Abstract
This paper examines changes in mortality from urinary bladder cancer in Italy during the years 1950-81 in relation to changes in smoking habits and in coffee, cocoa and tea consumption. The authors found that, in both sexes and for all ages, mortality has been increasing throughout this period, although the rates and relative increase have consistently been much lower and more gradual for women than for men.
From the analysis of age-cohort-period variation it seems that bladder cancer mortality can also be influenced by changes in smoking habit patterns and by variation in the quality of diagnoses. The increase in death risk for both sexes in Italy up to cohorts born around 1905-10 can be related to occupational exposures and to high-tar-content tobacco smoking, whereas the tendency for mortality rates to stabilize and decline in cohorts born after 1910 were influenced by changes from high-tar-content and no-filter cigarettes to low-tar-content and filter cigarettes and by prevention measures taken in at-risk working environments.
The consumption of coffee, cocoa and tea does not seem to be related to the increase in bladder cancer risk in Italy.
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References
Amministrazione Monopoli di Stato (1985): Rassegna il “Toscano”. Roma.
BerlieJ., JaninM.L., HucherM. et al. (1979): frMortalité par cancer de la vessie en France, de 1952 à 1976. Son évolution croissante et sa répartition géographique particulière dans le sud de la France. -Bull. Cancer: 66: 317–326.
CaseR.A.M., HoskerM.E.McDonaldD.B. et al (1954): Tumours of the urinary bladder in workmen engaged in the manufacture and use of certain dyestuff intermediates in the British chemical industry. Part I. The role of aniline, benzidine, alpha-naphthylamine and beta-naphthylamine. - Br. J. Ind. Med., 11: 75–104.
ClaudeJ., KunzeE., Frentzel-BeymeR. et al. (1986): Life-style and occupational risk factors in cancer of the lower urinary tract. - Am. J. Epidemiol. 124: 578–589.
ColeP. (1971): Coffee-drinking and cancer of the lower urinary tract. - Lancet 1: 1335–1337.
ColeP., MonsonR.R., HaningH. and FriedellG.H. (1971): Smoking and cancer of the lower urinary tract.- N. Engl. J. Med. 284: 129–134.
Decarli A., La Yecchia C., Cislaghi C. et al.. (1986): La mortalità per tumori in Italia, 1955–1979: effetti dell'età, della generazione di nascita del periodo di morte. - Monograph. LICT vol. IV, Milano.
DollR. and PetoR. (1981): The causes of cancer: quantitative estimates of avoidable risks of cancer in the United States today. - J.N.C.I. 66: 1192–1308.
Doxa (1958): Nuovi studi sulle abitudini e preferenze dei fumatori italiani. - Boll. Doxa 7: 49–64.
Doxa (1966): I fumatori in Italia. - Boll. Doxa 22 23: 183–206.
GardnerM.J. and OsmondC. (1984): Interpretation of time trends in disease rates in the presence of generation effects. - Stat. Med., 3: 113–130.
GeddesM., OsmondC., BarchielliA. and BuiattiE. (1985): Analysis of trends in cancer mortality in Italy 1951–1978; the effects of age, period of birth and period of death. - Tumori 71: 101–110.
GonzalesCA., Lopez-AbentG., ErrezolaM. et al. (1985): Occupation, Tobacco Use, Coffee, and Bladder Cancer in the County of Matara (Spain). -Cancer 55: 2031–2034.
GoriG.B. (1976): Low-risk cigarettes: a prescription. -Science, 194: 1243–1246.
HooverR. and ColeP. (1971): Population trends in cigarette smoking and bladder cancer. - Am. J. Epidemiol. 94: 409–418.
HooverR. and HartgeP. (1982): Non-Nutritive Sweeteners and Bladder Cancer. - A.J.P.H. 72:382–383.
HoweG.R., Burch J.D., Miller A.B. et al. (1980): Tobacco use, occupation, coffee, various nutrients, and bladder cancer. - J.N.C.I. 64: 701–713.
ISTAT (1982): Indagine statistica sulle condizioni di salute della popolazione sul ricorso ai servizi sanitari.- Boll. Mens. Stat. Suppl. 12, Roma.
JacobsenB.K., BjelkeE., KualeG. and HeucaI. (1986): Coffee drinking, mortality and cancer incidence: results from a Norvegian prospective study. J.N.C.I. 76: 823–831.
JensenO.M., WahrendorfJ., KnudsenJ.B. and SorensenB.L. (1986): The Copenaghen case-control study of bladder cancer. II. Effect of coffee and other beverages. - Int. J. Cancer, 37: 651–657.
KabatG.C., DieckG.S. and WynderE.L. (1986): Bladder cancer in nonsmokers. - Cancer 57:362–367.
LaRosaF., CresciA., OrpianesiC. et al. (1988): Esophageal cancer mortality: relationship with alcohol intake and cigarette smoking in Italy. - Eur. J. Epidemiol. 4: 93–98.
LaRosaF. and SaltalamacchiaG. (1987): Age, period, and birth cohort variations. A BASIC program to compute standardized indices from disease rates. -Riv. Stat. Appl., 20: 411–419.
LaYecchiaC. (1985): Patterns of cigarette smoking and trends in lung cancer in Italy. - J. Epidemiol. Commun. Hlth. 39: 157–164.
LubinJ.H., BlotW.J., BerrinF. et al. (1984): Patterns of lung cancer risk according to type of cigarette smoked. - Int. J. Cancer 33: 569–576.
MastrandreaY., LaRosaF. and CresciA. (1984): Trends in lung cancer mortality i Italy in relation to consumption of tobacco products. - Am. J. Epidemiol. 120: 257–264.
MatanoskiG.M. and ElliotE.A. (1981): Bladder cancer epidemiology. - Epidemiol. Rew. 3: 203–229.
MillerA.B. (1977): The aetiology of bladder cancer from the epidemiological viewpoint. Cancer Res. 37: 2939–2942.
MommsenS. and AagaardJ. (1983): Tobacco as risk factor in bladder cancer. - Carcinogenesis 4: 335–338.
MoolgavkarS.H. and StevensR.G. (1981): Smoking and Cancers of Bladder and Pancreas: Risks and Temporal trends. - J.N.C.I. 67: 15–23.
MorrisonA.S. (1978): Geographic and Time Trends of Coffee Imports and Bladder Cancer. - Europ. J. Cancer 14: 51–54.
MorrisonA.S., BuringJ.E., VerhoekW.G. et al. (1982): Coffee drinking and cancer of the lower urinary tract. -J.N.C.I. 68: 91–94.
NomuraA., HeilbrunL.K. and StenmermannG.N. (1986): Prospective study of coffee consumption and the risk of cancer - J.N.C.I. 76: 587–590.
PannelliF., VitaliR., PetrinelliA.M. and SaltalamacchiaG. (1985): I tumori maligni della vescica: aspetti epidemiologici. - G. Ig. Med. Prevent. 26: 127–145.
RebelakosA., TrichopoulosD., TzonduA. et al. (1985): Tobacco smoking, coffee drinking, and occupation as risk factor for bladder cancer in Greece. - J.N.C.I. 75: 455–461.
RimingtonT. (1981): The effect of filters on the incidence of lung cancer in cigarette smokers. -Environ. Res. 24: 162–166.
SilvermanD.T., HooverR.N. and SwansonG.M. (1983): Artificial sweeteners and lower urinary tract cancer: hospital vs. population controls. - Am. J. Epidemiol. 117: 326–334.
SnowdonD.A. and PhillipsR.L. (1984): Coffee consumption and risk of fatal cancer. - A.J.P.H. 74: 820–823.
Tarka S.M. (1982): The toxicology of cocoa and methylxanthines: a review of the literature. - C.R.C. Critical Reviews in Toxicology.
YineisP., EsteveJ. and TerraciniB. (1984): Bladder cancer and smoking in males type of cigarettes, age at start, effect of stopping and interaction with occupation. - Int. J. Cancer 34: 165–170.
YineisP. and SimonatoL. (1986): Estimates of the proportion of bladder cancers attributable to occupation. - Scand. J. Work Environ. Health 12: 55–60.
VutueC. and KunzeM. (1983): Tar yields of cigarettes and male lung cancer risk. - J.N.C.I. 71: 435–437.
WaterhouseJ., MuirC., CorreaP. et al. (1976): Cancer incidence in five continents. - Vol. 3. Berlin and New York: International Union against Cancer.
World Health Organization (1977): Manual of the international statistical classification of diseases, injuries, and causes of death. - Ninth revision, Vol. 1. Geneva: WHO.
WynderE.L., DieckG.S., HallN.E.L. and LahtiH. (1985): A case-control study Diesel Exhaust Exposure and bladder cancer. - Envirom. Res. 37: 475–489.
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Pannelli, F., La Rosa, F., Saltalamacchia, G. et al. Tobacco smoking, coffee, cocoa and tea consumption in relation to mortality from urinary bladder cancer in Italy. Eur J Epidemiol 5, 392–397 (1989). https://doi.org/10.1007/BF00144843
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DOI: https://doi.org/10.1007/BF00144843