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ets exposure, lung cancer - Legacy Tobacco Documents Library

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• The study population characteristics also reveal that over 70%<br />

of cases and controls were aged 60 or older . This calls into<br />

question the accuracy of childhood <strong>exposure</strong> estimates provided<br />

by these women, who were asked to recall parental smoking<br />

habits of more than 50 years ago ._<br />

• Furthermore, the socioeconomic and educational composition of<br />

the study population argues against generalizing results<br />

reported from this study to the United States population as a<br />

whole . The majority of cases and controls were drawn from low<br />

socioeconomic strata : more than 40%- had household incomes of<br />

less than $20,000 . In terms of education, one-third of cases<br />

had no more than a high school education .<br />

• The conclusion stated in the abstract of the paper -<br />

"Exposure to ETS during adult life increases risk of <strong>lung</strong><br />

<strong>cancer</strong> in lifetime nonsmokers" -- gives the appearance that<br />

the reported results are applicable to both men and women,<br />

when in fact, only women were studied .<br />

• Fontham and colleagues neglect to discuss the available<br />

http://legacy.library.ucsf.edu/tid/wyk81f00/pdf<br />

workplace data from other spousal smoking studies . Of<br />

particular interest is the notee that several large recent<br />

case-control studies (Janerich, et al . ; Bro4mson, et al . ;<br />

Stockwell, et al . ; Wu-Williams, et al .) have reported results<br />

for workplace <strong>exposure</strong> that were not statistically

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