<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Martina Otavova</style></author><author><style face="normal" font="default" size="100%">Herman Van Oyen</style></author><author><style face="normal" font="default" size="100%">Renata T. C. Yokota</style></author><author><style face="normal" font="default" size="100%">Rana Charafeddine</style></author><author><style face="normal" font="default" size="100%">Luk Joossens</style></author><author><style face="normal" font="default" size="100%">Geert Molenberghs</style></author><author><style face="normal" font="default" size="100%">Wilma J. Nusselder</style></author><author><style face="normal" font="default" size="100%">Hendriek C. Boshuizen</style></author><author><style face="normal" font="default" size="100%">Brecht Devleesschauwer</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Potential impact of reduced tobacco use on life and health expectancies in Belgium</style></title><secondary-title><style face="normal" font="default" size="100%">International Journal of Public Health</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">DYNAMO-HIA</style></keyword><keyword><style  face="normal" font="default" size="100%">Healthy Life Years</style></keyword><keyword><style  face="normal" font="default" size="100%">SMOKING</style></keyword><keyword><style  face="normal" font="default" size="100%">smoking intervention</style></keyword><keyword><style  face="normal" font="default" size="100%">unhealthy life years</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2020</style></year><pub-dates><date><style  face="normal" font="default" size="100%">Jan-03-2020</style></date></pub-dates></dates><number><style face="normal" font="default" size="100%">138</style></number><volume><style face="normal" font="default" size="100%">65</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;strong&gt;Objectives&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;We investigated the potential impact of reduced tobacco use scenarios on total life expectancy and health expectancies, i.e., healthy life years and unhealthy life years.&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Methods&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;Data from the Belgian Health Interview Survey 2013 were used to estimate smoking and disability prevalence. Disability was based on the Global Activity Limitation Indicator. We used DYNAMO-HIA to quantify the impacts of risk factor changes and to compare the “business-as-usual” with alternative scenarios.&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Results&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;The “business-as-usual” scenario estimated that in 2028 the 15-year-old men/women would live additional 50/52&amp;nbsp;years without disability and 14/17&amp;nbsp;years with disability. The “smoking-free population” scenario added 3.4/2.8 healthy life years and reduced unhealthy life years by 0.79/1.9. Scenarios combining the prevention of smoking initiation with smoking cessation programs are the most effective, yielding the largest increase in healthy life years (1.9/1.7) and the largest decrease in unhealthy life years (− 0.80/− 1.47).&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Conclusions&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;Health impact assessment tools provide different scenarios for evidence-informed public health actions. New anti-smoking strategies or stricter enforcement of existing policies potentially gain more healthy life years and reduce unhealthy life years in Belgium.&lt;/p&gt;
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