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Differences in Active and Passive Smoking Exposures and Lung Cancer Incidence Between Veterans and Non-Veterans in the Women's Health Initiative.

Publication ,  Journal Article
Bastian, LA; Gray, KE; DeRycke, E; Mirza, S; Gierisch, JM; Haskell, SG; Magruder, KM; Wakelee, HA; Wang, A; Ho, GYF; LaCroix, AZ
Published in: Gerontologist
February 2016

INTRODUCTION: Women Veterans may have higher rates of both active and passive tobacco exposure than their civilian counterparts, thereby increasing their risk for lung cancer. PURPOSE OF THE STUDY: To compare differences in active and passive smoking exposure and lung cancer incidence among women Veterans and non-Veterans using prospective data from the Women's Health Initiative (WHI). DESIGN AND METHODS: We used data from the WHI, which collected longitudinal demographic, clinical, and laboratory data on 161,808 postmenopausal women. We employed linear and multinomial regression and generalized linear models to compare active and passive smoking exposure between Veterans and non-Veterans and Cox proportional hazards models to estimate differences in lung cancer incidence rates. RESULTS: After adjustment, Veterans had 2.54 additional pack years of smoking compared with non-Veterans (95% confidence interval [CI] 1.68, 3.40). Veterans also had a 1% increase in risk of any passive smoking exposure (95% CI 1.00, 1.02) and a 9% increase in risk of any workplace exposure (95% CI 1.07, 1.11) compared with non-Veterans. After adjustment for age and smoking exposures, Veterans did not have a higher risk of lung cancer compared with non-Veterans (relative risk = 1.06 95% CI 0.86, 1.30). IMPLICATIONS: Women Veterans had higher rates of tobacco use and exposure to passive smoking, which were associated with a higher risk for lung cancer compared with non-Veterans. Clinicians who care for Veterans need to be aware that older women Veterans have more exposures to risk factors for lung cancer.

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Published In

Gerontologist

DOI

EISSN

1758-5341

Publication Date

February 2016

Volume

56 Suppl 1

Issue

Suppl 1

Start / End Page

S102 / S111

Location

United States

Related Subject Headings

  • Veterans
  • United States
  • Tobacco Smoke Pollution
  • Smoking
  • Small Cell Lung Carcinoma
  • Risk Factors
  • Prospective Studies
  • Proportional Hazards Models
  • Middle Aged
  • Lung Neoplasms
 

Citation

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Bastian, L. A., Gray, K. E., DeRycke, E., Mirza, S., Gierisch, J. M., Haskell, S. G., … LaCroix, A. Z. (2016). Differences in Active and Passive Smoking Exposures and Lung Cancer Incidence Between Veterans and Non-Veterans in the Women's Health Initiative. Gerontologist, 56 Suppl 1(Suppl 1), S102–S111. https://doi.org/10.1093/geront/gnv664
Bastian, Lori A., Kristen E. Gray, Eric DeRycke, Shireen Mirza, Jennifer M. Gierisch, Sally G. Haskell, Kathryn M. Magruder, et al. “Differences in Active and Passive Smoking Exposures and Lung Cancer Incidence Between Veterans and Non-Veterans in the Women's Health Initiative.Gerontologist 56 Suppl 1, no. Suppl 1 (February 2016): S102–11. https://doi.org/10.1093/geront/gnv664.
Bastian LA, Gray KE, DeRycke E, Mirza S, Gierisch JM, Haskell SG, et al. Differences in Active and Passive Smoking Exposures and Lung Cancer Incidence Between Veterans and Non-Veterans in the Women's Health Initiative. Gerontologist. 2016 Feb;56 Suppl 1(Suppl 1):S102–11.
Bastian, Lori A., et al. “Differences in Active and Passive Smoking Exposures and Lung Cancer Incidence Between Veterans and Non-Veterans in the Women's Health Initiative.Gerontologist, vol. 56 Suppl 1, no. Suppl 1, Feb. 2016, pp. S102–11. Pubmed, doi:10.1093/geront/gnv664.
Bastian LA, Gray KE, DeRycke E, Mirza S, Gierisch JM, Haskell SG, Magruder KM, Wakelee HA, Wang A, Ho GYF, LaCroix AZ. Differences in Active and Passive Smoking Exposures and Lung Cancer Incidence Between Veterans and Non-Veterans in the Women's Health Initiative. Gerontologist. 2016 Feb;56 Suppl 1(Suppl 1):S102–S111.
Journal cover image

Published In

Gerontologist

DOI

EISSN

1758-5341

Publication Date

February 2016

Volume

56 Suppl 1

Issue

Suppl 1

Start / End Page

S102 / S111

Location

United States

Related Subject Headings

  • Veterans
  • United States
  • Tobacco Smoke Pollution
  • Smoking
  • Small Cell Lung Carcinoma
  • Risk Factors
  • Prospective Studies
  • Proportional Hazards Models
  • Middle Aged
  • Lung Neoplasms