Exploring gender disparities in the disease and economic tobacco-attributable burden in Latin America

• DOI: 10.3389/fpubh.2023.1321319
• Publication Date: 2024-02-12T04:47:00Z
• Authors: Andrea Alcaraz; Elena Lazo; Agustín Casarini; Federico Rodrigue...; Federico Augustovski; Ariel Bardach; Lucas Perelli; Alfredo Palacios; Andrés Pichon-Riv...; Natalia Espinola
• Keywords: Male; Nicotiana; Smoking; Financial Stress; tobacco use; burden of disease; 03 medical and health sciences; Latin America; gender; Humans; Female; Public Health; Public aspects of medicine; RA1-1270; 0305 other medical science; Mexico; health disparities

Introduction Tobacco use has significant health consequences in Latin America, and while studies have examined the overall impact, gender-specific effects not been thoroughly researched. Understanding these differences is crucial for effective tobacco control policies. The objective of this study was to explore tobacco-attributable disease economic burden between men women Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Mexico, Peru. Methods We used a previously validated model quantify impact tobacco-related illnesses, including morbidity, mortality, healthcare costs, productivity losses, informal care expenses, DALYs, by gender age. utilized data from national surveys, records, studies, expert opinions populate model. Results In 2020, there were 351,000 smoking-attributable deaths. Men accounted 69% 31%. Ecuador Mexico had highest male-to-female death ratio, Peru Chile smallest disparities. 2.3 million events occurred, with 65% 35% women. higher rates among men, more balanced ratio. Regarding lost 6.3 due tobacco, 3.3 million, primarily COPD, cardiovascular disease, cancer. Brazil DALY losses both genders. Rica lower prevalence ratio but ranked second deaths, events, DALYs attributed tobacco. Colombia unique pattern 2.08 events. systems spent $22.8 billion treat diseases, cost 2.15. showed greatest difference, lowest. Productivity loss $16.2 billion, exhibiting disparities Informal costs amounted $10.8 incurring Mexico. Discussion causes burdens gender-based differences. There need gender-disaggregated improve