中国非吸烟女性肺癌:一项病例对照研究。

Lung cancer in nonsmoking Chinese women: a case-control study.

作者信息

Wang T J, Zhou B S, Shi J P

机构信息

China Medical University, Shenyang, China.

出版信息

Lung Cancer. 1996 Mar;14 Suppl 1:S93-8. doi: 10.1016/s0169-5002(96)90214-7.

Abstract

The risk factors for lung cancer in lifetime nonsmoking women were investigated in a hospital-based case-control study in the urban area of Shenyang, China, between April 1992 and May 1994. One-hundred thirty-five newly-diagnosed lung cancer cases and an equal number of controls, matched for age and sex, were enrolled and interviewed by trained personnel who administered a standardized questionnaire. The histopathological cell type was predominantly adenocarcinoma (54.5%), followed by small cell carcinoma (20%), squamous cell carcinoma (16.4%), and others (9.1%). The data were analyzed using the Mantel-Haenszel method and by multivariate logistic regression analysis. The odds ratio (OR) and confidence interval (CI) associated with cooking oil vapors and with family history of cancer were 3.79 (95% CI, 2.29-6.27) and 2.29 (95% CI, 1.01-5.17), respectively. No association was found between exposure to environmental tobacco smoke (ETS), presence of previous lung diseases, and "kang" use. Cooking practices, exposure to cooking fumes, and a family history of cancer were found to significantly increase the risk of lung cancer.

摘要

1992年4月至1994年5月期间,在中国沈阳市区开展了一项基于医院的病例对照研究,调查终生不吸烟女性患肺癌的风险因素。招募了135例新诊断的肺癌病例和数量相等的对照,按年龄和性别进行匹配,由经过培训的人员对其进行访谈,这些人员使用标准化问卷进行调查。组织病理学细胞类型以腺癌为主(54.5%),其次是小细胞癌(20%)、鳞状细胞癌(16.4%)和其他类型(9.1%)。采用Mantel-Haenszel法和多因素logistic回归分析对数据进行分析。与食用油烟雾和癌症家族史相关的比值比(OR)及置信区间(CI)分别为3.79(95%CI:2.29 - 6.27)和2.29(95%CI:1.01 - 5.17)。未发现接触环境烟草烟雾(ETS)、既往肺部疾病史和使用“炕”与肺癌之间存在关联。研究发现烹饪习惯、接触烹饪油烟和癌症家族史会显著增加患肺癌的风险。

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