Increasing lung cancer incidence among Israeli Arab men reflects a change in the earlier paradox of low incidence and high smoking prevalence

2008 ◽  
Vol 17 (4) ◽  
pp. 291-296 ◽  
Author(s):  
Jalal Tarabeia ◽  
Manfred S. Green ◽  
Micha Barchana ◽  
Orna Baron-Epel ◽  
Anneke Ifrah ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Cancer Incidence ◽  
Smoking Prevalence ◽  
Lung Cancer Incidence ◽  
High Smoking Prevalence ◽  
Low Incidence ◽  
Arab Men

scholarly journals Changes in Black-White Difference in Lung Cancer Incidence among Young Adults

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Ahmedin Jemal ◽  
Kimberly D Miller ◽  
Ann Goding Sauer ◽  
Priti Bandi ◽  
Miranda M Fidler-Benaoudia ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Black Men ◽  
Cancer Incidence ◽  
Smoking Prevalence ◽  
White Men ◽  
The United States ◽  
Lung Cancer Incidence ◽  
Birth Cohorts ◽  
Incidence Data ◽  
Blacks And Whites

Abstract Background We previously reported that lung cancer incidence between Blacks and Whites younger than 40 years of age converged in women and approached convergence in men. Whether this pattern has continued in contemporary young birth cohorts is unclear. Methods We examined 5-year age-specific lung cancer incidence in Blacks and Whites younger than 55 years of age by sex and calculated the Black-to-White incidence rate ratios (IRRs) and smoking prevalence ratios by birth cohort using nationwide incidence data from 1997 to 2016 and smoking data from 1970 to 2016 from the National Health Interview Survey. Results Five-year age-specific incidence decreased in successive Black and White men born since circa 1947 and women born since circa 1957, with the declines steeper in Blacks than Whites. Consequently, the Black-to-White IRRs became unity in men born 1967-1972 and reversed in women born since circa 1967. For example, the Black-to-White IRRs in ages 40-44 years born between 1957 and 1972 declined from 1.92 (95% confidence interval [CI] = 1.82 to 2.03) to 1.03 (95% CI = 0.93 to 1.13) in men and from 1.32 (95% CI = 1.24 to 1.40) to 0.71 (95% CI = 0.64 to 0.78) in women. Similarly, the historically higher sex-specific smoking prevalence in Blacks than Whites disappeared in men and reversed in women born since circa 1965. The exception to these patterns is that the incidence became higher in Black men than White men born circa 1977-1982. Conclusions The historically higher lung cancer incidence in young Blacks than young Whites in the United States has disappeared in men and reversed in women, coinciding with smoking patterns, though incidence again became higher in Black men than White men born circa 1977-1982.

scholarly journals Impact of smoke-free ordinance strength on smoking prevalence and lung cancer incidence

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250285
Author(s):  
Ryan H. Nguyen ◽  
Laura B. Vater ◽  
Lava R. Timsina ◽  
Gregory A. Durm ◽  
Katelin Rupp ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Cancer Incidence ◽  
Smoking Prevalence ◽  
Tobacco Prevention ◽  
County Level ◽  
Lung Cancer Incidence ◽  
Lung Cancer Diagnosis ◽  
Free Air ◽  
Effective Public Health ◽  
The Impact

Background Smoke-free ordinances (SFO) have been shown to be effective public health interventions, but there is limited data on the impact SFO on lung cancer outcomes. We explored the effect of county-level SFO strength with smoking prevalence and lung cancer incidence in Indiana. Methods We obtained county-level lung cancer incidence from the Indiana State Cancer Registry and county-level characteristics from the Indiana Tobacco Prevention and Cessation Commission’s policy database between 1995 and 2016. Using generalized estimating equations, we performed multivariable analyses of smoking prevalence and age-adjusted lung cancer rates with respect to the strength of smoke-free ordinances at the county level over time. Results Of Indiana’s 92 counties, 24 had a SFO by 2011. In 2012, Indiana enacted a state-wide SFO enforcing at least moderate level SFO protection. Mean age-adjusted lung cancer incidence per year was 76.8 per 100,000 population and mean smoking prevalence per year was 25% during the study period. Counties with comprehensive or moderate SFO had a smoking prevalence 1.2% (95% CI [-1.88, -0.52]) lower compared with counties with weak or no SFO. Counties that had comprehensive or moderate SFO also had an 8.4 (95% CI [-11.5, -5.3]) decrease in new lung cancer diagnosis per 100,000 population per year compared with counties that had weak or no SFO. Conclusion Counties with stronger smoke-free air ordinances were associated with decreased smoking prevalence and fewer new lung cancer cases per year. Strengthening SFO is paramount to decreasing lung cancer incidence.

scholarly journals Exposure–lag response of smoking prevalence on lung cancer incidence using a distributed lag non-linear model

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniel Robert Smith ◽  
Alireza Behzadnia ◽  
Rabbiaatul Addawiyah Imawana ◽  
Muzammil Nahaboo Solim ◽  
Michaela Louise Goodson
Keyword(s):  
Lung Cancer ◽  
Incidence Rate ◽  
Linear Model ◽  
Cancer Incidence ◽  
Rate Ratio ◽  
Smoking Prevalence ◽  
Incidence Rate Ratio ◽  
Lung Cancer Incidence ◽  
Distributed Lag ◽  
Lag Period

AbstractThe prevalence of smokers is a major driver of lung cancer incidence in a population, though the “exposure–lag” effects are ill-defined. Here we present a multi-country ecological modelling study using a 30-year smoking prevalence history to quantify the exposure–lag response. To model the temporal dependency between smoking prevalence and lung cancer incidence, we used a distributed lag non-linear model (DLNM), controlling for gender, age group, country, outcome year, and population at risk, and presented the effects as the incidence rate ratio (IRR) and cumulative incidence rate ratio (IRRcum). The exposure–response varied by lag period, whilst the lag–response varied according to the magnitude and direction of changes in smoking prevalence in the population. For the cumulative lag–response, increments above and below the reference level was associated with an increased and decreased IRRcum respectively, with the magnitude of the effect varying across the lag period. Though caution should be exercised in interpretation of the IRR and IRRcum estimates reported herein, we hope our work constitutes a preliminary step towards providing policy makers with meaningful indicators to inform national screening programme developments. To that end, we have implemented our statistical model a shiny app and provide an example of its use.

Time trends of lung cancer incidence by histologic types and smoking prevalence in Hong Kong 1983–2000

Lung Cancer ◽  
2004 ◽  
Vol 45 (2) ◽  
pp. 143-152 ◽  
Author(s):  
Joseph S.K Au ◽  
Oscar W.K Mang ◽  
William Foo ◽  
Stephen C.K Law
Keyword(s):  
Lung Cancer ◽  
Hong Kong ◽  
Cancer Incidence ◽  
Time Trends ◽  
Smoking Prevalence ◽  
Lung Cancer Incidence ◽  
Histologic Types

Impact of smoke-free ordinance strength on smoking prevalence and lung cancer incidence.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 6578-6578
Author(s):  
Ryan Nguyen ◽  
Laura Vater ◽  
Lava R Timsina ◽  
Greg Andrew Durm ◽  
Katelin Rupp ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Cancer Diagnosis ◽  
Cancer Incidence ◽  
Smoking Prevalence ◽  
Income Poverty ◽  
Tobacco Prevention ◽  
County Level ◽  
Lung Cancer Incidence ◽  
Lung Cancer Diagnosis ◽  
The Impact

6578 Background: Smoke-free ordinances (SFO) have been shown to decrease the prevalence of cardiovascular and pulmonary disease, but there is limited data on the impact of such policies on lung cancer incidence. We investigated the relationship between strength of county-level SFO with smoking prevalence and lung cancer incidence in Indiana. Methods: Following IRB approval, we queried the Indiana State Cancer Registry and Indiana Tobacco Prevention and Cessation Commission’s policy database between 1995 and 2016. County-level characteristics included population, income, poverty, education, race/ethnicity, sex, and rurality. Lung cancer diagnosis and stage were also collected. Using generalized estimating equations (GEE) with robust standard errors and accounting for the clustering effect at county level, we performed multivariable analyses of smoking prevalence and age-adjusted lung cancer rates with respect to the strength of smoke-free ordinances at the county level over time. Results: Indiana consists of 92 counties, 24 of which had SFO by 2011. In 2012, Indiana enacted a law mandating at least a moderate state-wide SFO. From 1995 to 2016, 110,935 Indiana residents were diagnosed with lung cancer. Indiana also had an average age-adjusted yearly lung cancer incidence of 76.8 per 100,000 population and average yearly smoking prevalence of 25% during this time. Smoking prevalence was 1.2% (95% CI [-1.88, -0.52]) lower in counties with comprehensive or moderate SFO compared with those with weak or no SFO. Counties that had comprehensive or moderate SFO had an 8.36 (95% CI [-11.45, -5.27]) decrease in new lung cancer diagnosis per 100,000 population per year compared with counties that had weak or no SFO. Conclusions: Stronger municipal smoke-free air ordinances are associated with decreased smoking prevalence and fewer new lung cancer cases. Strengthening smoke-free ordinances is paramount to decreasing lung cancer incidence.

Small area mapping of domestic radon, smoking prevalence and lung cancer incidence – A case study in Northamptonshire, UK

2015 ◽  
Vol 150 ◽  
pp. 159-169 ◽  
Author(s):  
Antony R. Denman ◽  
Stephen Rogers ◽  
Akeem Ali ◽  
John Sinclair ◽  
Paul S. Phillips ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Cancer Incidence ◽  
Small Area ◽  
Smoking Prevalence ◽  
Lung Cancer Incidence

scholarly journals Significant Regional Differences in Lung Cancer Incidence in Hungary: Epidemiological Study Between 2011 and 2016

2021 ◽  
Vol 27 ◽  
Author(s):  
Gabriella Gálffy ◽  
Aladár Vastag ◽  
Krisztina Bogos ◽  
Zoltán Kiss ◽  
Gyula Ostoros ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Cancer Incidence ◽  
Regional Differences ◽  
Smoking Prevalence ◽  
Mortality Rates ◽  
Insurance Fund ◽  
Lung Cancer Incidence ◽  
Northern Great Plain ◽  
Incidence And Mortality ◽  
Icd 10

Objective: Hungary has one of the highest incidences and mortality rates of lung cancer (LC), therefore the objective of this study was to analyse and compare LC incidence and mortality rates between the main Hungarian regions.Methods: This nationwide, retrospective study used data from the National Health Insurance Fund and included patients aged ≥20 years who were diagnosed with lung cancer (ICD-10 C34) between Jan 1, 2011 and Dec 31, 2016. Age-standardized incidence and mortality rates were calculated and compared for the main regions.Results: The highest incidence rate in males was recorded in Northern Hungary (146.8/100,000 person-years [PY]), while the lowest rate was found in Western Transdanubia (94.7/100,000 PY in 2011). All rates showed a declining trend between 2011 and 2016, with the largest decrease in the Northern Great Plain (−20.0%; p = 0.008). LC incidence and mortality rates in women both showed a rising tendency in all regions of Hungary, reaching the highest in Central Hungary (59.86/100,000 PY in 2016). Lung cancer incidence and mortality rates in males correlated with the level of education and smoking prevalence (p = 0.006 and p = 0.01, respectively) in the regions. A correlation with GDP per capita and Health Development Index (HDI) index could also be observed in the Hungarian regions, although these associations were not statistically significant. No correlations could be detected between these parameters among females.Conclusion: This analysis revealed considerable differences in the epidemiology of LC between the 7 main Hungarian regions. LC incidence and mortality rates significantly correlated with smoking and certain socioeconomic factors in men, but not in women. Further research is needed to explain the regional differences.

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