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Cancer Causes Control. 2000 Aug;11(7):645-52.

A prospective study of lifestyle factors and the risk of pancreatic cancer in Nord-Tr√łndelag, Norway.

Author information

1
Department of Community Medicine and General Practice, Norwegian University of Science and Technology, University Medical Center, Trondheim. Tom.I.Nilsen@medisin.ntnu.no

Abstract

OBJECTIVES:

Cancer of the pancreas is highly fatal and, despite extensive scrutiny, only cigarette smoking stands out as a likely causal agent in epidemiological studies. To explore to what extent different lifestyle factors are associated with the risk of pancreatic cancer, data from a large health screening survey in a county in Norway were analyzed.

METHODS:

Our study included 31,000 men and 32,374 women initially free from any diagnosed cancer, and during 12 years of follow-up, 166 incident cases of pancreatic cancer were diagnosed at the Cancer Registry.

RESULTS:

Compared with never smokers, we found a two-fold increased risk among current smokers, and a dose-response association with number of cigarettes (p for trend = 0.02 for both men and women) and with number of pack-years (p for trend = 0.02 for men and 0.01 for women). The risk among former smokers quitting more than 5 years before study entry was close to the risk of never smokers. Compared with persons who reported never or infrequently to be physically worn out after a day's work, the relative risk (RR) among those who nearly always became worn out was 2.9 (95% confidence interval (CI) = 1.4-5.8) for men and 3.8 (95% CI = 1.6-9.2) for women. Divorced or separated men had a risk of 3.1 (95% CI = 1.3-7.2) compared with married men. We observed a higher risk among women in occupations of high socioeconomic status (RR = 2.5; 95% CI = 1.2-5.2), and among men occupied in farming, agriculture or forestry (RR = 2.1; 95% CI = 1.1-4.0), compared with persons in occupations of low socioeconomic status.

CONCLUSIONS:

Our results confirm the findings of previous studies that indicate a causal role of cigarette smoking in pancreatic cancer. Moreover, we found that the risk of former smokers may approach the risk of never smokers within a few years subsequent to quitting.

PMID:
10977109
[Indexed for MEDLINE]

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