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. 1998 Nov 21;317(7170):1411–1422. doi: 10.1136/bmj.317.7170.1411

Table 3.

Age at starting smoking: effect on death rates in men aged 35-69. Values are risk ratios (standard errors) comparing non-smokers with smokers

Urban: age began smoking
Rural: age began smoking
<20 20-24 ⩾25 <20 20-24 ⩾25
Mean No of cigarettes/day 16.4 14.8 13.1 11.2 11.8 10.7
Mean g leaf tobacco/day  4.8  3.3  2.5 10.0  7.3  6.2
Mean age began 17.0 20.8 29.3 17.3 20.9 29.3
(A) Neoplastic: 1.90 (0.03) 1.60 (0.02) 1.53 (0.03) 1.58 (0.04) 1.52 (0.03) 1.42 (0.03)
 Lung cancer 4.11 (0.07) 2.94 (0.05) 2.45 (0.05) 3.07 (0.11) 2.62 (0.09) 2.26 (0.09)
 Oesophageal cancer 2.52 (0.09) 2.05 (0.06) 1.85 (0.07) 1.75 (0.07) 1.63 (0.06) 1.44 (0.06)
 Stomach cancer 1.48 (0.05) 1.33 (0.04) 1.32 (0.04) 1.41 (0.06) 1.39 (0.04) 1.34 (0.05)
 Liver cancer 1.44 (0.04) 1.37 (0.03) 1.38 (0.04) 1.39 (0.06) 1.44 (0.04) 1.39 (0.05)
 Five minor sites 1.79 (0.07) 1.58 (0.05) 1.50 (0.06) 1.77 (0.12) 1.46 (0.09) 1.31 (0.10)
 Other neoplastic 1.18 (0.04) 1.15 (0.03) 1.19 (0.04) 1.32 (0.07) 1.30 (0.06) 1.26 (0.06)
(B) Respiratory: 1.91 (0.04) 1.50 (0.03) 1.29 (0.03) 1.44 (0.04) 1.28 (0.03) 1.20 (0.04)
 Chronic obstructive, etc 2.02 (0.05) 1.60 (0.04) 1.34 (0.04) 1.62 (0.05) 1.39 (0.04) 1.31 (0.04)
 Respiratory tuberculosis 1.86 (0.08) 1.42 (0.06) 1.22 (0.06) 1.25 (0.06) 1.18 (0.05) 1.12 (0.06)
 Other respiratory 1.40 (0.08) 1.20 (0.06) 1.19 (0.07) 1.06 (0.09) 1.08 (0.07) 0.94 (0.08)
(C) Vascular: 1.19 (0.03) 1.16 (0.02) 1.18 (0.02) 1.15 (0.04) 1.14 (0.03) 1.13 (0.03)
 Stroke 1.20 (0.03) 1.17 (0.02) 1.18 (0.03) 1.19 (0.04) 1.17 (0.04) 1.17 (0.04)
 Ischaemic heart disease 1.32 (0.04) 1.26 (0.03) 1.30 (0.04) 1.28 (0.07) 1.31 (0.06) 1.23 (0.07)
 Rheumatic heart disease, etc 0.96 (0.05) 1.00 (0.04) 1.03 (0.04) 0.92 (0.06) 0.94 (0.05) 0.90 (0.06)
(A-C) Subtotal 1.58 (0.03) 1.38 (0.02) 1.33 (0.02) 1.40 (0.03) 1.32 (0.02) 1.26 (0.03)
All deaths 1.43 (0.03) 1.28 (0.02) 1.26 (0.02) 1.27 (0.03) 1.22 (0.02) 1.19 (0.03)
No of deaths* 26 553 50 894 34 376 15 332 30 422 19 801
*

Excludes 0.6% (696 urban, 425 rural) of smokers for whom age at starting smoking was not known.