Asbestos, Asbestosis, Smoking, and Lung Cancer. New Findings from the North American Insulator Cohort

Markowitz, Steven; Levin, S. M.; Miller, Albert; Morabia, Alfredo

doi:10.1164/rccm.201302-0257oc

Cited by 150 publications

(87 citation statements)

References 17 publications

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“…In our modeling, we have implicitly assumed that the interaction is multiplicative, inherent in the relative risk functions we have applied. However, even if the interaction is sub-multiplicative, the relative risk for asbestos-exposed workers who are currently smoking or are former smokers which we have applied would be very similar to that recently reported by Markowitz et al (19) for asbestos-exposed non-smoking insulators. Given the uncertainty in the estimation of extent of prior asbestos exposure, it is unlikely that uncertainty in the application of the degree of interaction between the two exposures will have a major effect.…”

Section: Discussionsupporting

confidence: 86%

Eligibility for low-dose computerized tomography screening among asbestos-exposed individuals

Flanagan¹,

Evans²,

Miller³

2015

Scand J Work Environ Health

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Section: Discussionsupporting

confidence: 86%

Eligibility for low-dose computerized tomography screening among asbestos-exposed individuals

Flanagan¹,

Evans²,

Miller³

2015

Scand J Work Environ Health

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“…demonstrated that asbestos exposure among non‐smokers (rate ratio = 3.6, 95% CI: 1.7–7.6) increased lung cancer mortality. The risk increased to 14.4 among smokers, as asbestos and smoking are supra‐additive 30. Some studies have shown that fruit consumption was associated with a decreased risk of lung cancer 31, 32…”

Section: Discussionmentioning

confidence: 99%

Lung cancer burden has increased during the last 40 years in Hebei Province, China

Song

et al. 2016

Thoracic Cancer

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BackgroundIn 2011, Hebei Province, located in North China with a population of 71 794 239, accounted for approximately 6% of the national population. It is well known as a heavily air polluted area. This study reports the lung cancer burden and mortality trend in Hebei Province from 1973 to 2011.MethodsEight cancer registries in Hebei Province submitted data to the Hebei Provincial Cancer Registry Center. Pooled data were stratified by area (urban/rural), gender, and age group. The proportions, cumulative incidence/mortality rates, and median age at death of lung cancer were calculated. Lung cancer mortality data of 1973–1975, 1990–1992, and 2004–2005 were extracted from national death surveys. Data of lung cancer from Cixian and Shexian were obtained from population‐based cancer registries in each county.ResultsThe estimated numbers of newly diagnosed lung cancer cases and deaths in 2011 in Hebei Province were 32 623 and 27 612, respectively. The crude incidence rate of lung cancer was 45.44/100 000. The age‐standardized incidence rate by world standard population was 39.01/100 000, ranking second among all cancers. The lung cancer mortality rate was 38.46/100 000, ranking first among all cancer deaths, with a significantly increasing trend in Hebei Province from 1973–1975 to 2010–2011, with an increased rate of 189.15%.Conclusion Hebei Province suffers a heavy disease burden of lung cancer and an obvious increasing trend has been observed over the past 40 years. Preventive and control strategies should be encouraged.

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“…Furthermore, previous studies 13–17 have demonstrated the additive effect of cigarette smoking on adverse health outcomes and certain occupational exposures. Understanding occupational factors, socioeconomic characteristics, and smoking behavior of working men and women may guide targeted gender-specific interventions and more effective policies, smoking-cessation programs, and counseling strategies.…”

Section: Introductionmentioning

confidence: 98%

Gender Differences in Smoking Among U.S. Working Adults

Syamlal¹,

Mazurek²,

Dube³

2014

American Journal of Preventive Medicine

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Background Cigarette smoking remains a leading cause of morbidity and mortality. Although gender differences in cigarette smoking in the U.S. population have been documented, information on these differences among working adults is limited. Purpose To describe the current smoking prevalence by gender among working U.S. adults and examine gender differences in smoking by occupation. Methods The 2004–2011 National Health Interview Survey data for adults aged ≥18 years that were working in the week prior to the interview (N=132,215) were analyzed in 2013. Current cigarette smokers were those who smoked at least 100 cigarettes in their lifetime and currently smoke every day or some days. Results During 2004–2011, an estimated 22.8% of men workers and 18.3% of women workers were current smokers. Of the current smokers, women workers had higher odds of being an everyday smoker (prevalence OR [POR]=1.17, 95% CI=1.09, 1.26); having poor self-rated emotional health (POR=1.28, 95% CI=1.15, 1.41); and having chronic obstructive pulmonary disease (POR=2.45, 95% CI=2.14, 2.80), heart disease (POR=1.27, 95% CI=1.12, 1.45), and current asthma (POR=2.21, 95% CI=1.96, 2.49) compared with men workers. Women in “supervisors, construction, and extraction” (38.9%) occupations and men in “extraction” (40.5%) occupations had the highest smoking prevalence. Conclusion Among working adults, women had lower prevalence of smoking than men, yet women who smoke were more likely than men to have adverse health outcomes, including self-rated poorer physical and emotional health.

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Asbestos, Asbestosis, Smoking, and Lung Cancer. New Findings from the North American Insulator Cohort

Abstract: Asbestos increases lung cancer mortality among nonsmokers. Asbestosis further increases the lung cancer risk and, considered jointly with smoking, has a supra-additive effect. Insulators benefit greatly by quitting smoking.

Cited by 150 publications

References 17 publications

Eligibility for low-dose computerized tomography screening among asbestos-exposed individuals

Eligibility for low-dose computerized tomography screening among asbestos-exposed individuals

Lung cancer burden has increased during the last 40 years in Hebei Province, China

Gender Differences in Smoking Among U.S. Working Adults

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