Table 2.
Associations Between Active and Passive Smoking History and Breast Cancer-specific, Non-cancer, and All-cause Mortality among Women Diagnosed with Invasive Breast Cancer, the Breast Cancer Health Disparities Study.
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| Breast cancer mortality (243 events) | Non-cancer mortality (102 events) | All-cause mortality (445 events) | ||||||||||
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| Events | Total | HR | 95% CI | Events | Total | HR | 95% CI | Events | Total | HR | 95% CI | |
| Active smoke exposurea | ||||||||||||
| Never smokers | 146 | 1325 | 1.00 | Referent | 52 | 1325 | 1.00 | Referent | 251 | 1325 | ||
| Smoking status | ||||||||||||
| Ever | 97 | 893 | 1.05 | 0.81, 1.38 | 50 | 893 | 1.68 | 1.12, 2.51 | 194 | 893 | 1.21 | 0.99, 1.47 |
| Former | 48 | 595 | 0.79 | 0.57, 1.11 | 37 | 595 | 1.68 | 1.08, 2.60 | 111 | 595 | 1.00 | 0.79, 1.26 |
| Current | 49 | 298 | 1.55 | 1.11, 2.16 | 13 | 298 | 1.68 | 0.90, 3.13 | 83 | 298 | 1.68 | 1.30, 2.17 |
| Cigarettes/day | ||||||||||||
| <20 | 66 | 565 | 1.1 | 0.81, 1.48 | 27 | 565 | 1.37 | 0.86, 2.19 | 114 | 565 | 1.13 | 0.90, 1.42 |
| ≥20 | 31 | 324 | 0.98 | 0.65, 1.46 | 20 | 324 | 1.86 | 1.07, 3.23 | 77 | 324 | 1.29 | 0.99, 1.69 |
| ptrend | 0.89 | 0.02 | 0.06 | |||||||||
| Duration, years | ||||||||||||
| <20 | 42 | 416 | 0.91 | 0.64, 1.30 | 14 | 416 | 1.29 | 0.71, 2.35 | 64 | 416 | 0.92 | 0.69, 1.22 |
| ≥20 | 55 | 465 | 1.24 | 0.90, 1.72 | 33 | 465 | 1.79 | 1.14, 2.81 | 126 | 465 | 1.47 | 1.14, 1.79 |
| ptrend | 0.30 | 0.01 | 0.01 | |||||||||
| Pack-years | ||||||||||||
| <35 | 74 | 677 | 1.05 | 0.78, 1.40 | 29 | 677 | 1.33 | 0.84, 2.10 | 133 | 677 | 1.11 | 0.90, 1.38 |
| ≥35 | 15 | 135 | 1.43 | 0.82, 2.49 | 14 | 135 | 2.46 | 1.32, 4.59 | 45 | 135 | 1.82 | 1.30, 2.54 |
| ptrend | 0.33 | 0.008 | 0.003 | |||||||||
| Recency, years | ||||||||||||
| <20 | 32 | 342 | 0.92 | 0.62, 1.38 | 14 | 342 | 1.34 | 0.72, 2.47 | 62 | 342 | 1.08 | 0.81, 1.44 |
| ≥20 | 16 | 251 | 0.65 | 0.38, 1.10 | 21 | 251 | 1.78 | 1.06, 3.01 | 47 | 251 | 0.92 | 0.67, 1.27 |
| ptrend | 0.15 | 0.03 | 0.88 | |||||||||
| Long-term passive smoke exposureb | ||||||||||||
| All women | ||||||||||||
| None | 45 | 377 | 1.00 | Referent | 18 | 377 | 1.00 | Referent | 74 | 377 | 1.00 | Referent |
| Low | 55 | 526 | 0.97 | 0.65, 1.45 | 18 | 526 | 0.59 | 0.30, 1.15 | 94 | 526 | 0.85 | 0.62, 1.16 |
| Moderate/high | 104 | 901 | 1.09 | 0.75, 1.59 | 37 | 901 | 0.64 | 0.35, 1.18 | 192 | 901 | 0.95 | 0.71, 1.27 |
| ptrend | 0.59 | 0.22 | 0.95 | |||||||||
| Never smokers | ||||||||||||
| None | 36 | 321 | 1.00 | Referent | 14 | 321 | 1.00 | Referent | 59 | 321 | 1.00 | Referent |
| Low | 34 | 341 | 1.00 | 0.62, 1.62 | 9 | 341 | 0.49 | 0.21, 1.16 | 58 | 341 | 0.92 | 0.63, 1.33 |
| Moderate/high | 51 | 395 | 1.34 | 0.86, 2.09 | 12 | 395 | 0.54 | 0.24, 1.22 | 78 | 395 | 1.08 | 0.76, 1.54 |
| ptrend | 0.18 | 0.14 | 0.64 | |||||||||
| Recent passive smoke exposurec | ||||||||||||
| All women | ||||||||||||
| None | 123 | 1266 | 1.00 | Referent | 50 | 1266 | 1.00 | Referent | 227 | 1266 | 1.00 | Referent |
| Low | 42 | 291 | 1.38 | 0.96, 1.99 | 13 | 291 | 1.49 | 0.80, 2.79 | 65 | 291 | 1.49 | 0.80, 2.79 |
| Moderate/high | 39 | 247 | 1.54 | 1.04, 2.26 | 10 | 247 | 1.32 | 0.65, 2.67 | 68 | 247 | 1.32 | 0.65, 2.67 |
| ptrend | 0.02 | 0.27 | 0.27 | |||||||||
| Never smokers | ||||||||||||
| None | 79 | 816 | 1.00 | Referent | 28 | 816 | 1.00 | Referent | 139 | 816 | 1.00 | Referent |
| Low | 24 | 152 | 1.43 | 0.89, 2.31 | 4 | 152 | 1.13 | 0.39, 3.31 | 32 | 152 | 1.29 | 0.86, 1.93 |
| Moderate/high | 18 | 89 | 2.12 | 1.24, 3.63 | 3 | 89 | 1.27 | 0.37, 4.34 | 24 | 89 | 1.83 | 1.17, 2.88 |
| ptrend | 0.004 | 0.67 | 0.01 | |||||||||
Abbreviations: 4-CBCS-4-Corners Breast Cancer Study; SFBCS-San Francisco Bay Area Breast Cancer Study
Active smoking estimates adjusted for age, study, ethnicity, stage, body mass index, alcohol consumption, and education; estimates by intensity and duration are among ever smokers; recency is defined as time since quitting smoking among former smokers only
Exposure to passive smoke is based on data available from 4-CBCS for 1,804 of the 2,218 cases included in this analysis; this variable captures long-term exposure to passive smoke and was based on the average of exposure hours/week reported for ages 15 and 30 years and during the referent year for women <50 years of age; and at ages 15, 30, and 50 years and during the referent year for women ≥50 years of age. Estimates are adjusted for 4-CBCS study sites, age, ethnicity, stage, body mass index, alcohol consumption, cigarette pack-years (included in model with everyone), and education
Exposure to passive smoke is based on data available from 4-CBCS for 1,804 of the 2,218 cases included in this analysis; this variable captures recent exposure to passive smoke and was based on the average of exposure hours/week during the referent year. Estimates are adjusted for 4-CBCS study sites, age, ethnicity, stage, body mass index, alcohol consumption, cigarette pack-years (included in model with everyone), and education.
Note: p-value for trend is the linear trend of the hazard ratios further categorized by smoking measures of intensity and duration; never smokers are the referent group for all active smoke exposure analyses and are included in the p-trend calculation.