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Radon and Never Smokers
Interesting article recently published.
http://www.epidem.com/article.asp?ISSN=1044-3983&VOL=12&ISS=4&PAGE=396
Residential Radon and Lung Cancer among Never-Smokers in Sweden
Frédéric Lagarde1; Gösta Axelsson2; Lena Damber3; Hans Mellander4; Fredrik
Nyberg1; Göran Pershagen1,5
>From the 1Institute of Environmental Medicine, Karolinska Institutet,
Stockholm;
2Department of Environmental Medicine, Göteborg University, Gothenburg;
3Department of Oncology, University Hospital, Ume;
4Swedish Radiation Protection Institute, Stockholm; and
5Department of Environmental Health, Stockholm County Council, Stockholm,
Sweden.
EPIDEMIOLOGY 2001;12:396-404
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In this study, we attempted to reduce existing uncertainty about the
relative risk of lung cancer from residential radon exposure among
never-smokers. Comprehensive measurements of domestic radon were performed
for 258 never-smoking lung cancer cases and 487 never-smoking controls from
five Swedish case-control studies. With additional never-smokers from a
previous case-control study of lung cancer and residential radon exposure in
Sweden, a total of 436 never-smoking lung cancer cases diagnosed in Sweden
between 1980 and 1995 and 1,649 never-smoking controls were included. The
relative risks (with 95% confidence intervals in parentheses) of lung cancer
in relation to categories of time-weighted average domestic radon
concentration during three decades, delimited by cutpoints at 50, 80, and
140 Bq m–3, were 1.08 (0.8–1.5), 1.18 (0.9–1.6), and 1.44 (1.0–2.1),
respectively, with average radon concentrations below 50 Bq m–3 used as
reference category and with adjustment for other risk factors. The data
suggested that among never-smokers residential radon exposure may be more
harmful for those exposed to environmental tobacco smoke. Overall, an excess
relative risk of 10% per 100 Bq m–3 average radon concentration was
estimated, which is similar to the summary effect estimate for all subjects
in the main residential radon studies to date.
Keywords: case-control study; lung neoplasms; risk assessment; radon;
never-smokers; cocarcinogenesis; tobacco smoke pollution; environmental
exposures
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