Samet J M, Wiggins C L, Humble C G, Pathak D R
Department of Medicine, University of New Mexico Medical Center, Albuquerque 87131.
Am Rev Respir Dis. 1988 May;137(5):1110-3. doi: 10.1164/ajrccm/137.5.1110.
We have used population-based data for the state of New Mexico to calculate cigarette-smoking-specific incidence rates for lung cancer, cumulative incidence rates for lung cancer, and estimates of the proportion of lung cancer cases attributable to smoking. For white New Mexicans, the incidence of lung cancer increased with age and was markedly higher in smokers than in nonsmokers. From 25 through 84 yr of age, the cumulative incidence of lung cancer was 0.9% in nonsmoking males and 0.5% in nonsmoking females. The cumulative incidence rates were much higher for smokers; for males who smoked 20 or more cigarettes daily from age 25, the cumulative risk of lung cancer through age 84 was 31.7%. For females with the same cigarette smoking history, the estimate of cumulative incidence through age 84 years was 15.3%. The population-attributable risks for lung cancer associated with cigarette smoking were 89.5% for males and 85.5% for females.
我们利用新墨西哥州基于人群的数据,计算了特定吸烟人群的肺癌发病率、肺癌累积发病率,以及可归因于吸烟的肺癌病例比例估计值。对于新墨西哥州的白人而言,肺癌发病率随年龄增长而上升,且吸烟者的发病率明显高于非吸烟者。在25岁至84岁年龄段,非吸烟男性的肺癌累积发病率为0.9%,非吸烟女性为0.5%。吸烟者的累积发病率则高得多;对于25岁起每天吸烟20支及以上的男性,到84岁时肺癌累积风险为31.7%。对于有相同吸烟史的女性,到84岁时累积发病率估计值为15.3%。与吸烟相关的肺癌人群归因风险,男性为89.5%,女性为85.5%。