Lung Cancer and Exposure to Tobacco Smoke in the Household

作者: Dwight T. Janerich , W. Douglas Thompson , Luis R. Varela , Peter Greenwald , Sherry Chorost

DOI: 10.1056/NEJM199009063231003

关键词: Tobacco smokePassive smokingLung cancerEnvironmental healthRecall biasPopulationConfidence intervalSpouseMedicineOdds ratioSurgery

摘要: BACKGROUND The relation between passive smoking and lung cancer is of great public health importance. Some previous studies have suggested that exposure to environmental tobacco smoke in the household can cause cancer, but others found no effect. Smoking by spouse has been most commonly used measure this exposure. METHODS In order determine whether associated with within household, we conducted a population-based case--control study 191 patients histologically confirmed primary who had never smoked an equal number persons without smoked. Lifetime residential histories including information on were compiled analyzed. Exposure was measured terms "smoker-years," determined multiplying years each residence smokers household. RESULTS Household 25 or more smoker-years during childhood adolescence doubled risk (odds ratio, 2.07; 95 percent confidence interval, 1.16 3.68). Approximately 15 control subjects reported level less than did not increase cancer. spouse's smoking, which constituted one third total average, risk. CONCLUSIONS possibility recall bias other methodologic problems may influence results case-control smoke. Nonetheless, our findings regarding early life suggest approximately 17 cancers among nonsmokers be attributed high levels cigarette adolescence.

参考文章(20)
William J. Blot, Suminori Akiba, Hiroo Kato, Passive smoking and lung cancer among Japanese women Cancer Research. ,vol. 46, pp. 4804- 4807 ,(1986)
Annette Stemhagen, Nancy A. Dalager, Linda Williams Pickle, Patricia A. Buffler, Regina G. Ziegler, Pelayo Correa, Joseph F. Fraumeni, Elizabeth Fontham, Thomas J. Mason, The relation of passive smoking to lung cancer. Cancer Research. ,vol. 46, pp. 4808- 4811 ,(1986)
DAVID B. COULTAS, GLENN T PEAKE, JONATHAN M. SAMETI, QUESTIONNAIRE ASSESSMENT OF LIFETIME AND RECENT EXPOSURE TO ENVIRONMENTAL TOBACCO SMOKE American Journal of Epidemiology. ,vol. 130, pp. 338- 347 ,(1989) , 10.1093/OXFORDJOURNALS.AJE.A115340
Geoffrey C. Kabat, Ernst L. Wynder, Lung cancer in nonsmokers Cancer. ,vol. 53, pp. 1214- 1221 ,(1984) , 10.1002/1097-0142(19840301)53:5<1214::AID-CNCR2820530532>3.0.CO;2-8
D P Sandler, R B Everson, A J Wilcox, J P Browder, Cancer risk in adulthood from early life exposure to parents' smoking American Journal of Public Health. ,vol. 75, pp. 487- 492 ,(1985) , 10.2105/AJPH.75.5.487
N J Wald, K Nanchahal, S G Thompson, H S Cuckle, Does breathing other people's tobacco smoke cause lung cancer? BMJ. ,vol. 293, pp. 1217- 1222 ,(1986) , 10.1136/BMJ.293.6556.1217
W C Chan, M J Colbourne, S C Fung, H C Ho, Bronchial cancer in Hong Kong 1976-1977 British Journal of Cancer. ,vol. 39, pp. 182- 192 ,(1979) , 10.1038/BJC.1979.29
DaleP Sandler, AllenJ Wilcox, RichardB Everson, Cumulative effects of lifetime passive smoking on cancer risk. The Lancet. ,vol. 325, pp. 312- 315 ,(1985) , 10.1016/S0140-6736(85)91084-0
Linda C. Koo, Ching-Yee Ho, John H-C. Ho, Daisy Saw, Measurements of passive smoking and estimates of lung cancer risk among non-smoking Chinese females. International Journal of Cancer. ,vol. 39, pp. 162- 169 ,(1987) , 10.1002/IJC.2910390207
M Maclure, R B Katz, M S Bryant, P L Skipper, S R Tannenbaum, Elevated blood levels of carcinogens in passive smokers. American Journal of Public Health. ,vol. 79, pp. 1381- 1384 ,(1989) , 10.2105/AJPH.79.10.1381