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假设相对于不吸食大麻的吸烟者,吸食大麻者患癌风险显著更低:基于对当前文献的统计重新评估的证据。

Hypothesizing that marijuana smokers are at a significantly lower risk of carcinogenicity relative to tobacco-non-marijuana smokers: evidenced based on statistical reevaluation of current literature.

作者信息

Chen Amanda L C, Chen Thomas J H, Braverman Eric R, Acuri Vanessa, Kemer Mallory, Varshavskiy Michael, Braverman Dasha, Downs William B, Blum Seth H, Cassel Kimberly, Blum Kenneth

机构信息

Department of Engineering and Management of Advanced Technology, Chang Jung Christian University, Tainan, Taiwan.

出版信息

J Psychoactive Drugs. 2008 Sep;40(3):263-72. doi: 10.1080/02791072.2008.10400641.

DOI:10.1080/02791072.2008.10400641
PMID:19004418
Abstract

A hypothetical link between marijuana smoking and cancer has been established based on a number of misleading assumptions. However, recent studies tend to suggest, if anything, an inverse association between marijuana use and cancers. To test the hypothesis that marijuana smoking significantly lowers the risk of developing cancer in humans, we analyzed published data from a prospective cohort study on cancer incidence among nonsmokers (NS), marijuana-only smokers (MS), tobacco-only smokers (TS), and marijuana and tobacco smokers (MTS). Using the log linear model to calculate the probability of developing each cancer form as a function of the interaction between marijuana and tobacco smoking, as well as functions of marijuana and tobacco smoking main effects whereby chi square statistics were calculated for the interaction and main effect estimates, we found that in all cases tested there was a significantly lower risk for MS compared to TS. Male and female TS had a greater probability of developing lung cancer than did MS. Males and females TS had a greater probability of developing lung cancer compared with NS. Males and female MTS had a slightly higher probability of developing lung cancer than did MS. This difference was statistically significant: chi2 = 30.51, p < .00001, with a correlation coefficient of -0.75, Z = -7.84, p < .05. Male and female MTS had a lower probability of developing lung cancer than did TS. This difference was statistically significant: chi2 = 71.61, p = .00003, with a correlation coefficient of 0.61, Z = 5.06, p < .05.

摘要

基于一些误导性假设,大麻吸食与癌症之间建立了一种假设性联系。然而,最近的研究倾向于表明,大麻使用与癌症之间若有联系的话,也是一种负相关。为了验证大麻吸食能显著降低人类患癌风险这一假设,我们分析了一项前瞻性队列研究的已发表数据,该研究涉及非吸烟者(NS)、仅吸食大麻者(MS)、仅吸食烟草者(TS)以及同时吸食大麻和烟草者(MTS)的癌症发病率。使用对数线性模型来计算患每种癌症类型的概率,该概率是大麻和烟草吸食之间相互作用的函数,以及大麻和烟草吸食主效应的函数,据此计算相互作用和主效应估计值的卡方统计量,我们发现,在所有测试案例中,与TS相比,MS患癌风险显著更低。男性和女性TS患肺癌的概率均高于MS。与NS相比,男性和女性TS患肺癌的概率更高。男性和女性MTS患肺癌的概率略高于MS。这种差异具有统计学意义:卡方 = 30.51,p <.00001,相关系数为 -0.75,Z = -7.84,p <.05。男性和女性MTS患肺癌的概率低于TS。这种差异具有统计学意义:卡方 = 71.61,p =.00003,相关系数为0.61,Z = 5.06,p <.05。

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