Am J Epidemiol. 2014 Feb 15;179(4):403-12. doi: 10.1093/aje/kwt335. Epub 2014 Jan 15.
The question of whether cigarette smoking was associated with lung cancer was central to the expansion of epidemiology into the study of chronic diseases in the 1950s. The culmination of this era was the 1964 report of the Advisory Committee to the Surgeon General, a landmark document that included an objective synthesis of the evidence of the health consequences of smoking according to causal criteria. The report concluded that cigarette smoking was a cause of lung cancer in men and sufficient in scope that "remedial action" was warranted at the societal level. The 2014 Surgeon General's report commemorates the 50th anniversary of the 1964 report. The evidence on the health consequences of smoking has been updated many times in Surgeon General's reports since 1964. These have summarized our increasingly greater understanding of the broad spectrum of the deleterious health effects of exposure to tobacco smoke across most major organ systems. In turn, this evidence has been translated into tobacco control strategies implemented to protect the public's health. The Surgeon General report process is an enduring example of evidence-based public health in practice. Substantial progress has been made, but cigarette smoking remains one of the most pressing global health issues of our time.
吸烟是否与肺癌有关的问题是 20 世纪 50 年代流行病学扩展到慢性疾病研究的核心问题。这一时期的高潮是 1964 年美国外科医生总署顾问委员会的报告,这是一份具有里程碑意义的文件,根据因果标准客观综合了吸烟对健康后果的证据。该报告得出的结论是,吸烟是导致男性肺癌的原因,其范围之大,以至于“补救行动”在社会层面上是必要的。2014 年外科医生总署的报告纪念了 1964 年报告发布 50 周年。自 1964 年以来,外科医生总署的报告多次更新了吸烟对健康后果的证据。这些报告总结了我们对暴露于烟草烟雾对大多数主要器官系统的广泛有害健康影响的日益深入的理解。反过来,这些证据已转化为保护公众健康的烟草控制策略。外科医生总署的报告流程是实践中基于证据的公共卫生的一个持久范例。已经取得了重大进展,但吸烟仍然是我们这个时代最紧迫的全球健康问题之一。