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氡、吸烟与肺癌:重新聚焦氡气控制政策的必要性。

Radon, smoking, and lung cancer: the need to refocus radon control policy.

机构信息

Department of Health Policy, School of Public Health and Health Services, George Washington University, Washington, DC 20006, USA.

出版信息

Am J Public Health. 2013 Mar;103(3):443-7. doi: 10.2105/AJPH.2012.300926. Epub 2013 Jan 17.

DOI:10.2105/AJPH.2012.300926
PMID:23327258
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3673501/
Abstract

Exposure to radon is the second leading cause of lung cancer, and the risk is significantly higher for smokers than for nonsmokers. More than 85% of radon-induced lung cancer deaths are among smokers. The most powerful approach for reducing the public health burden of radon is shaped by 2 overarching principles: public communication efforts that promote residential radon testing and remediation will be the most cost effective if they are primarily directed at current and former smokers; and focusing on smoking prevention and cessation is the optimal strategy for reducing radon-induced lung cancer in terms of both public health gains and economic efficiency. Tobacco control policy is the most promising route to the public health goals of radon control policy.

摘要

氡暴露是肺癌的第二大主要病因,吸烟者患肺癌的风险明显高于非吸烟者。超过 85%的氡致肺癌死亡发生在吸烟者中。减少氡对公众健康危害的最有效方法是基于两个总体原则:促进住宅氡检测和补救的公共宣传工作,如果主要针对当前和以前的吸烟者,将是最具成本效益的;并且,就公共卫生收益和经济效益而言,专注于预防和戒烟是减少氡致肺癌的最佳策略。烟草控制政策是实现氡控制政策公共卫生目标的最有前途的途径。

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本文引用的文献

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The impact of declining smoking on radon-related lung cancer in the United States.下降的吸烟率对美国氡相关肺癌的影响。
Am J Public Health. 2011 Feb;101(2):310-4. doi: 10.2105/AJPH.2009.189225.
2
Smokefree policies to reduce tobacco use. A systematic review.无烟政策以减少烟草使用。系统评价。
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Tobacco control in the United States--recent progress and opportunities.美国的烟草控制——近期进展与机遇
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Health effects of radon: a review of the literature.氡对健康的影响:文献综述
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Lung cancer deaths from indoor radon and the cost effectiveness and potential of policies to reduce them.室内氡导致的肺癌死亡以及减少此类死亡的政策的成本效益和潜力。
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6
Assessment of the effectiveness of radon screening programs in reducing lung cancer mortality.评估氡筛查项目在降低肺癌死亡率方面的有效性。
Risk Anal. 2008 Oct;28(5):1221-30. doi: 10.1111/j.1539-6924.2008.01105.x. Epub 2008 Aug 21.
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The US radon problem, policy, program and industry: achievements, challenges and strategies.美国的氡问题、政策、项目与产业:成就、挑战与策略
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The Hitchhiker's Guide to Tobacco Control: a global assessment of harms, remedies, and controversies.《烟草控制搭便车指南:对危害、补救措施及争议的全球评估》
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