Turk Kardiyol Dern Ars. Ahead of Print: TKDA-85349 | DOI: 10.5543/tkda.2018.85349
Systematic Review, Meta-analysis and Meta-regression of Epidemiological Studies for Cardiovascular Risk Factors in Turkey: Smoking Data
, Mustafa Kılıçkap2
, Lale Tokgözoğlu1
, Hüseyin Göksülük2
, Doruk Karaaslan3
, Meral Kayıkçıoğlu4
, Mehmet Birhan Yılmaz5
, Cem Barçın6
, Adnan Abacı71
Hacettepe Univeristy Faculty of Medicine Cardiology Department2
Ankara University Faculty of Medicine Cardiology Department3
Ege University Faculty of Medicine Cardiology Department5
Cumhuriyet University Faculty of Medicine Cardiology Department6
Gazi University Faculty of Medicine Cardiology Department
PURPOSE Smoking is the most important public health problem and preventable cause of mortality in Turkey. Major healthcare policies have been implemented to combat this problem over the past 10 years. In this study, determining the smoking prevelance was aimed by using the systematic review and meta-analysis of epidemiological studies in Turkey done in the last 15 years.
METHODS Appropriate epidemiological studies were searched in Ovid Medline and Web of Science Core Collection databases and in the websites of Ministry of Health and Turkish Statistical Institute. Meta-analysis and meta-regression was performed with random effects model
FINDINGS Ten epidemiological studies (n=122383) that includes data about smoking were founded. Only in 8 of these studies data about smoking habit for women (n=49524) and men (n=37684) separately were obtained. Smoking prevalence was determined as 30.5% for the whole group, 15.7% for women and 46.1% for men when irregular smokers included. Although change in crude prevalence values within time was not meaningful, standardization of the study data showed a decrease of 6.8% units (at a rate of 20.2%) when irregular smokers included and 8.4% units (at a rate of 26.3%) when irregular smokers excluded in the frequency of smoking between 2003-2012.
CONCLUSION Despite implementation of major healthcare policies and some success in decreasing rates, 1/3 of the Turkish adult population and nearly 1/2 of the men are smokers. It is essential to continue and strengthen measures to combat smoking.
Smoking, Epidemiology, Turkey
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Corresponding Author: Necla Özer, Türkiye