Comparison of cohort smoking intensities in Denmark and the Netherlands

Barendregt, Jan J., Looman, Casper W. N. and Bronnum-Hansen, Henrik (2002) Comparison of cohort smoking intensities in Denmark and the Netherlands. Bulletin of the World Health Organization, 80 1: 26-32.

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Author Barendregt, Jan J.
Looman, Casper W. N.
Bronnum-Hansen, Henrik
Title Comparison of cohort smoking intensities in Denmark and the Netherlands
Journal name Bulletin of the World Health Organization   Check publisher's open access policy
ISSN 0042-9686
Publication date 2002-01
Sub-type Article (original research)
Open Access Status File (Publisher version)
Volume 80
Issue 1
Start page 26
End page 32
Total pages 7
Place of publication Geneva 27
Publisher World Health Organization
Language eng
Subject 320000 Medical and Health Sciences
Abstract OBJECTIVE: To assess the usefulness of the general framework of the smoking epidemic. METHODS: We use lung cancer mortality as an indicator for smoking intensity and employ an age-cohort model to accommodate the long-lasting and cumulative effects. RESULTS: Dutch males have higher risks than Danish males, but the risks for the younger cohorts have been declining faster in the Netherlands than in Denmark. Danish women have about twice the risk of Dutch women, and in both countries the risks for the younger cohorts are increasing. The smoking epidemic began at about the same time in Denmark and the Netherlands. Dutch males, however, seem to have smoked more but to have given up smoking more quickly than Danish males. Danish females were quicker to take up smoking than Dutch females. CONCLUSIONS: Within the general framework of the smoking epidemic, differences in timing and levels can produce large differences between countries. For the purposes of assessing smoking-related risks, including projections, the smoking epidemic framework therefore has to be tailored to each study population.
Keyword Adult
Age Factors
Aged, 80 and over
Cohort Studies
Linear Models
Lung Neoplasms/ mortality
Middle Aged
Risk Factors
Sex Factors
Smoking/ epidemiology
Time Factors
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown
Additional Notes This article extends the Peto-Lopez concept of ‘smoking intensity’ to to a cohort perspective, more appropriate than the period pespective given the cumulative effect of smoking and long time lags between exposure and health effects. I was the main investigator in this analysis. Citations 4, Impact factor 4.0

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 15 times in Thomson Reuters Web of Science Article | Citations
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Created: Fri, 21 Sep 2007, 10:40:19 EST