Excess Mortality In Asia Associated With Cigarette Smoking

Cigarette smoking has reached epidemic proportions in many Asian countries, and epidemiologists predict massive increases in the number of smoking-related deaths in future decades. This information is of great interest to insurers who would like to sell coverage in these markets with smoker/nonsmoker-distinct pricing. This review examines excess mortality due to cigarette smoking in Asia as determined by a second-quarter 1998 Internet search of the world’s English-language medical literature for references published during the preceding five years. Studies to date which observed fairly low relative risks of mortality in smokers compared with nonsmokers in Asia despite a high prevalence of smoking can be explained by the fact that health outcome data represent early experience. Given similar associations between smoking and mortality in Asian and Western studies, it is likely that mortality patterns of smokers in Asia eventually will mirror those seen in the U.S. and the United Kingdom.