Tobacco smoke load and non-lung cancer mortality associations in Austrian and German males

Summary The millstone around the neck of tobacco control in Europe has been the influence of the tobacco industry on the governments of German speaking countries. This study attempts to estimate non-lung cancer mortality attributable to smoking in Austria during 1967–2006 and in Germany during 1973–...

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Bibliographic Details
Published in:Wiener Klinische Wochenschrift 2010-12, Vol.122 (23-24), p.698-703
Main Authors: Borsoi, Livia, Leistikow, Bruce, Neuberger, Manfred
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Austria - epidemiology
Child
Child, Preschool
Comorbidity
Endocrinology
Gastroenterology
Germany - epidemiology
Humans
Infant
Infant, Newborn
Internal Medicine
Lung Neoplasms - mortality
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Pneumology/Respiratory System
Prevalence
Risk Assessment
Risk Factors
Smoking - mortality
Survival Analysis
Survival Rate
Young Adult
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Summary:Summary The millstone around the neck of tobacco control in Europe has been the influence of the tobacco industry on the governments of German speaking countries. This study attempts to estimate non-lung cancer mortality attributable to smoking in Austria during 1967–2006 and in Germany during 1973–2006. National estimates of the annual smoking-attributable fractions (SAF) were calculated for all ages in males, using lung cancer mortality rates as indicators of "tobacco smoke load" associated with cancer from active and passive smoking. In both countries non-lung cancer rates showed a nearly perfect linear correlation with lung cancer rates ( R 2 = 0.95 in Austria and 0.94 in Germany) with a slope of 1.86 (95% confidence intervals [CI]: 1.71–1.99) in Austria and 1.77 (95% CI: 1.60–1.93) in Germany. In 2006 SAF of male cancer mortality for all ages were 61% in Austria (sensitivity range [SR]: 45%–70%) without autocorrelation and 61% in Germany (SR: 41–75%), if adjusted for possible autocorrelation. The similarity of the results is in line with the poor tobacco control measures in both countries until recently. Cancer prevention programs in Austria and Germany should focus on tobacco control, because 61% of male cancer mortality was associated with tobacco smoke load.
ISSN:0043-5325
1613-7671
DOI:10.1007/s00508-010-1487-x