Minority Health Archive

Ethnic and Racial Differences in the Smoking-Related Risk of Lung Cancer

Haiman, Christopher A. and Stram, Daniel O. and Wilkens, Lynne R. and Pike, Malcolm C. and Kolonel, Laurence N. and Henderson, Brian E. and Le Marchand, Loïc (2006) Ethnic and Racial Differences in the Smoking-Related Risk of Lung Cancer. The New England Journal of Medicine, 354 (4). pp. 333-342.

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Abstract

Background There is remarkable variation in the incidence of lung cancer among ethnic and racial groups in the United States. Methods We investigated differences in the risk of lung cancer associated with cigarette smoking among 183,813 African-American, Japanese-American, Latino, Native Hawaiian, and white men and women in the Multiethnic Cohort Study. Our analysis included 1979 cases of incident lung cancer identified prospectively over an eight-year period, between baseline (1993 through 1996) and 2001. Results The risk of lung cancer among ethnic and racial groups was modified by the number of cigarettes smoked per day. Among participants who smoked no more than 30 cigarettes per day, African Americans and Native Hawaiians had significantly greater risks of lung cancer than did the other groups. Among those who smoked no more than 10 and those who smoked 11 to 20 cigarettes per day, relative risks ranged from 0.21 to 0.39 (P<0.001) among Japanese Americans and Latinos and from 0.45 to 0.57 (P<0.001) among whites, as compared with African Americans. However, at levels exceeding 30 cigarettes per day, these differences were not significant. Differences in risk associated with smoking were observed among both men and women and for all histologic types of lung cancer. Conclusions Among cigarette smokers, African Americans and Native Hawaiians are more susceptible to lung cancer than whites, Japanese Americans, and Latinos.


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Item Type: Article
Additional Information: Access to full text is subject to the publisher's access restrictions.
Uncontrolled Keywords: lung cancer, Ethnic and Racial Differences, Multiethnic Cohort Study, risk
Subjects: Health > Disparities
Health > Public Health > Chronic Illness & Diseases > Cancer
Health > Public Health > Health Risk Factors > Smoking & Tobacco Use
Research > studies
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Depositing User: Users 141 not found.
Date Deposited: 02 Apr 2011
Last Modified: 26 May 2011 10:44
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/663

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