Attributable fraction of tobacco smoking on cancer using population-based nationwide cancer incidence and mortality data in Korea

Sohee Park, Sun Ha Jee, Hai-Rim Shin, Eun Hye Park, Aesun Shin, Kyu-Won Jung, Seung-Sik Hwang, Eun Shil Cha, Young Ho Yun, Sue Kyung Park, Mathieu Boniol, Paolo Boffetta

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Abstract

Smoking is by far the most important cause of cancer that can be modified at the individual level. Cancer incidence and mortality rates in Korea are the highest among all Asian countries, and smoking prevalence in Korean men is one of the highest in developed countries. The purpose of the current study was to perform a systematic review and provide an evidence-based assessment of the burden of tobacco smoking-related cancers in the Korean population. Sex- and cancer-specific population-attributable fractions (PAF) were estimated using the prevalence of ever-smoking and second-hand smoking in 1989 among Korean adults, respectively, and the relative risks were estimated from the meta-analysis of studies performed in the Korean population for ever-smoking and in the Asian population for passive smoking. National cancer incidence data from the Korea Central Cancer Registry and national cancer mortality data from Statistics Korea for the year 2009 were used to estimate the cancer cases and deaths attributable to tobacco smoking. Tobacco smoking was responsible for 20,239 (20.9%) cancer incident cases and 14,377 (32.9%) cancer deaths among adult men and 1,930 (2.1%) cancer incident cases and 1,351 (5.2%) cancer deaths among adult women in 2009 in Korea. In men, 71% of lung cancer deaths, 55%-72% of upper aerodigestive tract (oral cavity, pharynx, esophagus and larynx) cancer deaths, 23% of liver, 32% of stomach, 27% of pancreas, 7% of kidney and 45% of bladder cancer deaths were attributable to tobacco smoking. In women the proportion of ever-smoking-attributable lung cancer was 8.1%, while that attributable to second-hand smoking among non-smoking women was 20.5%. Approximately one in three cancer deaths would be potentially preventable through appropriate control of tobacco smoking in Korean men at the population level and individual level. For Korean women, more lung cancer cases and deaths were attributable to second-hand than ever-smoking. Effective control programs against tobacco smoking should be further developed and implemented in Korea to reduce the smoking-related cancer burden.
LanguageEnglish
Article number406
Number of pages12
JournalBMC Cancer
Volume14
DOIs
Publication statusPublished - 6 Jun 2014

Fingerprint

Korea
Smoking
Mortality
Incidence
Population
Neoplasms
Lung Neoplasms
Hand
Tobacco Smoke Pollution
Laryngeal Neoplasms
Esophageal Neoplasms
Pharynx
Developed Countries
Urinary Bladder Neoplasms
Registries
Mouth
Meta-Analysis
Pancreas
Stomach

Keywords

  • algorithms
  • female
  • humans
  • male
  • neoplasms
  • registries
  • Republic of Korea
  • sex factors
  • smoking
  • tobacco smoke pollution

Cite this

Park, Sohee ; Jee, Sun Ha ; Shin, Hai-Rim ; Park, Eun Hye ; Shin, Aesun ; Jung, Kyu-Won ; Hwang, Seung-Sik ; Cha, Eun Shil ; Yun, Young Ho ; Park, Sue Kyung ; Boniol, Mathieu ; Boffetta, Paolo. / Attributable fraction of tobacco smoking on cancer using population-based nationwide cancer incidence and mortality data in Korea. In: BMC Cancer. 2014 ; Vol. 14.
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title = "Attributable fraction of tobacco smoking on cancer using population-based nationwide cancer incidence and mortality data in Korea",
abstract = "Smoking is by far the most important cause of cancer that can be modified at the individual level. Cancer incidence and mortality rates in Korea are the highest among all Asian countries, and smoking prevalence in Korean men is one of the highest in developed countries. The purpose of the current study was to perform a systematic review and provide an evidence-based assessment of the burden of tobacco smoking-related cancers in the Korean population. Sex- and cancer-specific population-attributable fractions (PAF) were estimated using the prevalence of ever-smoking and second-hand smoking in 1989 among Korean adults, respectively, and the relative risks were estimated from the meta-analysis of studies performed in the Korean population for ever-smoking and in the Asian population for passive smoking. National cancer incidence data from the Korea Central Cancer Registry and national cancer mortality data from Statistics Korea for the year 2009 were used to estimate the cancer cases and deaths attributable to tobacco smoking. Tobacco smoking was responsible for 20,239 (20.9{\%}) cancer incident cases and 14,377 (32.9{\%}) cancer deaths among adult men and 1,930 (2.1{\%}) cancer incident cases and 1,351 (5.2{\%}) cancer deaths among adult women in 2009 in Korea. In men, 71{\%} of lung cancer deaths, 55{\%}-72{\%} of upper aerodigestive tract (oral cavity, pharynx, esophagus and larynx) cancer deaths, 23{\%} of liver, 32{\%} of stomach, 27{\%} of pancreas, 7{\%} of kidney and 45{\%} of bladder cancer deaths were attributable to tobacco smoking. In women the proportion of ever-smoking-attributable lung cancer was 8.1{\%}, while that attributable to second-hand smoking among non-smoking women was 20.5{\%}. Approximately one in three cancer deaths would be potentially preventable through appropriate control of tobacco smoking in Korean men at the population level and individual level. For Korean women, more lung cancer cases and deaths were attributable to second-hand than ever-smoking. Effective control programs against tobacco smoking should be further developed and implemented in Korea to reduce the smoking-related cancer burden.",
keywords = "algorithms, female, humans, male, neoplasms, registries, Republic of Korea, sex factors, smoking, tobacco smoke pollution",
author = "Sohee Park and Jee, {Sun Ha} and Hai-Rim Shin and Park, {Eun Hye} and Aesun Shin and Kyu-Won Jung and Seung-Sik Hwang and Cha, {Eun Shil} and Yun, {Young Ho} and Park, {Sue Kyung} and Mathieu Boniol and Paolo Boffetta",
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Park, S, Jee, SH, Shin, H-R, Park, EH, Shin, A, Jung, K-W, Hwang, S-S, Cha, ES, Yun, YH, Park, SK, Boniol, M & Boffetta, P 2014, 'Attributable fraction of tobacco smoking on cancer using population-based nationwide cancer incidence and mortality data in Korea' BMC Cancer, vol. 14, 406. https://doi.org/10.1186/1471-2407-14-406

Attributable fraction of tobacco smoking on cancer using population-based nationwide cancer incidence and mortality data in Korea. / Park, Sohee; Jee, Sun Ha; Shin, Hai-Rim; Park, Eun Hye; Shin, Aesun; Jung, Kyu-Won; Hwang, Seung-Sik; Cha, Eun Shil; Yun, Young Ho; Park, Sue Kyung; Boniol, Mathieu; Boffetta, Paolo.

In: BMC Cancer, Vol. 14, 406, 06.06.2014.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Attributable fraction of tobacco smoking on cancer using population-based nationwide cancer incidence and mortality data in Korea

AU - Park, Sohee

AU - Jee, Sun Ha

AU - Shin, Hai-Rim

AU - Park, Eun Hye

AU - Shin, Aesun

AU - Jung, Kyu-Won

AU - Hwang, Seung-Sik

AU - Cha, Eun Shil

AU - Yun, Young Ho

AU - Park, Sue Kyung

AU - Boniol, Mathieu

AU - Boffetta, Paolo

PY - 2014/6/6

Y1 - 2014/6/6

N2 - Smoking is by far the most important cause of cancer that can be modified at the individual level. Cancer incidence and mortality rates in Korea are the highest among all Asian countries, and smoking prevalence in Korean men is one of the highest in developed countries. The purpose of the current study was to perform a systematic review and provide an evidence-based assessment of the burden of tobacco smoking-related cancers in the Korean population. Sex- and cancer-specific population-attributable fractions (PAF) were estimated using the prevalence of ever-smoking and second-hand smoking in 1989 among Korean adults, respectively, and the relative risks were estimated from the meta-analysis of studies performed in the Korean population for ever-smoking and in the Asian population for passive smoking. National cancer incidence data from the Korea Central Cancer Registry and national cancer mortality data from Statistics Korea for the year 2009 were used to estimate the cancer cases and deaths attributable to tobacco smoking. Tobacco smoking was responsible for 20,239 (20.9%) cancer incident cases and 14,377 (32.9%) cancer deaths among adult men and 1,930 (2.1%) cancer incident cases and 1,351 (5.2%) cancer deaths among adult women in 2009 in Korea. In men, 71% of lung cancer deaths, 55%-72% of upper aerodigestive tract (oral cavity, pharynx, esophagus and larynx) cancer deaths, 23% of liver, 32% of stomach, 27% of pancreas, 7% of kidney and 45% of bladder cancer deaths were attributable to tobacco smoking. In women the proportion of ever-smoking-attributable lung cancer was 8.1%, while that attributable to second-hand smoking among non-smoking women was 20.5%. Approximately one in three cancer deaths would be potentially preventable through appropriate control of tobacco smoking in Korean men at the population level and individual level. For Korean women, more lung cancer cases and deaths were attributable to second-hand than ever-smoking. Effective control programs against tobacco smoking should be further developed and implemented in Korea to reduce the smoking-related cancer burden.

AB - Smoking is by far the most important cause of cancer that can be modified at the individual level. Cancer incidence and mortality rates in Korea are the highest among all Asian countries, and smoking prevalence in Korean men is one of the highest in developed countries. The purpose of the current study was to perform a systematic review and provide an evidence-based assessment of the burden of tobacco smoking-related cancers in the Korean population. Sex- and cancer-specific population-attributable fractions (PAF) were estimated using the prevalence of ever-smoking and second-hand smoking in 1989 among Korean adults, respectively, and the relative risks were estimated from the meta-analysis of studies performed in the Korean population for ever-smoking and in the Asian population for passive smoking. National cancer incidence data from the Korea Central Cancer Registry and national cancer mortality data from Statistics Korea for the year 2009 were used to estimate the cancer cases and deaths attributable to tobacco smoking. Tobacco smoking was responsible for 20,239 (20.9%) cancer incident cases and 14,377 (32.9%) cancer deaths among adult men and 1,930 (2.1%) cancer incident cases and 1,351 (5.2%) cancer deaths among adult women in 2009 in Korea. In men, 71% of lung cancer deaths, 55%-72% of upper aerodigestive tract (oral cavity, pharynx, esophagus and larynx) cancer deaths, 23% of liver, 32% of stomach, 27% of pancreas, 7% of kidney and 45% of bladder cancer deaths were attributable to tobacco smoking. In women the proportion of ever-smoking-attributable lung cancer was 8.1%, while that attributable to second-hand smoking among non-smoking women was 20.5%. Approximately one in three cancer deaths would be potentially preventable through appropriate control of tobacco smoking in Korean men at the population level and individual level. For Korean women, more lung cancer cases and deaths were attributable to second-hand than ever-smoking. Effective control programs against tobacco smoking should be further developed and implemented in Korea to reduce the smoking-related cancer burden.

KW - algorithms

KW - female

KW - humans

KW - male

KW - neoplasms

KW - registries

KW - Republic of Korea

KW - sex factors

KW - smoking

KW - tobacco smoke pollution

UR - http://bmccancer.biomedcentral.com/articles/10.1186/1471-2407-14-406

U2 - 10.1186/1471-2407-14-406

DO - 10.1186/1471-2407-14-406

M3 - Article

VL - 14

JO - BMC Cancer

T2 - BMC Cancer

JF - BMC Cancer

SN - 1471-2407

M1 - 406

ER -