Cancers in Australia in 2010 attributable to tobacco smoke

Pandeya, Nirmala, Wilson, Louise F., Bain, Christopher J., Martin, Kara L., Webb, Penelope M. and Whiteman, David C. (2015) Cancers in Australia in 2010 attributable to tobacco smoke. Australian and New Zealand Journal of Public Health, 39 5: 464-470. doi:10.1111/1753-6405.12446

Author Pandeya, Nirmala
Wilson, Louise F.
Bain, Christopher J.
Martin, Kara L.
Webb, Penelope M.
Whiteman, David C.
Title Cancers in Australia in 2010 attributable to tobacco smoke
Journal name Australian and New Zealand Journal of Public Health   Check publisher's open access policy
ISSN 1753-6405
Publication date 2015-10-01
Year available 2015
Sub-type Article (original research)
DOI 10.1111/1753-6405.12446
Open Access Status DOI
Volume 39
Issue 5
Start page 464
End page 470
Total pages 7
Place of publication Richmond, VIC Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Formatted abstract
Objectives: To estimate the population attributable fraction (PAF) and numbers of cancers occurring in Australia in 2010 attributable to tobacco smoking, both personal and by a partner.

Methods: We used a modified Peto-Lopez approach to calculate the difference between the number of lung cancer cases observed and the number expected assuming the entire population developed lung cancer at the same rate as never smokers. For cancers other than lung, we applied the standard PAF formula using relative risks from a large cohort and derived notional smoking prevalence. To estimate the PAF for partners' smoking, we used the standard formula incorporating the proportion of non-smoking Australians living with an ever-smoking partner and relative risks associated with partner smoking.

Results: An estimated 15,525 (13%) cancers in Australia in 2010 were attributable to tobacco smoke, including 8,324 (81%) lung, 1,973 (59%) oral cavity and pharynx, 855 (60%) oesophagus and 951 (6%) colorectal cancers. Of these, 136 lung cancers in non-smokers were attributable to partner tobacco smoke.

Conclusions: More than one in eight cancers in Australia is attributable to tobacco smoking and would be avoided if nobody smoked.

Implications: Strategies to reduce the prevalence of smoking remain a high priority for cancer control.
Keyword Population attributable fraction
Risk factor
Tobacco use
Second-hand smoke
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Public Health Publications
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