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Department of Epidemiology, School of Public Health, University of California, Berkeley, California 94720
The importance of smoking and other factors for lung cancer in women was investigated in a case-control study of women who had previously received a multiphasic health checkup at Northern California Kaiser Hospitals. Smoking and medical histories for 217 cases and matched controls were obtained from the multiphasic questionnaire. Odds ratios (ORs) and confidence intervals (CIs) associated with cigarette smoking were 35.1 (95% CI 4.8–256) for squamous and small cell and large cell carcinomas combined and 2.5 (95% CI 1.3–5.1) for adenocarcinoma. After adjusting for smoking, risk was increased in women with a family history of lung cancer (OR 1.9, 95% CI 0.7–5.6) and family history of any cancer (OR 1.8, 95% CI 1.0–3.2). A significant interaction existed between smoking and family history. Women with a history of bronchitis, pneumonia, or emphysema were at increased risk, whereas women with a history of asthma or hay fever experienced a significantly lower risk for lung cancer.
1 This work was supported by a grant from the University of California Cancer Research Coordinating Committee, Biomedical Research Grant 5-S07-RR-05441 from NIH, the University of California, Berkeley Grossman Endowment Fund, and other Fellowship and Research Support from the University of California, Berkeley.
2 Present address and to whom requests for reprints should be addressed: Clinical Cancer Center, Department of Medicine, 375B Med Surge II, University of California, Irvine, CA 92717.
Received 1/18/91. Accepted 7/ 2/91.
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