smoking prevalence among school-going adolescents in two African capital cities: Kampala Uganda and Lilongwe Malawi. Afr Health Sci 2007;7(1): 45–9.

Rashidy-Pour A, Malek M, Eskandarian R, Ghorbani R. Epidemiology of smoking among adult women population of Semnan province, Iran. Koomesh 2010; 11 (2) :75-82.

Mehrabi S, Delavari AR, Moradi Gh, Esmailnasab N, Pooladi A, Alikhani S, Alaeddini F. Smoking among 15-to 64-Year-Old Iranian People in 2005. IR J E 2007;3(1 and 2):1-9. (Persian).

Nasir K, Rehan N. Epidemiology of cigarette smoking inPakistan. Addiction 2001;96(12):1847-54.

Youssef RM, Abou-Khatwa SA, Fouad HM. Prevalence of smoking and age of initiation in Alexandria, Egypt. East Medditerr Health J 2002;8(4-5):626-37.

Memon A, Moody PM, Sugathan TN, el-Gerges N, al- Bustan M, al-Shatti A, al-Jazzaf H. Epidemiology ofsmoking among Kuwaiti adults: prevalence, characteristics, and attitudes. Bull World Health Organ 2000;78(11):306–1315.

Gallus S, Pacifici R, Colombo P, Scarpino V, Zuccaro P, Bosetti C, Fernandez E, Apolone G, La Vecchia C.Prevalence of smoking and attitude towards smoking regulation in Italy 2004. Eur J Cancer Prev 2006;15(1):77-81.

Centers for Disease Control and Prevention (CDC). Cigarette smoking among adults-United states, 2007. MMWR Morb Wkly Rep 2008;57(45):1221-6.

Centers for Disease Control and Prevention (CDC). Cigarette smoking among adults- United States, 2004. MMWR Morb Wkly Rep 2005;54(44):1121-4.

Anderson Johnson C, Palmer PH, Chou CP, Pang Z, Zhou D, Dong L, Xiang H, Yang P, Xu H, Wang J, Fu X, Guo Q, Sun P, Ma H,Gallaher PE, Xie B, Lee L, Fang T, Unger JB. Tobacco use among youth and adults in MainlandChina: The China Seven Cities Study. Public Health 2006;120(12):1156–69.

Cho HJ, Song YM, Smith GD, Ebrahim S. Trends in socioeconomic differentials in cigarette smoking behaviour between 1990 and 1998: a large prospective study in Korean men. Public Health 2004;118(8):553–8.

Nobile CGA, Trani F, Stasio SMD, Angelillo IF. Cigarette smoking and alcohol behaviour among adolescents in Italy. Public Health 2006;120(10): 942–5.

Maurice E, Trosclair A, Merritt R, Caraballo R, Malarcher A, Husten C, Pechacek T. Cigarette Smoking Among Adults, United States. Oncology Times 2006;28(2):44-5.

Mendez D, Warner KE. Adult Cigarette Smoking Prevalence: Declining as Expected (Not as Desired). Am JPublic Health 2004;94(2):251-2.

IssueVol 51, No 7 (2013) QRcode
Cigarette Iran Meta-analysis Prevalence Smoking

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Jamshidi Ardeshiri M, Moosazadeh M, Feizi Masouleh M, Feizi Masouleh M, Kiani A, Fakhri M. Prevalence of Smoking in 15-64 Years Old Population of North of Iran: Meta-Analysis of the Results of Non-Communicable Diseases Risk Factors Surveillance System. Acta Med Iran. 1;51(7):494-500.