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Meta-Analysis and Systematic Review in Environmental Tobacco Smoke Risk of Female Lung Cancer by Research Type

Author

Listed:
  • Xue Ni

    (National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, No. 29 Nanwei Road, Beijing 100050, China)

  • Ning Xu

    (National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, No. 29 Nanwei Road, Beijing 100050, China)

  • Qiang Wang

    (National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, No. 29 Nanwei Road, Beijing 100050, China)

Abstract

More than 50% of women worldwide are exposed to Environmental Tobacco Smoke (ETS). The impact of ETS on lung cancer remains unclear. Cohort studies since the late 1990s have provided new evidence of female lung cancer risk due to ETS. The objective of this meta-analysis and systematic review was to analyze the association of ETS with female lung cancer risk from 1997 to 2017, organised based on research design. According to our applied inclusion and exclusion criteria, 41 published studies were included. The relative risk (RR) from the cohort studies or odds ratio (OR) from case-control studies were extracted to calculate the pooled risks based on the type of study. The summary risks of ETS were further explored with the modulators of ETS exposure sources and doses. The pooled risks of lung cancer in non-smoking women exposed to ETS were 1.35 (95% CI: 1.17–1.56), 1.17 (95% CI: 0.94–1.44), and 1.33 (95% CI: 1.17–1.51) for case-control studies, cohort studies, and both types of studies, respectively. The summary RR estimate of the cohort studies was not statistically significant, but the RR increased with increasing doses of ETS exposure ( p trend < 0.05). Based on the results of this study, ETS might be an important risk factor of female lung cancer in non-smokers.

Suggested Citation

  • Xue Ni & Ning Xu & Qiang Wang, 2018. "Meta-Analysis and Systematic Review in Environmental Tobacco Smoke Risk of Female Lung Cancer by Research Type," IJERPH, MDPI, vol. 15(7), pages 1-19, June.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:7:p:1348-:d:154743
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    References listed on IDEAS

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    1. Xue Fang & Zhihua Yin & Xuelian Li & Lingzi Xia & Baosen Zhou, 2016. "Polymorphisms in GEMIN4 and AGO1 Genes Are Associated with the Risk of Lung Cancer: A Case-Control Study in Chinese Female Non-Smokers," IJERPH, MDPI, vol. 13(10), pages 1-13, September.
    2. Wells, A.J., 1998. "Lung cancer from passive smoking at work," American Journal of Public Health, American Public Health Association, vol. 88(7), pages 1025-1029.
    3. Stayner, L. & Bena, J. & Sasco, A.J. & Smith, R. & Steenland, K. & Kreuzer, M. & Straif, K., 2007. "Lung cancer risk and workplace exposure to environmental tobacco smoke," American Journal of Public Health, American Public Health Association, vol. 97(3), pages 545-551.
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    Cited by:

    1. David Rojas-Rueda & Emily Morales-Zamora & Wael Abdullah Alsufyani & Christopher H. Herbst & Salem M. AlBalawi & Reem Alsukait & Mashael Alomran, 2021. "Environmental Risk Factors and Health: An Umbrella Review of Meta-Analyses," IJERPH, MDPI, vol. 18(2), pages 1-38, January.

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