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Passive smoking and lung cancer in nonsmoking women

Author

Listed:
  • Brownson, R.C.
  • Alavanja, M.C.R.
  • Hock, E.T.
  • Loy, T.S.

Abstract

Objectives. The causes of lung cancer among nonsmokers are not clearly understood. To further evaluate the relation between passive smoke exposure and lung cancer in nonsmoking women, we conducted a population-based, case- control study. Methods. Case patients (n = 618), identified through the Missouri Cancer Registry for the period 1986 through 1991, included 432 lifetime nonsmokers and 186 ex-smokers who had stopped at least 15 years before diagnosis or who had smoked for less than 1 pack-year. Control subjects (n = 1402) were selected from driver's license and Medicare files. Results. No increased risk of lung cancer was associated with childhood passive smoke exposure. Adulthood analyses showed an increased lung cancer risk for lifetime nonsmokers with exposure of more than 40 pack-years from all household members (odds ratio [OR] = 1.3; 95% confidence interval [CI] = 1.0, 1.8) or from spouses only (OR = 1.3; 95% CI = 1.0, 1.7). When the time- weighted product of pack-years and average hours exposed per day was considered, a 30% excess risk was shown at the highest quartile of exposure among lifetime nonsmokers. Conclusions. Ours and other recent studies suggest a small but consistent increased risk of lung cancer from passive smoking. Comprehensive actions to limit smoking in public places and worksites are well-advised.

Suggested Citation

  • Brownson, R.C. & Alavanja, M.C.R. & Hock, E.T. & Loy, T.S., 1992. "Passive smoking and lung cancer in nonsmoking women," American Journal of Public Health, American Public Health Association, vol. 82(11), pages 1525-1530.
  • Handle: RePEc:aph:ajpbhl:1992:82:11:1525-1530_4
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    Cited by:

    1. A-Sol Kim & Hae-Jin Ko & Jin-Hyun Kwon & Jong-Myung Lee, 2018. "Exposure to Secondhand Smoke and Risk of Cancer in Never Smokers: A Meta-Analysis of Epidemiologic Studies," IJERPH, MDPI, vol. 15(9), pages 1-17, September.
    2. Marieka S. Schotland & Lisa A. Bero, 2002. "Evaluating Public Commentary and Scientific Evidence Submitted in the Development of a Risk Assessment," Risk Analysis, John Wiley & Sons, vol. 22(1), pages 131-140, February.
    3. Gio Batta Gori, 1995. "Policy Against Science: The Case of Environmental Tobacco Smoke," Risk Analysis, John Wiley & Sons, vol. 15(1), pages 15-22, February.
    4. Simon Turner, 1995. "Indoor Air Quality Standard Setting–A Lesson in the Need for Objectivity," Risk Analysis, John Wiley & Sons, vol. 15(1), pages 3-6, February.
    5. Jennifer Jinot & Steven Bayard, 1995. "Environmental Tobacco Smoke: Science vs. Rhetoric," Risk Analysis, John Wiley & Sons, vol. 15(1), pages 91-96, February.

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