Table 2.1Cohort studies of secondhand smoke and lung cancer

Reference
(country, years
of study)
Cohort sampleCohort eligibility; follow-upSource of exposureIncidence/death; covariates adjusted for;
comments
Garfinkel (1981)
(USA, 1960–72)
176 739
married
nonsmoking
women
ACS Study: friends, neighbours and relatives of American
Cancer Society volunteers; deaths reported by volunteers;
death certificates obtained from state health departments;
93% follow-up
Veterans Study: questionnaire mailed to veterans holding
a US Government life insurance; 85% response; death
certificates supplied to the Veterans' Administration or
through field work at health departments
Active smoking by
current spouse
Deaths
1) Crude death rates; 2) analysis with
women matched by age, race, highest
educational status of husband or wife,
residence and occupational exposure of
husband
Hirayama (1984) (Japan,
1965–81)
91 540 married
nonsmoking
women
95% of the census population in the study area in
29 health centre districts; follow-up consisted of special
annual census and special death registry system.
Active smoking by
current spouse
Deaths
SMRs
Butler (1988)
(USA, 1974–82)
Spouse pairs:
9378 subjects;
AHSMOG
cohort: 6467
subjects (66%
overlap)
Non-Hispanic white Adventists; spouse pairs with a nonsmoking
wife; AHSMOG cohort enrolled for air pollution
study; deaths ascertained by linkage to California death
certificate file, national death index and notification of
death by church clerks; cases ascertained with hospital
history forms and review of hospital and tumour registry
records; 99% histologically confirmed
Spouse pair cohort:
active smoking by
current spouse;
AHSMOG cohort:
exposure at work
Cases/deaths
Adjusted for age
DeWaard et al. (1995) (the
Netherlands,
1977–91)
23 cases and
191 controls
Nested case–control study among women enrolled in
breast cancer screening projects (DOM project, enrolment
1975–77, aged 50–64 years and Lutine Study, enrolment
1982–83, aged 40–49 years)
Exposure assessed by
measurement of
urinary cotinine
levels in declared
nonsmokers
Cases/deaths
Cotinine excretion adjusted for creatinine
resulted in higher odds ratios.
Cardenas et al. (1997) (USA,
1982–89)
288 776
(96 542 men,
192 234
women)
nonsmoking
subjects
Friends, neighbours and relatives of American Cancer
Society volunteers in all 50 States; aged > 30 years; death
monitored by volunteers and through national death
index; cause of death classified according to ICD-9.
Active smoking by
current spouse; self-reported
exposure at
home, at work or in
other areas
Deaths
Adjusted for age, race, education, blue-collar
employment, asbestos exposure,
consumption of vegetables, citrus fruits
and fat, history of chronic lung disease
Jee et al. (1999)
(Republic of
Korea, 1992–97)
157 436
married
nonsmoking
women
Both spouses had to have completed the Korean Medical
Insurance Corporation medical examination; aged > 40
years; cases ascertained from diagnosis on discharge
summary
Active smoking by
current husband
Cases
Univariate analysis; multivariate analysis
adjusted for age of husband and wife,
socioeconomic status, residence,
husband's vegetable consumption and
occupation
Speizer et al. (1999) (USA,
1976–92)
121 700
women,
US registered
nurses in 1976;
unknown
subcohort of
nonsmokers
Female nurses aged 30–55 years, Nurses' Health Study;
deaths ascertained by family members, postal service or
through national death index; cases confirmed by
pathology reports
Information on
exposure to second-hand
smoke during
childhood and
adulthood ascertained
in 1982
Cases
Adjusted for age
Nishino et al. (2001) (Japan,
1984–92)
31 345 (13 992
men, 17 353
women) nonsmokers
Residents of six primary school sectors in a city and the
whole area of two towns in north-eastern Honshu, aged
> 40 years; cases ascertained by linkage to the prefectural
cancer registry; cancer sites coded according to ICD-9
Any smoker in the
household
Cases
1) Crude relative risk; 2) stratification by
smoking status of husband and other
household members; 3) multivariate
relative risk adjusted for age, study area,
alcohol intake, green and yellow
vegetable intake, fruit intake, meat intake
and past history of lung disease

SMR, standardized mortality ratio

From: 2, Studies of Cancer in Humans

Cover of Tobacco Smoke and Involuntary Smoking
Tobacco Smoke and Involuntary Smoking.
IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, No. 83.
IARC Working Group on the Evaluation of Carcinogenic Risks to Humans.
©International Agency for Research on Cancer, 2004.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.