Journal Article

Adenocarcinoma of the Lung Is Strongly Associated with Cigarette Smoking: Further Evidence from a Prospective Study of Women

P. Yang, J. R. Cerhan, R. A. Vierkant, J. E. Olson, C. M. Vachon, P. J. Limburg, A. S. Parker, K. E. Anderson and T. A. Sellers

in American Journal of Epidemiology

Published on behalf of Johns Hopkins Bloomberg School of Public Health

Volume 156, issue 12, pages 1114-1122
Published in print December 2002 | ISSN: 0002-9262
Published online December 2002 | e-ISSN: 1476-6256 | DOI: http://dx.doi.org/10.1093/aje/kwf153
Adenocarcinoma of the Lung Is Strongly Associated with Cigarette Smoking: Further Evidence from a Prospective Study of Women

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In a prospective cohort of 41,836 Iowa women aged 55–69 years with 13 years of follow-up from 1986 through 1998, the authors examined the association between cigarette smoking history and three common histologic subtypes of lung cancer (123 small cell, 115 squamous cell, and 234 adenocarcinoma). Using Cox proportional hazards and additive Poisson regression analysis, they estimated four epidemiologic measures of effect: age-adjusted incidence rate, relative risk, excess risk (or risk difference), and population attributable risk. Of the three major lung cancer subtypes, the excess risk for heavy smokers compared with never smokers was higher for adenocarcinoma (excess risk = 206) than for squamous cell (excess risk = 122) and small cell (excess risk = 104) carcinomas. Adenocarcinoma of the lung is more strongly associated with tobacco smoke exposure than previously recognized.

Keywords: lung neoplasms; neoplasms by histologic type; relative risk; risk assessment; smoking; Abbreviations: CI, confidence interval; ICD-O, International Classification of Diseases for Oncology; PAR, population attributable risk.

Journal Article.  5509 words.  Illustrated.

Subjects: Public Health and Epidemiology

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