Loewen G M, Romano C F
Department of Internal Medicine, House of the Good Samaritan, Watertown, New York 13601.
J Psychoactive Drugs. 1989 Jul-Sep;21(3):319-21. doi: 10.1080/02791072.1989.10472173.
In 1983, lung cancer exceeded breast cancer as the leading cause of death in American women. Between 1950 and 1985 there was a 500% increase in lung cancer deaths in women, and this trend is not expected to improve in the next decade. There is no corresponding increase in the overall incidence of lung cancer in the general population of the United States. Cigarette smoking is clearly the primary risk factor in this group and the role of passive smoking remains controversial. Various other etiologic factors, including a shift in occupational exposure, may play a minor role in the development of lung cancer in years after smoking cessation. If the incidence of smoking in American women was reduced to pre-1950 levels, it is estimated that lung cancer in women would once again become a rare finding after the year 2000.
1983年，肺癌超过乳腺癌，成为美国女性的首要死因。1950年至1985年间，女性肺癌死亡人数增加了500%，预计这一趋势在未来十年不会得到改善。美国普通人群中肺癌的总体发病率没有相应增加。吸烟显然是这一群体的主要危险因素，而被动吸烟的作用仍存在争议。其他各种病因，包括职业暴露的转变，可能在戒烟后的几年里对肺癌的发生起较小作用。如果美国女性的吸烟率降至1950年前的水平，据估计，2000年后女性肺癌将再次成为罕见疾病。
