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. 1998 Nov;88(11):1664–1668. doi: 10.2105/ajph.88.11.1664

Use of multiple surveys to estimate mortality among never, current, and former smokers: changes over a 20-year interval.

W L Rosenbaum 1, T D Sterling 1, J J Weinkam 1
PMCID: PMC1508552  PMID: 9807533

Abstract

OBJECTIVES: This study sought to demonstrate how data from publicly available large-scale cross-sectional health surveys can be combined to analyze changes in mortality risks among never, current, and former smokers. METHODS: Data from the 1966/68 and 1986 National Mortality Followback Surveys and the 1970 and 1987 National Health Interview Surveys were used to estimate the distribution of never, current, and former smokers among the US population at risk and decedents. Standardized mortality ratios and quotients of standardized mortality ratios were used to estimate mortality risks. RESULTS: Generally, during the period from 1966 through 1986, mortality rates in the United States for most causes of death declined among all smoking groups. However, mortality rates from respiratory diseases increased for current and former smokers. CONCLUSIONS: The reported changes in never and current smoker mortality risks are similar in magnitude and direction to those reported in a previous study based on longitudinal data. The use of combined data from the National Mortality Followback Survey and the National Health Interview Survey offers several advantages as an epidemiological tool.

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Selected References

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  1. Benowitz N. L., Hall S. M., Herning R. I., Jacob P., 3rd, Jones R. T., Osman A. L. Smokers of low-yield cigarettes do not consume less nicotine. N Engl J Med. 1983 Jul 21;309(3):139–142. doi: 10.1056/NEJM198307213090303. [DOI] [PubMed] [Google Scholar]
  2. Djordjevic M. V., Fan J., Ferguson S., Hoffmann D. Self-regulation of smoking intensity. Smoke yields of the low-nicotine, low-'tar' cigarettes. Carcinogenesis. 1995 Sep;16(9):2015–2021. doi: 10.1093/carcin/16.9.2015. [DOI] [PubMed] [Google Scholar]
  3. Ebert R. V., McNabb M. E., McCusker K. T., Snow S. L. Amount of nicotine and carbon monoxide inhaled by smokers of low-tar, low-nicotine cigarettes. JAMA. 1983 Nov 25;250(20):2840–2842. [PubMed] [Google Scholar]
  4. Gori G. B., Lynch C. J. Analytical cigarette yields as predictors of smoke bioavailability. Regul Toxicol Pharmacol. 1985 Sep;5(3):314–326. doi: 10.1016/0273-2300(85)90045-5. [DOI] [PubMed] [Google Scholar]
  5. Levi F., Franceschi S., La Vecchia C., Randimbison L., Te V. C. Lung carcinoma trends by histologic type in Vaud and Neuchâtel, Switzerland, 1974-1994. Cancer. 1997 Mar 1;79(5):906–914. doi: 10.1002/(sici)1097-0142(19970301)79:5<906::aid-cncr6>3.0.co;2-9. [DOI] [PubMed] [Google Scholar]
  6. Pauly J. L., Allaart H. A., Rodriguez M. I., Streck R. J. Fibers released from cigarette filters: an additional health risk to the smoker? Cancer Res. 1995 Jan 15;55(2):253–258. [PubMed] [Google Scholar]
  7. Peto R., Lopez A. D., Boreham J., Thun M., Heath C., Jr Mortality from tobacco in developed countries: indirect estimation from national vital statistics. Lancet. 1992 May 23;339(8804):1268–1278. doi: 10.1016/0140-6736(92)91600-d. [DOI] [PubMed] [Google Scholar]
  8. Russell M. A., Jarvis M., Iyer R., Feyerabend C. Relation of nicotine yield of cigarettes to blood nicotine concentrations in smokers. Br Med J. 1980 Apr 5;280(6219):972–976. doi: 10.1136/bmj.280.6219.972. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Stellman S. D., Garfinkel L. Smoking habits and tar levels in a new American Cancer Society prospective study of 1.2 million men and women. J Natl Cancer Inst. 1986 Jun;76(6):1057–1063. [PubMed] [Google Scholar]
  10. Sterling T. D., Rosenbaum W. L., Weinkam J. J. Bias in the attribution of lung cancer as cause of death and its possible consequences for calculating smoking-related risks. Epidemiology. 1992 Jan;3(1):11–16. doi: 10.1097/00001648-199201000-00004. [DOI] [PubMed] [Google Scholar]
  11. Sterling T., Weinkam J. The confounding of occupation and smoking and its consequences. Soc Sci Med. 1990;30(4):457–467. doi: 10.1016/0277-9536(90)90348-v. [DOI] [PubMed] [Google Scholar]
  12. Thun M. J., Day-Lally C. A., Calle E. E., Flanders W. D., Heath C. W., Jr Excess mortality among cigarette smokers: changes in a 20-year interval. Am J Public Health. 1995 Sep;85(9):1223–1230. doi: 10.2105/ajph.85.9.1223. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Walker W. J., Brin B. N. U.S. lung cancer mortality and declining cigarette tobacco consumption. J Clin Epidemiol. 1988;41(2):179–185. doi: 10.1016/0895-4356(88)90092-3. [DOI] [PubMed] [Google Scholar]
  14. Weinkam J. J., Rosenbaum W. L., Sterling T. D. Computation of relative risk based on simultaneous surveys: an alternative to cohort and case-control studies. Am J Epidemiol. 1992 Sep 15;136(6):722–729. doi: 10.1093/oxfordjournals.aje.a116551. [DOI] [PubMed] [Google Scholar]
  15. Wynder E. L., Muscat J. E. The changing epidemiology of smoking and lung cancer histology. Environ Health Perspect. 1995 Nov;103 (Suppl 8):143–148. doi: 10.1289/ehp.95103s8143. [DOI] [PMC free article] [PubMed] [Google Scholar]

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