Burden of disease from second-hand tobacco smoke exposure at home among adults from European Union countries in 2017: an analysis using a review of recent meta-analyses

Smoke-free legislation reduced second-hand smoke (SHS) exposure in public places, and indirectly promoted private smoke-free settings. Nevertheless, a large proportion of adults is still exposed to SHS at home. The aim this paper quantify the burden disease due home among 28-European Union (EU) countries for year 2017. burdens by gender from lung cancer, chronic obstructive pulmonary (COPD), breast ischemic heart (IHD), stroke, asthma, diabetes were estimated an original research analysis using comparative risk assessment method. Relative risks death/diseases compared not ones updating existing meta-analyses. Prevalence was multiple imputation procedure based on Eurobarometer surveys. Data mortality disability adjusted life years (DALYs) obtained Global Burden Disease, Injuries Risk Factors Study. In 2017, 526,000 DALYs (0.36% total DALYs) 24,000 deaths (0.46% deaths) attributable 28-EU countries, mainly COPD IHD. South-Eastern EU showed highest burden, with DALYs/deaths higher than 0.50%/0.70%, whereas northern EU-countries lowest proportions lower 0.25%/0.34%. significant countries. More could be done raise awareness health associated