What proportion of cancer deaths in the contemporary United States is attributable to cigarette smoking?
What proportion of cancer deaths in the contemporary United States is attributable to cigarette smoking?
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DOI：
10.1016/j.annepidem.2014.11.008
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发表时间：
2015-03-01
影响因子：
5.6
通讯作者：
Flanders, W. Dana
中科院分区：
文献类型：
--
作者：
Jacobs, Eric J.;Newton, Christina C.;Flanders, W. Dana
目的：当代美国因吸烟导致的癌症死亡比例（人口归因分数[PM]）没有很好的记录。2010年，美国35岁及以上成年人因主动吸烟导致的所有癌症死亡的PAF是使用来自国家健康访谈调查（NHIS）的年龄和性别特异性吸烟率以及年龄和性别特异性吸烟率计算的。具体的相对风险从癌症预防研究-II（年龄35-54岁）和从合并当代队列数据集（年龄55岁及以上）。结果：主动吸烟的PAF为28.7%，保守估计，包括只有死亡的12种癌症，目前正式确定由吸烟引起的美国外科医生。当更全面地估计时，PAF为31.7%，包括所有癌症的超额死亡。这些估计不包括额外的潜在癌症死亡的环境烟草烟雾或其他类型的烟草使用，如雪茄，烟斗，或无烟tobacle.Conclusions：吸烟导致癌症死亡的大部分在当代美国。尽快降低吸烟率应该是美国预防癌症死亡的公共卫生工作的首要任务。(C)2015 Elsevier Inc. All rights reserved.
Purpose: The proportion of cancer deaths in the contemporary United States caused by cigarette smoking (the population attributable fraction [PM]) is not well documented.Methods: The PAF of all cancer deaths due to active cigarette smoking among adults 35 years and older in the United States in 2010 was calculated using age- and sex-specific smoking prevalence from the National Health Interview Survey (NHIS) and age- and sex-specific relative risks from the Cancer Prevention Study-II (for ages 35-54 years) and from the Pooled Contemporary Cohort data set (for ages 55 years and older).Results: The PAF for active cigarette smoking was 28.7% when estimated conservatively, including only deaths from the 12 cancers currently formally established as caused by smoking by the US Surgeon General. The PAF was 31.7% when estimated more comprehensively, including excess deaths from all cancers. These estimates do not include additional potential cancer deaths from environmental tobacco smoke or other type of tobacco use such as cigars, pipes, or smokeless tobacco.Conclusions: Cigarette smoking causes a large proportion of cancer deaths in the contemporary United States. Reducing smoking prevalence as rapidly as possible should be a top priority for the US public health efforts to prevent cancer deaths. (C) 2015 Elsevier Inc. All rights reserved.