Cancer Causes & Control

, Volume 21, Issue 6, pp 959–965

Estimation of cancer incidence and mortality attributable to smoking in China

Original paper

Abstract

Background

Tobacco smoking, as a cause of cancer, is common in China. Few studies have been conducted to assess the burden of tobacco-related cancer in the Chinese population.

Methods

We calculated the proportion of cancers attributable to tobacco smoking to estimate the burden of tobacco-related cancer. Population attributable fraction was calculated based on the assumption of total avoidance of smoking. Data on smoking prevalence were from two large-scale national surveys of representative samples of the Chinese population. Data on relative risk were derived from the meta-analyses and large-scale studies. Cancer mortality and incidence were originated from the third national death cause survey and cancer registries in China.

Results

We estimated that a total of 405,112 deaths of cancer were attributable to smoking in China in 2005, including 372,264 among men (32.7% of all cancer deaths) and 32,848 among women (5.0%). A total of 495,221 cancer cases were attributable to smoking, including 454,785 among men (30.0% of all cancer cases) and 40,436 among women (3.9%). Involuntary smoking was responsible for 11,507 lung cancer deaths (11.1%) among non-smoking women.

Conclusion

Tobacco smoking is responsible for one-third of the total cancer deaths among men. Involuntary smoking is an important individual risk factor for lung cancer among non-smoking women. There is a need to continue and strengthen tobacco-control programs and initiatives to reduce smoking-related cancer burden in China.

Keywords

Smoking involuntary smoking Cancer Population attributable fraction 

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Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  1. 1.Department of Epidemiology and StatisticsInstitute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical CollegeBeijingPeople’s Republic of China
  2. 2.Department of Cancer EpidemiologyCancer Institute, Chinese Academy of Medical SciencesBeijingPeople’s Republic of China
  3. 3.Chinese Center for Disease Control and PreventionBeijingPeople’s Republic of China
  4. 4.The Tisch Cancer Institute, Mount Sinai School of MedicineNew YorkUSA
  5. 5.International Prevention Research InstituteLyonFrance

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