+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Trends in mortality among california usa physicians after giving up smoking 1950 1979

British Medical Journal 286(6371): 1101-1105
Trends in mortality among california usa physicians after giving up smoking 1950 1979
A study was conducted to assess how lung cancer and other mortality trends among California physicians had been influenced by the high proportion who had given up smoking since 1950. Several sample surveys indicated that the proportion of California physicians who currently smoked cigarettes had declined dramatically from .apprx. 53% in 1950 to .apprx. 10% in 1980. During the same period the proportion of other American men who smoked cigarettes had decelined only modestly, from .apprx. 53-38%. Using the 1950 American Medical Directory a cohort of 10,130 California male physicians was established and followed up for mortality until the end of 1979, during which time 5090 died. The formation from follow up and death certification was exceptionally good. The standardized mortality ratio [SMR] for lung cancer among California male physicians relative to American white men declined from 62 in 1950-1959 to 30 in 1970-1979. The corresponding decline in SMR was from 100 to 63 for other smoking related cancer, from 106 to 71 for ischemic heart disease, and from 62 to 35 for bronchitis, emphysema, and asthma. The SMR remained relatively constant for other causes of death not strongly related to smoking. The overall ratio decline in all age groups at a rate of .apprx. 1%/yr. The total death rate among all physicians converged towards the rate among non-smoking physicians. By the end of the study period physicians had a cancer rate and total death rate similar to or less than those among typical USA non-smokers. The natural experiment shows that lung cancer became relatively less common on substantial elimination of the primary causal factor, cigarette smoking. Other smoking related diseases also became relatively less common, though factors other than cigarette smoking may have contributed to this change.

(PDF 0-2 workdays service: $29.90)

Accession: 006839423

Related references

Trends in mortality among California physicians after giving up smoking: 1950-79. British Medical Journal 286(6371): 1101-1105, 1983

Increasing trends of multiple myeloma mortality in england and wales uk 1950 1979 are the changes real?. Journal of the National Cancer Institute 69(2): 387-392, 1982

Mortality trends in cancer of the digestive tract in the province of Buenos Aires, Argentina, 1950-1979. Acta Gastroenterologica Latinoamericana 17(4): 305-316, 1987

Significance of trends in infant mortality rates in the municipality of São Paulo, SP (Brazil) in the last 30 years (1950-1979). Revista de Saude Publica 16(1): 7-18, 1982

Smoking-attributable cancer mortality in California, 1979-2005. Tobacco Control 19 Suppl 1(): I62-I67, 2010

An ecological study of cancer mortality rates in California, 1950-64, with respect to solar UVB and smoking indices. Dermato-Endocrinology 4(2): 176-182, 2012

Mortality trends for selected smoking-related cancers and breast cancer--United States, 1950-1990. Mmwr. Morbidity and Mortality Weekly Report 42(44): 857, 863-6, 1993

From the Centers for Disease Control and Prevention. Mortality trends for selected smoking-related cancers and breast cancer--United States, 1950-1990. JAMA 270(21): 2541-2542, 1993

Influence of smoking among family physicians on their practice of giving minimal smoking cessation advice. Revue des Maladies Respiratoires 23(5 Pt 1): 426-429, 2007

Cancer. Mortality trends for selected smoking-related cancers and breast cancer, 1950-1990. Releve Epidemiologique Hebdomadaire 69(15): 107-110, 1994