Journal Article

Lung Cancer and Indoor Pollution from Heating and Cooking with Solid Fuels

Jolanta Lissowska, Alicja Bardin-Mikolajczak, Tony Fletcher, David Zaridze, Neonila Szeszenia-Dabrowska, Peter Rudnai, Eleonora Fabianova, Adrian Cassidy, Dana Mates, Ivana Holcatova, Vera Vitova, Vladimir Janout, Andrea't Mannetje, Paul Brennan and Paolo Boffetta

in American Journal of Epidemiology

Published on behalf of Johns Hopkins Bloomberg School of Public Health

Volume 162, issue 4, pages 326-333
Published in print August 2005 | ISSN: 0002-9262
Published online August 2005 | e-ISSN: 1476-6256 | DOI:
Lung Cancer and Indoor Pollution from Heating and Cooking with Solid Fuels

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Exposure to fuel from cooking and heating has not been studied in Europe, where lung cancer rates are high and many residents have had a long tradition of burning coal and unprocessed biomass. Study subjects included 2,861 cases and 3,118 controls recruited during 1998–2002 in the Czech Republic, Hungary, Poland, Romania, Russia, Slovakia, and the United Kingdom. The odds ratio of lung cancer associated with solid fuel use was 1.22 (95% confidence interval (CI): 1.04, 1.44) for cooking or heating, 1.37 (95% CI: 0.90, 2.09) for solid fuel only for cooking, and 1.24 (95% CI: 1.05, 1.47) for solid fuels used for both cooking and heating. Risk increased relative to the percentage of time that solid fuel was used for cooking (ptrend < 0.0001), while no risk increase was detected for solid fuel used for heating. The odds ratio of lung cancer in whole-life users of solid cooking fuel was 1.80 (95% CI: 1.35, 2.40). Switching to nonsolid fuels resulted in a decrease in risk. The odds ratio for the longest duration of time since switching was 0.76 (95% CI: 0.63, 0.92). The data suggest a modest increased risk of lung cancer related to solid-fuel use for cooking rather than heating.

Keywords: air pollution, indoor; case-control studies; cookery; Europe; fossil fuels; heating; lung neoplasms; CI, confidence interval; OR, odds ratio

Journal Article.  3947 words. 

Subjects: Public Health and Epidemiology

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