Reif J S, Bruns C, Lower K S
Department of Environmental Health, Colorado State University, Fort Collins 80523, USA.
Am J Epidemiol. 1998 Mar 1;147(5):488-92. doi: 10.1093/oxfordjournals.aje.a009475.
A case-control study of nasal cancer in pet dogs was conducted to test the hypothesis that exposure to environmental tobacco smoke increases risk. Cases (n = 103) were selected from a teaching hospital during 1986-1990. Controls (n = 378) with other forms of cancer were selected from the same study base. Exposure to environmental tobacco smoke was evaluated by determining the number of smokers in the household, the packs of cigarettes smoked per day at home by each smoker, the number of years that each person smoked during the dog's lifetime, and the proportion of time spent indoors by the dog. The crude odds ratio for exposure to environmental tobacco smoke was 1.1 (95% confidence interval (CI) 0.7-1.8) and was unchanged after adjustment for confounders. Skull shape was found to exert a pronounced modifying effect; among dolichocephalic (long-nosed) dogs, the odds ratio for a smoker in the house was 2.0 (95% CI 1.0-4.1). A monotonic increase in the odds ratios across strata of total packs smoked and total indoor exposure to environmental tobacco smoke was found in this group of dogs, with risks of approximately 2.5 for the highest stratum. Conversely, all odds ratios for exposure to environmental tobacco smoke among short- and medium-length-nosed dogs were approximately 0.5. The data support an association between environmental tobacco smoke and canine nasal cancer.
开展了一项关于宠物狗鼻癌的病例对照研究,以检验接触环境烟草烟雾会增加患病风险这一假设。病例(n = 103)选自1986 - 1990年期间的一家教学医院。对照(n = 378)为患有其他癌症的狗,选自同一研究样本。通过确定家庭中吸烟者的数量、每位吸烟者在家每天吸烟的包数、在狗的寿命期间每人吸烟的年数以及狗在室内度过的时间比例,来评估环境烟草烟雾暴露情况。环境烟草烟雾暴露的粗优势比为1.1(95%置信区间(CI)0.7 - 1.8),在对混杂因素进行调整后无变化。发现头骨形状有显著的修饰作用;在长头型(长鼻)狗中,家中有吸烟者的优势比为2.0(95% CI 1.0 - 4.1)。在这组狗中,发现总吸烟包数和环境烟草烟雾总室内暴露分层的优势比呈单调增加,最高分层的风险约为2.5。相反,短鼻和中鼻狗中环境烟草烟雾暴露的所有优势比约为0.5。这些数据支持环境烟草烟雾与犬鼻癌之间存在关联。