ets exposure, lung cancer - Legacy Tobacco Documents Library

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1.u+t tsncer tr.onY aon•taolcrr
Chc smoiuag sucus of dsc husbarld is rz:.idly asccrmiacd, lUU :llL
.•i• 4J 14Uw iT1C111111gLW ' "'1CLLl UC Lil6Ci"uYC
th e q,,,nhauve aspeuts Of thc esposure ue difficulr to el.iezis, if aay .
The last mode ; vu also applied separuGy for adeoo-
j~ey y,Ce'1Sr'aCely,
5imitu modea ~r .r used to ssscss the e6ccn Of curinomu, an one hand, usd For squsasoL=, srnail• usd
ctparutc to cobacm >znoking by ochos household mem- luqe-cdl raninomas, on tiae other, using in both inbcrs
ot at the vorkphce . Tbc rmulc t.ere qualira>? .cly rcuces the total sez of conuols . The raults are sbown
~rilir to those pcesrnteA in Table 2 . Ihere ru no in Tablc 6 . !c anpnn that the cEcra of inuivr smokin ;
tvidr~cc of any e. .~ from cxposvre tp smohinj of or}sc ue more evident for squarnous sraaJ.l- and la:gc-c . :1 cu-
bouschold mcrs'ea• •hems the ettect of aposure to a .^•omas tahca tojr., :er . tha•n for adGOCUCi.oomi,
passive sasokinQ u•osk was .crq szas!J and not stzrist- altt ougb c!s diac :=ce is eot sazs-icslly sirftii:rrm. On
ically siguifictt (the RR btc .re= eza=c quartila .ru tsse contruy• the nutr'uotvtl facarts) assoazted with &%tic
1 .08 (0 .r4 -i .87)) . CnaanUing for ur poUurion had no constunptioa appru m be equally strnng in boc~" gups .
crr.r on any of the mulciva.^ate anal,vses .
Ta .blc j sho" trultiple logisriz tzgre9,ion•deaved RR Discussion
for lung c-.ace: =or.g non•srnorea bc :wrc : ersemc
quar-~es of sc!ec :ed food gcoups and autr.ents, Tne r2R Thre: major :r.>orz yave cooduded cttu c:e ::ist :nj dan
estimatcs are adjusced for agc, ycn of scbeoling, strongiy support a causal relat :on be:-cen pustve
intc :viewe :, zLd total energy in : ke . There is licle, if snorci.ns ind lung ar:cer ."' ~a Ihe : have been zl .io
any . coaiouncinC 5c .-Wce: the two indicated food groups more man 10 epIde :%ioiogic szudies uscui ;y c:.c role of
(ve ;eubiez u:d i.•uia) or among d-e thrr. indicrcd nutr•.tion in the r.iology Of lung ca:.c :: . In a enttca)
nuu-ien :s . Tr,c :Cbre, the dau su3ger, citu fr.t :a, bu: noc revie-x, WiUer. .7 sti:rrrsaazcd the NICC:cc s bcing
vcgenblc, prot :: ag2inst lung aric : :, as:d that vitimin te :aarxably corsisrce in sL:qresdnY sn invnac association
C alone as,not e=laie all or taosz of the protc-cive c5ect be .-w= arorenoid ioureea of vi :nmin A and u;e risk of .
assocacec wicn fr.:ic corsumpcon . The--e s ako evide nec ' t!~e discsc . Since botn espon:rn to passiNz smok:ag, and
that rerrsol (prc-fomud vinm .in A), "ru from beinp a dir, pc>or ir fruit and veVta ..bles, mz'rr?e: inade_uuc
protective, miy u:.a11,v be usociated with 1a int :eased heaha edua ::on, it is conncivablc Ihat e:ca of tite two
risic Sor lur•,Q m:ces in this se : es. faceors could coaiour.d the te:adoa of che other to the
Fia.aly, eposur: to husband's tobacco smoic :r:g, zad rislc of lung aace : . Tae preseat sasdy suptcre rh= tbiz~
fruic coor :rz:pdon were ss:usuluneously introduted in --I is aor the asc : the-ef&='of pattive smoYint attd die :
anotiur model (toeethe: with ige . rrus of schooiing, r sppar to be itsdc^.,esd=trkt:sdual coaioundi .lg on cae
inte.-vicwc :, and tocal cn e :gy inta.icc) to csplorc vhe-.he: basis of a conceivable as:ociation be^art-cn hr.tsbznd's
the p-_ssive smoicing cicct is confounded by inadequate smokinf of hijh tar (ntae : than loa nr) aptertn and
insa-kr of fruia, u ;d vice vea.a, TAUe is no suca evideace, icadeeuau fruit inmi : by his wife is unlikel,v, bet7 ::se
In fact . we RR ~-i~ted .vith enposurm tn husband's hirh- and low•tar ctar-es coafe : simiiar saostses in
tobacco sraoking inueased from 1 .92 to 2 .11 snd the the eoncext of pusive smokinQ (ru intaice dep=ds
relItive tisk usodatd .rit'rs high u, low coostuspdon of ptir•arily on the filte : uscd) . Furthe . .^•,ore . the special
huits deerascd frnm 0 . 33 m 0 .2' . lnaoductioa of eceals c-or, to escludc cx•smokcs hom the study of lung ances
to the laft mui.el had ao effecs .iiereas the study was amony aon•strsokers pteridea ururaacc tfiat the surln
Tab4 S, 4ulcpie lofnoe aTresiorrdrmcd reSare riyk fw istn{ noea
unonj Ooa•emoiee benem aaeaie yunnilen .f rlecuc ~ud ~toups
K LlC.tieltp
tood jroup or
liiacis rndc Coatidarct P nlw
.""nt
bKr.ees essrezae roanl•
---~ ., .
rl-c.ure"
qv&ml-c'
l .ot o.u_ l .sa 0.96
lssimt(prr{artwdl
Vux=a C o .s~ o.a- t .os
0.06
o.ot
v.Yeflbin 1 .09 0 44- :,0! 014
frwn 0 .11 o .ts-o .ia o.tt1
'CancroUMf tnr a~c . .na nlunayint, iorw~s+.er, sr.d wa cecrTy
Meyk~,
http://legacy.library.ucsf.edu/tid/wyk81f00/pdf
Tzb1 . C Mutripk laruac w~emms.iev.ed adad.e tW (9)X
eoandeece ia~) >bc Iu:C aocr, by b .M)otic s" anwnI ron•
smuicr, urorriinl to 13ssbiod's eoCaao rmok .os runu U~d so lu(o
n . bW tuartik oi fruie eseuumpuan,
HsTaotial qpc~ Hubwi uaakr,
a. ao"awJms
All kaag aocsr
nde,aocuabeta„
Syvsmar, sm.l1• r •
kuir-cr0
2-11 (1 .OV-4 .ap
:.SJ (O.Yt-7.)7)
Fn:io cusumpuac
h46 er . Sar qwrcle
o . :1 (o .1A - 0 . 7 4)
O .1a (0 .0 4
{uettallieR fat agc . re•us Of s&Ml;nK, mur.iesr. usd roaw cncrp
Ltetk i .
4of :i of tfu it eua 6i,+olo" rope vaI na i .n,ublc .
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