English
norskThe fraction of lung cancer attributable to smoking in the Norwegian Women and Cancer (NOWAC) Study
Permanent link
https://hdl.handle.net/10037/20884
Date
2020-10-27Type
Journal articleTidsskriftartikkel
Peer reviewed
Abstract
Background - We examined the association between active and passive smoking and lung cancer risk and the population attributable fraction (PAF) of lung cancer due to active smoking, in the Norwegian Women and Cancer Study, a nationally representative prospective cohort study.
Methods - We followed 142,508 women, aged 31–70 years, who completed a baseline questionnaire between 1991 and 2007, through linkages to national registries through December 2015. We used Cox proportional hazards models, to estimate hazard ratios (HRs) with 95% confidence intervals (CIs). We calculated PAF to indicate what proportion of lung cancer cases could have been prevented in the absence of smoking.
Results - During the more than 2.3 million person-years of observation, we ascertained 1507 lung cancer cases. Compared with never smokers, current (HR 13.88, 95% CI 10.18–18.91) smokers had significantly increased risk of lung cancer. Female never smokers exposed to passive smoking had a 1.3-fold (HR 1.34, 95% CI 0.89–2.01) non- significantly increased risk of lung cancer, compared with never smokers. The PAF of lung cancer was 85.3% (95% CI 80.0–89.2).
Conclusion - More than 8 in 10 lung cancer cases could have been avoided in Norway, if the women did not smoke.
Methods - We followed 142,508 women, aged 31–70 years, who completed a baseline questionnaire between 1991 and 2007, through linkages to national registries through December 2015. We used Cox proportional hazards models, to estimate hazard ratios (HRs) with 95% confidence intervals (CIs). We calculated PAF to indicate what proportion of lung cancer cases could have been prevented in the absence of smoking.
Results - During the more than 2.3 million person-years of observation, we ascertained 1507 lung cancer cases. Compared with never smokers, current (HR 13.88, 95% CI 10.18–18.91) smokers had significantly increased risk of lung cancer. Female never smokers exposed to passive smoking had a 1.3-fold (HR 1.34, 95% CI 0.89–2.01) non- significantly increased risk of lung cancer, compared with never smokers. The PAF of lung cancer was 85.3% (95% CI 80.0–89.2).
Conclusion - More than 8 in 10 lung cancer cases could have been avoided in Norway, if the women did not smoke.
Publisher
Springer NatureCitation
Hansen, Licaj, Braaten, Lund, Gram. The fraction of lung cancer attributable to smoking in the Norwegian Women and Cancer (NOWAC) Study. British Journal of Cancer. 2020Metadata
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