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. 1987 Jun;41(2):166–172. doi: 10.1136/jech.41.2.166

Mortality in relation to cigarette and pipe smoking: 16 years' observation of 25,000 Swedish men.

J M Carstensen 1, G Pershagen 1, G Eklund 1
PMCID: PMC1052604  PMID: 3655638

Abstract

In a random sample of 25,129 Swedish men who responded to a questionnaire on smoking habits in 1963 the cause specific mortality was followed through 1979. In the cohort, 32% smoked cigarettes, 27% a pipe, and 5% cigars. There were clear covariations (p less than 0.001) between the amount of tobacco smoked and the risk of death due to cancer of the oral cavity and larynx, oesophagus, liver, pancreas, lung, and bladder as well as due to bronchitis and emphysema, ischaemic heart disease, aortic aneurysm, and peptic ulcer. Pipe smokers showed similar risk levels to cigarette smokers. There was a close to linear increase in lung cancer risk in relation to the amount of tobacco smoked for cigarette, pipe, and cigar smokers, respectively. An increasing risk of ischaemic heart disease with amount smoked was seen among both cigarette and pipe smokers. A similar fraction of inhalers in Swedish cigarette and pipe smokers may explain the similarity in risks.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abelin T., Gsell O. R. Relative risk of pulmonary cancer in cigar and pipe smokers. Cancer. 1967 Aug;20(8):1288–1296. doi: 10.1002/1097-0142(196708)20:8<1288::aid-cncr2820200812>3.0.co;2-l. [DOI] [PubMed] [Google Scholar]
  2. Benhamou S., Benhamou E., Tirmarche M., Flamant R. Lung cancer and use of cigarettes: a French case-control study. J Natl Cancer Inst. 1985 Jun;74(6):1169–1175. [PubMed] [Google Scholar]
  3. Breslow N. E. Elementary methods of cohort analysis. Int J Epidemiol. 1984 Mar;13(1):112–115. doi: 10.1093/ije/13.1.112. [DOI] [PubMed] [Google Scholar]
  4. Cederlöf R., Friberg L., Lundman T. The interactions of smoking, environment and heredity and their implications for disease etiology. A report of epidemiological studies on the Swedish twin registries. Acta Med Scand Suppl. 1977;612:1–128. [PubMed] [Google Scholar]
  5. DOLL R., HILL A. B. MORTALITY IN RELATION TO SMOKING: TEN YEARS' OBSERVATIONS OF BRITISH DOCTORS. Br Med J. 1964 May 30;1(5395):1399–1410. doi: 10.1136/bmj.1.5395.1399. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Damber L. A., Larsson L. G. Smoking and lung cancer with special regard to type of smoking and type of cancer. A case-control study in north Sweden. Br J Cancer. 1986 May;53(5):673–681. doi: 10.1038/bjc.1986.111. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Doll R., Peto R. Mortality in relation to smoking: 20 years' observations on male British doctors. Br Med J. 1976 Dec 25;2(6051):1525–1536. doi: 10.1136/bmj.2.6051.1525. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hakulinen T. A Mantel-Haenszel statistic for testing the association between a polychotomous exposure and a rare outcome. Am J Epidemiol. 1981 Feb;113(2):192–197. doi: 10.1093/oxfordjournals.aje.a113083. [DOI] [PubMed] [Google Scholar]
  9. Hammond E. C., Seidman H. Smoking and cancer in the United States. Prev Med. 1980 Mar;9(2):169–174. doi: 10.1016/0091-7435(80)90071-7. [DOI] [PubMed] [Google Scholar]
  10. Hammond E. C. Smoking in relation to the death rates of one million men and women. Natl Cancer Inst Monogr. 1966 Jan;19:127–204. [PubMed] [Google Scholar]
  11. Higenbottam T., Shipley M. J., Rose G. Cigarettes, lung cancer, and coronary heart disease: the effects of inhalation and tar yield. J Epidemiol Community Health. 1982 Jun;36(2):113–117. doi: 10.1136/jech.36.2.113. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Hood B., Tibblin G., Welin G., Orndahl G., Korsan-Bengtsen K. Myocardial infarction in early age. 3. Coronary risk factors and their deficient control. Acta Med Scand. 1969 Apr;185(4):241–251. [PubMed] [Google Scholar]
  13. Lubin J. H., Blot W. J., Berrino F., Flamant R., Gillis C. R., Kunze M., Schmahl D., Visco G. Patterns of lung cancer risk according to type of cigarette smoked. Int J Cancer. 1984 May 15;33(5):569–576. doi: 10.1002/ijc.2910330504. [DOI] [PubMed] [Google Scholar]
  14. Pershagen G. Review of epidemiology in relation to passive smoking. Arch Toxicol Suppl. 1986;9:63–73. doi: 10.1007/978-3-642-71248-7_8. [DOI] [PubMed] [Google Scholar]
  15. RANDIG K. Zur Atiologie des Lungenkrebses; Fragen und Ergebnisse. Dtsch Med Wochenschr. 1955 May 6;80(18):718–724. doi: 10.1055/s-0028-1116500. [DOI] [PubMed] [Google Scholar]
  16. Rogot E., Murray J. L. Smoking and causes of death among U.S. veterans: 16 years of observation. Public Health Rep. 1980 May-Jun;95(3):213–222. [PMC free article] [PubMed] [Google Scholar]
  17. Schimmler W., Neff C., Schimert G. Risikofaktoren und Herzinfarkt. Eine retrospektive Studi. Munch Med Wochenschr. 1968 Jul 5;110(27):1585–1594. [PubMed] [Google Scholar]
  18. Shapiro S., Weinblatt E., Frank C. W., Sager R. V. Incidence of coronary heart disease in a population insured for medical care (HIP): myocardial infarction, angina pectoris, and possible myocardial infarction. Am J Public Health Nations Health. 1969;59 (Suppl 6):1–101. doi: 10.2105/ajph.59.suppl_6.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Wald N. J., Idle M., Boreham J., Bailey A. Carbon monoxide in breath in relation to smoking and carboxyhaemoglobin levels. Thorax. 1981 May;36(5):366–369. doi: 10.1136/thx.36.5.366. [DOI] [PMC free article] [PubMed] [Google Scholar]

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