Lung cancer trends in young adults: an early indicator of progress in tobacco control (United States)
Lung cancer trends in young adults: an early indicator of progress in tobacco control (United States)
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DOI：
10.1023/a:1024891201329
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发表时间：
2003-08-01
影响因子：
2.3
通讯作者：
Thun, MJ
中科院分区：
文献类型：
--
作者：
Jemal, A;Cokkinides, VE;Thun, MJ
目的：众所周知，吸烟会增加肺癌的发病率，但在美国，年龄特定的发病率尚未用于监测烟草控制工作的早期后果。我们评估了国家的肺癌死亡率在年轻的成年人之间的关系，国家烟草控制活动的指数和传统的指数，目前吸烟和cancelation.Methods：我们计算了肺癌死亡率在年轻的成年人（年龄30-39岁）超过两个时间间隔，从1990-1994年到1995-1999年，在国家至少有25人死亡的间隔。我们测量了1992-1993年国家烟草控制指数与两个时间间隔内绝对比率和总百分比变化的相关性。结果：最近一段时间内的肺癌死亡率（1995-1999年），1990-1994年这些比率的变化与1992年衡量的国家烟草控制努力指数密切相关，呈反比-1993.在烟草控制力度大的州，肺癌死亡率下降，但在烟草控制力度小的州，肺癌死亡率上升。烟草控制指数与戒烟年龄30-39 years.Conclusions：肺癌死亡率在年轻人之间是强烈的，并与最近的烟草控制指数呈负相关。未来对全州综合烟草控制计划有效性的监测应评估年轻人肺癌发病率以及青年和成人吸烟率的趋势。
Objective: Tobacco smoking is known to increase lung cancer occurrence beginning in young adulthood, although age specific rates have not been used to monitor the early consequences of tobacco control efforts in the United States. We evaluated state trends in lung cancer death rates among young adults in relation to an index of state tobacco control activities and conventional indices of current smoking and cessation.Methods: We calculated lung cancer death rates in young adults (age 30-39 years) over two time intervals from 1990-1994 through 1995-1999 in states with at least 25 deaths per interval. We measured the correlation of an index of state tobacco control in 1992-1993 with absolute rates and with total percent change during the two time intervals.Results: Both lung cancer death rates during the recent time interval (1995-1999) and the change in these rates from 1990-1994 correlated strongly and inversely with the index of state tobacco control efforts measured in 1992-1993. Lung cancer death rates decreased in states with high tobacco control efforts, but increased in states with low tobacco control efforts. Tobacco control indices were strongly and positively correlated with cessation of smoking by age 30-39 years.Conclusions: Lung cancer death rates among young adults are strongly and inversely correlated with recent indices of tobacco control. Future monitoring of the effectiveness of statewide comprehensive tobacco control programs should assess trends in lung cancer rates in young adults as well as youth and adult smoking prevalence.