Lung cancer incidence and the strength of municipal smoke‐free ordinances

Hahn, Ellen J.; Rayens, Mary Kay; Wiggins, Amanda; Gan, Wen Qi; Brown, Holly; Mullett, Timothy W.

doi:10.1002/cncr.31142

Cited by 17 publications

(13 citation statements)

References 27 publications

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“…Similar patterns were also found in Shanghai and the countries with a high Human Development Index (HDI), such as the United States and Canada 57,58 . It is reported that smoke‐free ordinances were attributable to reducing new cases of lung cancer 59 . Guangzhou initially released a “forbidding smoking” notice in public places in 1995, and implemented partial smoke‐free legislation in 2010, contributing to the decrease in smoking prevalence from 46.5% in 2004 to 34.3% in 2011 among men 60,61 .…”

Section: Discussionmentioning

confidence: 59%

Time trends of major cancers incidence and mortality in Guangzhou, China 2004–2015: A Joinpoint and Age–Period–Cohort Analysis

et al. 2021

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Background Cancer is an important focus of public health worldwide. This study aims to provide a comprehensive overview of temporal trends in incidence and mortality of leading cancer in Guangzhou, China from 2004 to 2015. Methods Data were collected from the population‐based registry in Guangzhou. Age‐standardized incidence rate (ASIR) and age‐standardized mortality rate (ASMR) were calculated and Joinpoint regression was used for evaluating the average annual percent changes (AAPC) among the entire study period and the estimated annual percent changes (EAPC) in time segments. The effects of age, period, and birth cohort were assessed by the age–period–cohort model. Results The age‐standardized incidence and mortality by the world standard population decreased significantly among males with AAPC of −1.7% (95% CI: −3.0%, 0.2%) and −2.7% (95% CI: −4.3%, −1.1%) for all malignancies during 2004–2015, while among females, the age‐standardized incidence had a non‐significant reduction with AAPC of −1.3% (95% CI: −2.8%, 0.2%) and the age‐standardized mortality demonstrated a remarkable decline (AAPC −2.0%, 95% CI: −3.6%, −0.3%). For males, the most commonly diagnosed cancers were trachea, bronchus, and lung (TBL), liver, colorectal, nasopharyngeal, stomach, and prostate cancer. For females, breast, TBL, colorectal, liver stomach, and thyroid cancer ranked the top. Unfavorable trends were observed in ASIR of colorectal, thyroid, and prostate cancer. APC models yielded different ages, periods, and birth cohort effect patterns by cancer sites. Conclusions Cancer burden remained a public health challenge in Guangzhou as the aging population and lifestyles changes, despite declines in incidence and mortality rates in some cancers. Surveillance of cancer trends contributed to valuable insights into cancer prevention and control.

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Section: Discussionmentioning

confidence: 59%

Time trends of major cancers incidence and mortality in Guangzhou, China 2004–2015: A Joinpoint and Age–Period–Cohort Analysis

et al. 2021

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“…The period effect was usually considered as a surrogate for changes in public health policies or diagnostic practices, such as tobacco control policies. A recent study conducted in United States found that comprehensive smoke‐free ordinances were associated with fewer new cases of lung cancer . As one of the earliest tobacco control cities in China, Shanghai Municipal Government released tobacco control policies “Interim Provisions of Smoking Bans in Public Places in Shanghai” in 1994 .…”

Section: Discussionmentioning

confidence: 99%

Distinctive lung cancer incidence trends among men and women attributable to the period effect in Shanghai: An analysis spanning 42 years

Xie

Qian

et al. 2020

Cancer Medicine

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Background: Many previous studies reported secular trend of lung cancer incidence and mortality, but little is known about the possible reasons for these trends. Methods: Data were obtained from Shanghai Cancer Registry. Age-standardized rates were calculated and average annual percent changes (AAPCs) were evaluated by Joinpoint regression. Age, period, and birth cohort effects were assessed by ageperiod-cohort models. Results: From 1973 to 2010, compared with long-time slowly increasing trend in women, male lung cancer incidence had significantly decreased between 2001 and 2009. After that lung cancer incidence rising sharply in women (AAPC = 14.13%, 95%CI: 2.68%-26.86%, P = .016) and similar rising trends without statistical significance in men (AAPC = 2.96, 95%CI: −2.47%-8.69%, P = .281) between 2010 and 2014. Age-period cohort model showed the different patterns of period effects for lung cancer incidence between men and women. The period effects for lung cancer incidence showed rising effect for women, whereas there was decline effect for lung cancer incidence for men. On the other hand, the model showed a significant period effect in both genders with a similar fashion in mortality, yielding steady falling trends during the entire study period. Conclusions: The distinctive patterns of lung cancer incidence between men and women may be attributable to significant period effects, which reflected the changes in public health policies or diagnostic practices and highlighted the urgent of continued monitoring of gender-specific risk factors for lung cancer incidence. K E Y W O R D Sage-period-cohort model, gender disparity, incidence, Lung cancer, mortality | 2931 XIE Et al.

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“…The Kentucky Center for Smoke-Free Policy further categorizes the strength of all smoke-free ordinances as “none,” “weak/moderate” (smoke-free with significant exemptions), or “comprehensive” (smoke-free workplaces and enclosed public places); previous studies have used these categories for similar research. 36,37 For counties in which only a city had a smoke-free ordinance but there was no countywide ordinance, we used the category for the largest city to represent the whole county. In one county, there were multiple cities with ordinances, but no countywide ordinance; in this instance, we used the earliest date of implementation and included the county among those with an ordinance implemented by December 2009.…”

Section: Methodsmentioning

confidence: 99%

Effect of Local Smoke-Free Ordinances on Smoking Prevalence in Kentucky, 2002–2009

Christian

Walker

Huang

et al. 2019

Southern Medical Journal

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This article evaluates changes in self-reported smoking prevalence in a state (Kentucky) with one of the highest smoking prevalence rates in the United States, during the onset of local enactments of local laws designed to reduce smoking in workplaces and public buildings. To date, there have been only a few studies evaluating the medium- to long-term effects of smoke-free ordinances on smoking prevalence, particularly at the local level.

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Lung cancer incidence and the strength of municipal smoke‐free ordinances

Cited by 17 publications

References 27 publications

Time trends of major cancers incidence and mortality in Guangzhou, China 2004–2015: A Joinpoint and Age–Period–Cohort Analysis

Time trends of major cancers incidence and mortality in Guangzhou, China 2004–2015: A Joinpoint and Age–Period–Cohort Analysis

Distinctive lung cancer incidence trends among men and women attributable to the period effect in Shanghai: An analysis spanning 42 years

Effect of Local Smoke-Free Ordinances on Smoking Prevalence in Kentucky, 2002–2009

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