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. 1980 Apr 5;280(6219):967–971. doi: 10.1136/bmj.280.6219.967

Mortality in relation to smoking: 22 years' observations on female British doctors.

R Doll, R Gray, B Hafner, R Peto
PMCID: PMC1601142  PMID: 7417764

Abstract

A total of 6194 female doctors who in 1951 replied to a questionnaire about their smoking habits were followed up prospectively for 22 years. During that time 1094 died. Ischaemic heart disease, lung cancer, and chronic obstructive lung disease were all significantly (p < 0.001) related to smoking, though the absolute excess risks were lower than in male doctors smoking equivalent amounts. Female smokers born before the first world war were less likely to describe themselves as inhalers or as having started to smoke while young than were female smokers who were born later. In these respects this younger group resembled male smokers, and as they move into their 60s and 70s their absolute risk of lung disease and relative risk of ischaemic heart disease will probably come to resemble the risks for men smoking the same numbers of cigarettes. These findings show only that cigarette smoking causes lung cancer, chronic obstructive lung disease, and heart disease in women as in men. Whether the proportional increase in mortality from these diseases is as great in women as in men might be estimated directly from new case-control studies on men and women born since 1920.

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Selected References

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

  1. Archer V. E., Gillam J. D., Wagoner J. K. Respiratory disease mortality among uranium miners. Ann N Y Acad Sci. 1976;271:280–293. doi: 10.1111/j.1749-6632.1976.tb23123.x. [DOI] [PubMed] [Google Scholar]
  2. BROSS I. J., CORNFIELD J., O'DONNELL W. E., WYNDER E. L. Lung cancer in women; a study of environmental factors. N Engl J Med. 1956 Dec 13;255(24):1111–1121. doi: 10.1056/NEJM195612132552401. [DOI] [PubMed] [Google Scholar]
  3. DOLL R., HILL A. B. A study of the aetiology of carcinoma of the lung. Br Med J. 1952 Dec 13;2(4797):1271–1286. doi: 10.1136/bmj.2.4797.1271. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Doll R., Hill A. B. Mortality of British doctors in relation to smoking: observations on coronary thrombosis. Natl Cancer Inst Monogr. 1966 Jan;19:205–268. [PubMed] [Google Scholar]
  5. Doll R., Peto R. Cigarette smoking and bronchial carcinoma: dose and time relationships among regular smokers and lifelong non-smokers. J Epidemiol Community Health. 1978 Dec;32(4):303–313. doi: 10.1136/jech.32.4.303. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. 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]
  7. Hammond E. C., Garfinkel L., Seidman H., Lew E. A. "Tar" and nicotine content of cigarette smoke in relation to death rates. Environ Res. 1976 Dec;12(3):263–274. doi: 10.1016/0013-9351(76)90036-0. [DOI] [PubMed] [Google Scholar]
  8. 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]
  9. Newhouse M. L., Pearson R. M., Fullerton J. M., Boesen E. A., Shannon H. S. A case control study of carcinoma of the ovary. Br J Prev Soc Med. 1977 Sep;31(3):148–153. doi: 10.1136/jech.31.3.148. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Rogot E. Cardiorespiratory disease mortality among British and Norwegian migrants to the United States. Am J Epidemiol. 1978 Sep;108(3):181–191. doi: 10.1093/oxfordjournals.aje.a112610. [DOI] [PubMed] [Google Scholar]
  11. Selikoff I. J., Hammond E. C. Asbestos-associated disease in United States shipyards. CA Cancer J Clin. 1978 Mar-Apr;28(2):87–99. doi: 10.3322/canjclin.28.2.87. [DOI] [PubMed] [Google Scholar]
  12. Shapiro S., Slone D., Rosenberg L., Kaufman D. W., Stolley P. D., Miettinen O. S. Oral-contraceptive use in relation to myocardial infarction. Lancet. 1979 Apr 7;1(8119):743–747. doi: 10.1016/s0140-6736(79)91205-4. [DOI] [PubMed] [Google Scholar]
  13. Tuyns A. J., Péquignot G., Jensen O. M. Le cancer de l'oesophage en Ille-et-Vilaine en fonction des niveaux de consommation d'alcool et de tabac. Des risques qui se multiplient. Bull Cancer. 1977;64(1):45–60. [PubMed] [Google Scholar]

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