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Le point sur l’épidémie de cancer du poumon dû au tabagisme

Abstract : Introduction – Lung cancer mortality is the most specific indicator of the effects of tobacco smoking on health at a population level. We describe the trends in lung cancer mortality since the 1950s in France and discuss them in the light of the trends in tobacco consumption. Methods – Cause specific lung cancer mortality data come from the death certificates. Tobacco sales and survey data have been used to estimate the sex and age-specific tobacco consumption. The sex-specific consumption has been estimated by correcting the survey data to account for the sales data. This sex-specific consumption has then been adapted to each age-group on the basis of the age and sex-specific proportions of regular smokers, derived from survey data by linear interpolation. Results – Lung cancer mortality has been decreasing recently in the male population, as a consequence of the reduced consumption of tobacco, whereas one observes a large increase in lung cancer mortality in the female population who started smoking much more recently. By far the largest variations are observed in the age-group 35 to 44: male lung cancer mortality decreased by a factor 2 in 10 years and female lung cancer mortality increased by a factor 4 in 15 years. Conclusion – Anti-smoking actions in the last decades have had a clear beneficial effect on the risk of lung cancer in the male population, but the epidemic in the female population will continue with the aging of the generations who started smoking regularly. One can also expect the decrease in male lung cancer mortality to stop, given the end of the downward trend in tobacco sales observed since 2004.
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https://hal-cnrs.archives-ouvertes.fr/hal-03480097
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Submitted on : Thursday, January 13, 2022 - 4:52:09 PM
Last modification on : Friday, January 14, 2022 - 3:36:11 AM

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  • HAL Id : hal-03480097, version 1

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C Hill, E Jougla, François Beck. Le point sur l’épidémie de cancer du poumon dû au tabagisme. Bulletin Epidémiologique Hebdomadaire - BEH, Saint-Maurice (Val de Marne) : Institut de veille sanitaire, 2010, pp.210-213. ⟨hal-03480097⟩

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