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Exposure to second-hand smoke and risk of lung cancer among Iranian population: A multicenter case-control study.
Lotfi, Fereshte; Rashidian, Hamideh; Hadji, Maryam; Mohebbi, Elham; Marzban, Maryam; Naghibzadeh-Tahami, Ahmad; Pukkala, Eero; Boffetta, Paolo; Etemadi, Arash; Zendehdel, Kazem.
Afiliación
  • Lotfi F; Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.
  • Rashidian H; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
  • Hadji M; Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.
  • Mohebbi E; Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran.
  • Marzban M; Health Sciences Unit, Faculty of Social Sciences, Tampere University, Tampere, Finland.
  • Naghibzadeh-Tahami A; Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, United States of America.
  • Pukkala E; Department of Public Health, School of Public Health, Bushehr University of Medical Science, Bushehr, Iran.
  • Boffetta P; Statistical Genetics Lab, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
  • Etemadi A; Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
  • Zendehdel K; Department of Biostatistics and Epidemiology, Kerman University of Medical Sciences, Kerman, Iran.
PLoS One ; 19(7): e0306517, 2024.
Article en En | MEDLINE | ID: mdl-38985741
ABSTRACT

OBJECTIVE:

Despite the implementation of the WHO Framework Convention on Tobacco Control (FCTC) program in Iran, the regulation of second-hand smoke (SHS) exposure-an often-overlooked hazard-, still requires improvement. We employed a multi-center case-control study to investigate the association between exposure to secondhand smoke (SHS) from various tobacco products (cigarettes, water-pipes, pipes, and chopogh), opium use, and the risk of lung cancer.

METHOD:

We included 627 lung cancer cases and 3477 controls. Exposure to SHS tobacco and SHS opium was collected through a questionnaire. We used mixed-model logistic regressions to estimate odds ratios (ORs) and 95% confidence intervals (CI).

RESULT:

Among the overall population exposed to second-hand tobacco smoke (SHTS), the odds ratio (OR) compared to those never exposed was 1.35 (95% CI 1.08-1.71). Never smokers who were ever exposed to second-hand tobacco smoke (SHTS) had 1.69-fold risk of lung cancer compared to those who were never exposed (95% CI 1.13-2.52). Exposure to SHTS between 2-3 per day (OR = 2.27, 95% CI 1.13-4.53) and more than three hours per day (OR = 2.29, 95% CI 1.20-4.37) can increase the risk of lung cancer compared with the no exposure group (P-trend <0.01). We did not observe any association between exposure to second-hand opium smoke (SHOS) and the risk of lung cancer, either in the overall population or among never-smokers.

CONCLUSION:

Our study estimates the impact of second-hand tobacco smoke (SHTS) on lung cancer risk in both the overall population and never-smokers. Additional studies are required to evaluate the association between exposure to second-hand smoke from opium and other type of tobacco, including water-pipe and the risk of lung cancer.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Contaminación por Humo de Tabaco / Neoplasias Pulmonares Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Contaminación por Humo de Tabaco / Neoplasias Pulmonares Límite: Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Estados Unidos