Table 3.
Smoking Measures | Male | Female | Sex–Smoking Interaction | ||||
---|---|---|---|---|---|---|---|
N | Adjusted HR (95% CI) 1 | p-Value | N | Adjusted HR (95% CI) 1 | p-Value | ||
Smoking status | |||||||
Never | 1,157,106 | 1.00 (reference) | - | 4,010,591 | 1.00 (reference) | - | - |
Former | 513,760 | 1.27 (1.23–1.33) | <0.001 | 26,111 | 1.43 (1.16–1.81) | <0.001 | 0.261 |
Current | 777,070 | 2.71 (2.63–2.79) | <0.001 | 84,506 | 2.70 (2.48–2.94) | <0.001 | - |
Duration of smoking | |||||||
1–9 years | 53,677 | 1.00 (reference) | - | 25,164 | 1.00 (reference) | - | - |
10–19 years | 186,724 | 0.95 (0.79–1.14) | 0.558 | 34,884 | 1.40 (0.95–2.06) | 0.093 | - |
20–29 years | 475,970 | 1.48 (1.26–1.75) | <0.001 | 29,250 | 2.09 (1.45–3.01) | <0.001 | <0.001 |
≥30 years | 574,023 | 3.07 (2.62–3.61) | <0.001 | 21,269 | 3.16 (2.20–4.54) | <0.001 | - |
Duration of former smoking | |||||||
1–9 years | 41,386 | 1.00 (reference) | - | 9643 | 1.00 (reference) | - | - |
10–19 years | 129,515 | 1.09 (0.85–1.38) | 0.496 | 8331 | 2.39 (0.85–6.73) | 0.099 | - |
20–29 years | 169,258 | 1.52 (1.22–1.90) | <0.001 | 4849 | 5.49 (2.07–14.56) | <0.001 | 0.017 |
≥30 years | 173471 | 2.81 (2.27–3.49) | <0.001 | 3265 | 5.92 (2.17–16.15) | <0.001 | - |
Duration of current smoking | |||||||
1–9 years | 12,291 | 1.00 (reference) | - | 15,521 | 1.00 (reference) | - | - |
10–19 years | 57,209 | 0.81 (0.60–1.08) | 0.151 | 26,553 | 1.14 (0.75–1.73) | 0.538 | - |
20–29 years | 306,712 | 1.08 (0.85–1.39) | 0.534 | 24,401 | 1.52 (1.02–2.25) | 0.038 | 0.019 |
≥30 years | 400,552 | 1.81 (1.42–2.31) | <0.001 | 18,004 | 2.36 (1.60–3.48) | <0.001 | - |
Quantity of smoking | |||||||
1–10 cigarettes/day | 108,145 | 1.00 (reference) | - | 39,841 | 1.00 (reference) | - | - |
11–20 cigarettes/day | 491,187 | 1.39 (1.30–1.50) | <0.001 | 49,727 | 1.37 (1.14–1.65) | <0.001 | 0.143 |
>20 cigarettes/day | 691,498 | 2.03 (1.89–2.17) | <0.001 | 21,049 | 1.69 (1.36–2.09) | <0.001 | - |
Quantity of smoking in former smokers | |||||||
1–10 cigarettes/day | 48,946 | 1.00 (reference) | - | 11,361 | 1.00 (reference) | - | - |
11–20 cigarettes/day | 200,661 | 1.43 (1.23–1.66) | <0.001 | 10,334 | 1.56 (0.92–2.64) | 0.102 | 0.180 |
>20 cigarettes/day | 264,153 | 2.17 (1.88–2.51) | <0.001 | 4416 | 1.49 (0.80–2.77) | 0.204 | |
Quantity of smoking in current smokers | |||||||
1–10 cigarettes/day | 59,199 | 1.00 (reference) | - | 28,480 | 1.00 (reference) | - | - |
11–20 cigarettes/day | 290,526 | 1.43 (1.32–1.55) | <0.001 | 39,393 | 1.33 (1.09–1.62) | 0.005 | 0.208 |
>20 cigarettes/day | 427,345 | 2.18 (2.03–2.36) | <0.001 | 16,633 | 1.74 (1.39–2.19) | <0.001 | - |
Pack-year | |||||||
0–9 | 186,132 | 1.00 (reference) | - | 64,184 | 1.00 (reference) | - | - |
10–19 | 362,880 | 1.40 (1.28–1.53) | <0.001 | 28,880 | 1.70 (1.40–2.08) | <0.001 | - |
20–29 | 345,016 | 1.91 (1.76–2.07) | <0.001 | 10,844 | 1.89 (1.45–2.41) | <0.001 | 0.470 |
≥30 | 396,802 | 2.91 (2.69–3.15) | <0.001 | 6709 | 2.59 (2.05–3.28) | <0.001 | - |
Pack-year in former smokers | |||||||
0–9 | 118,093 | 1.00 (reference) | - | 18,433 | 1.00 (reference) | - | - |
10–19 | 159,305 | 1.24 (1.08–1.42) | <0.001 | 4817 | 2.37 (1.35–4.14) | <0.001 | - |
20–29 | 109,053 | 1.75 (1.53–2.00) | <0.001 | 1656 | 3.15 (1.62–6.10) | <0.001 | 0.026 |
≥30 | 127,309 | 2.80 (2.48–3.16) | <0.001 | 1205 | 2.26 (1.08–4.76) | 0.042 | - |
Pack-year in current smokers | |||||||
0–9 | 68,039 | 1.00 (reference) | - | 45,751 | 1.00 (reference) | - | - |
10–19 | 203,575 | 1.24 (1.10–1.39) | <0.001 | 24,063 | 1.54 (1.24–1.90) | <0.001 | |
20–29 | 235,963 | 1.50 (1.34–1.67) | <0.001 | 9188 | 1.66 (1.29–2.15) | <0.001 | 0.379 |
≥30 | 269,493 | 2.29 (2.06–2.54) | <0.001 | 5504 | 2.52 (1.96–3.23) | <0.001 | |
Years since cessation in former smokers | |||||||
Current smoker | 777,070 | 1.00 (reference) | - | 84,506 | 1.00 (reference) | - | - |
0–4 | 156,560 | 0.69 (0.65–0.73) | <0.001 | 11,981 | 0.65 (0.47–0.90) | 0.009 | 0.469 |
≥5 | 357,200 | 0.38 (0.36–0.40) | <0.001 | 14,130 | 0.46 (0.33–0.64) | <0.001 | - |
N, number; HR, hazard ratio; CI, confidence interval. 1 Adjusted for age; alcohol consumption; physical activity; body mass index; family history of cancer; and medical history of lung diseases including emphysema, chronic pulmonary obstructive disease, pneumoconiosis, and interstitial pulmonary disease.