Lung cancer and indoor pollution from heating and cooking with solid fuels : The IARC international multicentre case-control study in eastern/central Europe and the United Kingdom

Exposure to fuel from cooking and heating has not been studied in Europe, where lung cancer rates are high and many residents have had a long tradition of burning coal and unprocessed biomass. Study subjects included 2,861 cases and 3,118 controls recruited during 1998-2002 in the Czech Republic, Hu...

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Bibliographic Details
Published in:American journal of epidemiology 2005-08, Vol.162 (4), p.326-333
Main Authors: LISSOWSKA, Jolanta, BARDIN-MIKOLAJCZAK, Alicja, VITOVA, Vera, JANOUT, Vladimir, MANNETJE, Andreat, BRENNAN, Paul, BOFFETTA, Paolo, FLETCHE, Tony, ZARIDZE, David, SZESZENLA-DABROWSKA, Neonila, RUDNAI, Peter, FABIANOVA, Eleonora, CASSIDY, Adrian, MATES, Dana, HOLCATOVA, Ivana
Format: Article
Language:English
Subjects:
Adult
Aged
Air Pollution, Indoor - adverse effects
Case studies
Case-Control Studies
Cooking
Educational Status
Epidemiology
Europe - epidemiology
Female
Fossil Fuels
Heating
Humans
Indoor air quality
Lung cancer
Lung Neoplasms - etiology
Male
Middle Aged
Prevalence
Smoking - adverse effects
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Summary:Exposure to fuel from cooking and heating has not been studied in Europe, where lung cancer rates are high and many residents have had a long tradition of burning coal and unprocessed biomass. Study subjects included 2,861 cases and 3,118 controls recruited during 1998-2002 in the Czech Republic, Hungary, Poland, Romania, Russia, Slovakia, and the United Kingdom. The odds ratio of lung cancer associated with solid fuel use was 1.22 (95% confidence interval (CI): 1.04, 1.44) for cooking or heating, 1.37 (95% CI: 0.90, 2.09) for solid fuel only for cooking, and 1.24 (95% CI: 1.05, 1.47) for solid fuels used for both cooking and heating. Risk increased relative to the percentage of time that solid fuel was used for cooking (p(trend) < 0.0001), while no risk increase was detected for solid fuel used for heating. The odds ratio of lung cancer in whole-life users of solid cooking fuel was 1.80 (95% CI: 1.35, 2.40). Switching to nonsolid fuels resulted in a decrease in risk. The odds ratio for the longest duration of time since switching was 0.76 (95% CI: 0.63, 0.92). The data suggest a modest increased risk of lung cancer related to solid-fuel use for cooking rather than heating.
ISSN:0002-9262
1476-6256