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· Massachusetts

Male tobacco smoke load and non-lung cancer mortality associations in Massachusetts 

Jump to full article: BioMed Central (uk), 2009-01-23
Author: Bruce N Leistikow1 email, Zubair Kabir2,3 email, Gregory N Connolly2 email, Luke Clancy3 email and Hillel R Alpert2

Intro:

Discussion

The strong lung/non-lung cancer death rate associations observed among Massachusetts males suggest that tobacco smoke load is a potential cause of most prematurely fatal cancers in this population. These associations suggest that all-sites cancer death rate SAFs are 73% (SR 61–82%) for males over all ages and 74% (SR 61–82%) for males aged 30–74 years.

SAFs of age-adjusted cancer death rates calculated by this methodology are substantially higher than the cancer death rate SAFs calculated based on the CPS II relative risks. The present method incorporates all non-lung cancers; sizeable, representative, recent male populations; and age-adjusted death rates, which are the most reliable measure of progress in global action against cancer [16]. In contrast, previous calculations of SAF were generally based on sometimes outdated lists of smoking-related cancer sites [1,17]; tobacco smoke exposure based on smoking status, which extensively underestimates or misclassifies due to brief, unrecognized, disregarded, unrecalled or secondhand smoke exposure [4,18]; as well as select smaller, racially homogeneous populations, that are unrepresentative of the general population or even of Whites only [5,6,19].

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