Cigarette Smoking and Mortality due to Stomach Cancer : Findings from the JACC Study
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概要
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BACKGROUND: Several epidemiologic studies reported the positive association between cigarette smoking and stomach cancer. The prevalence of smoking in men remains high in Japan compared to other developed countries. It is therefore of great importance to determine the impact of cigarette smoking on stomach cancer among the Japanese population. The Japan Collaborative Cohort Study (JACC Study) provided an opportunity to examine the association between smoking and the risk of mortality due to stomach cancer.METHOD: A baseline survey was conducted throughout Japan from 1988 through 1990 among 110,792 inhabitants of 45 areas. Data retrieved for 98,062 participants (43,482 male and 54,580 female) who provided sufficient information about their smoking habits, without any history of caner at the baseline. Of total 970,251 person-years, 757deaths due to stomach caner were identified.RESULTS: Current smokers were at a higher risk of death due to stomach cancer than non-smokers (Hazard ratio = 1.36; 95% confidence interval [CI]: 1.07, 1.73). The risk of stomach cancer for men who smoked 15 or more cigarettes per day was approximately 1.4-fold greater than that of non-smokers, and those who smoked 35 or more cigarettes per day had an approximately 1.7-fold higher risk of stomach cancer, although the dose-response trend among men was unclear (p for trend = 0.063). No associations between smoking and stomach cancer were detected among women.CONCLUSION: The present results, together with previous findings, strongly support a hypothesis that cigarette smoking increases the risk of stomach cancer in Japanese men.J Epidemiol 2005; 15: S113-S119.
- 日本疫学会の論文
- 2005-06-01
著者
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TAMAKOSHI Akiko
Department of Preventive Medicine/Biostatistics and Medical Decision Making, Nagoya University Gradu
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大和 浩
産業医科大学産業生態科学研究所健康開発科学
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TOKUI Noritaka
Department of Clinical Epidemiology, Institute of Industrial Ecological Sciences, University of Occu
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FUJINO Yoshihisa
Department of Clinical Epidemiology, Institute of Industrial Ecological Sciences, University of Occu
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MIZOUE Tetsuya
Department of Preventive Medicine, Graduate School of Medical Sciences, Kyushu University
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YATSUYA Hiroshi
Department of Public Health/Health Information Dynamics, Field of Social Life Science, Program in He
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SAKATA Kiyomi
Department of Public Health, Wakayama Medical University
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KIKUCHI Shogo
Department of Public Health, Aichi Medical University School of Medicine
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TOYOSHIMA Hideaki
Department of Public Health/Health Information Dynamics, Field of Social Life Science, Program in He
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KUBO Tatsuhiko
Department of Clinical Epidemiology, Institute of Industrial Ecological Sciences, University of Occu
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MIZOUE Tetsuya
International Medical Center of Japan
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Tsubono Y
Division Of Health Policy Tohoku University School Of Public Policy
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Tsubono Yoshitaka
宮城県立がんセンター研究所 疫学部
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Mizoue Tetsuya
Department Of Preventive Medicine Graduate School Of Medical Sciences Kyushu University
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Mizoue Tetsuya
九州大学 医学部予防医学
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Kikuchi S
Aichi Medical Univ. Aichi Jpn
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Kikuchi Shogo
愛知医科大学 医学部公衆衛生学講座
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Kikuchi Shogo
Department Of Public Health Aichi Medical University School Of Medicine
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Kikuchi S
Juntendo Univ. School Of Medicine Jpn
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Tokui Noritaka
Department Of Clinical Epidemiology Institute Of Industrial Ecological Sciences University Of Occupa
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Tokui Noritaka
産業医科大学産業生態科学研究所
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Tokui Noritaka
富山医科薬科大学 保健医学
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IDE Reiko
Department of Clinical Epidemiology, Institute of Industrial Ecological Sciences, University of Occu
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YOSHIMURA Takesumi
Department of Clinical Epidemiology, Institute of Industrial Ecological Science, University of Occup
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HOSHIYAMA Yoshihiro
Department of Public Health, Showa University School of Medicine
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Kubo Tatsuhiko
札幌医科大学 医学部公衆衛生学
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Kubo Tatsuhiko
Department Of Clinical Epidemiology Institute Of Industrial Ecological Sciences University Of Occupa
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Ide Reiko
Department Of Clinical Epidemiology Institute Of Industrial Ecological Sciences University Of Occupa
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Toyoshima Hideaki
Department Of Medical Cardiology National Cardiovascular Center
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Toyoshima Hideaki
愛知教育大学
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Tamakoshi Akiko
京都府立医科大学 地域保健医療疫学
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Tamakoshi Akiko
Department Of Epidemiology National Institute For Longevity Sciences
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Kondo Takaaki
Department Of Internal Medicine Division Of Cardio-vascular Medicine
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Sakata K
Department Of Clinical Epidemiology Institute Of Industrial Ecological Science University Of Occupat
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Yoshida Takashi
Division Of Breast Surgery Saitama Cancer Center
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Sakata Kiyomi
Department Of Public Health Wakayama Medical College General Research Committee For Prevention Of Os
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Taguchi Naoto
Department Of Preventive Medicine Faculty Of Medicine Saga University
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Yatsuya Hiroshi
Department Of Pubic Health Nagoya University School Of Medicine
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Tamakoshi Akiko
Department Of Clinical Trials National Center For Geriatrics And Gerontology
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Sakata Kiyomi
Department Of Public Health Wakayama Medical College
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Yoshimura Takesumi
Department Of Clinical Epidemiology Institute Of Industrial Ecological Science University Of Occupat
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Tsubono Yoshitaka
Division Of Health Policy Tohoku University School Of Public Policy
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Kikuchi Shogo
Department Of Epidemiology And Environmental Health Juntendo University School Of Medicine
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Takei Hiroyuki
Second Department Of Surgery
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Mizoue T
Department Of Preventive Medicine Graduate School Of Medicine Kyushu University
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Takei Hiroyuki
Division Of Breast Surgery Saitama Cancer Center
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Yokoe Takao
Fukuoka Institute Of Health And Environmental Sciences
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Mizoue Tetsuya
Department Of Clinical Epidemiology Institute Of Industrial Ecological Science University Of Occupat
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Fujino Yoshihisa
Department Of Preventive Medicine Annd Community Health School Of Medicine University Of Occupationa
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Hoshiyama Yoshihiro
Department Of Public Health Showa University School Of Medicine
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Sakata Kiyomi
Department Of Clinical Epidemiology Institute Of Industrial Ecological Science University Of Occupat
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Tomata Yasutake
Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat
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Fujino Yoshihisa
産業医科大学 公衆衛生学
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Yoshimura Takesumi
Department Of Clinical Epidemiology Institute Of Industrial Ecological Sciences University Of Occupa
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Mizoue Tetsuya
Department Of Epidemiology And International Health Research Institute National Center For Global He
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Tokui Noritaka
Department Of Preventive Medicine Faculty Of Medicine Saga University
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Mizoue Tetsuya
Department Of Epidemiology And Prevention International Clinical Research Center National Center For Global Health And Medicine
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Yoshimura Takesumi
Department of Clinical Epidemiology
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