[Smoking and health in Austria (author's transl)].
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Biomedical subjects
Publications and source records attributed to C Vutuc.
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400 male lung cancer patients were analysed according to their social class distribution and compared with the relevant age group of the Austrian population. There are significantly more lower class people among lung cancer patients than in the general population. The higher lung cancer risk in lower social classes, therefore, may be associated with social factors. These may influence smoking habits, the main cause of lung cancer: lower class people are more often cigarette smokers, less exsmokers and prefere high tar cigarettes.
60 per cent (108) of 180 women with lung cancer were cigarette smokers as compared with only 21 per cent (75) smokers in a control group of 360 female patients. The former group had been smoking for an average of 40 years, with a preference for high-tar cigarettes in 78 per cent of the cases. The women in the control group had started smoking about 33 years ago and 57 per cent preferred low tar cigarettes. The differences were significant. The exposure pattern of male and female lung cancer patients was markedly the same.
The smoking habits and history of 180 female lung cancer patients (119 cases of Kreyberg I tumors, 61 cases of Kreyberg II tumors) were analyzed in a retrospective case control study (360 female control patients suffering from not tobacco related diseases). The relative risk for smokers is 5,7 for Kreyberg I tumors (statistically significant) and 1,57 for Kreyberg II tumors. The risk for Kreyberg I tumors rises in relation to the life time cigarette consumption: less than 5000 packs of cigarettes smoked 1,94; 5000--20 000 packs smoked 6,44 (statistically significant); more than 20 000 packs 10,92 (statistically significant). The respective figures for Kreyberg II tumors are 1,2; 1,72; 1,73.
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This paper provides additional information about the not yet completely solved relation of smoking and lung cancer of group Kreyberg II. This problem was analysed for the first time in Austria. In retrospective case-control-study datas were collected about smoking habits of 494 male patients with verivied lung cancer (440 cases belonging to group Kreyberg I and 54 to group Kreyberg II) and 1000 controls. By a computer program the relative risk of smokers compared to non smokers, additionaly in relation to the amount of cigarettes smoked, was calculated for: all lung cancer types, groups Kreyberg I and Kreyberg II. The relative risk for smokers compared to non smokers was for Kreyberg I-tumours 7.78 and for Kreyberg II-tumours 3.42 (statistically significant). In relation to the amount of cigarettes smoked, Kreyberg I-tumours had a significant risk at an amount up to 5000 consumed cigarette packs, Kreyberg II-tumours at an amount of more than 20000 cigarette packs.
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BACKGROUND: A population-based cross-sectional study was performed to assess smoking prevalence in Austria and to compare the results with data from 1986. METHODS: A representative sample of Austrians (n = 2,400) who in 1995 were > or = 15 years of age was obtained. A total of 2,065 respondents were interviewed about their smoking habits. RESULTS: Approximately 31% of the population age > or = 15 are regular cigarette smokers, 12% are former smokers, 6% smoke occasionally, and 51% have never smoked. Among males, the prevalence of regular smoking increases with age and reaches its highest level between the ages of 25 and 34. The age distribution among female regular smokers shows a similar pattern, peaking in the same age group (35.7% smokers). No significant differences in smoking prevalence were found according to monthly household income, years of school, and number of inhabitants at place of residence. At the time of interview 45.7% of male and 20.9% of female regular smokers consumed > 20 cigarettes per day. Compared with data from 1986 the prevalence of regular smokers increased from 18.1 to 24.2% among females and from 35.5 to 38.9% among males. CONCLUSIONS: Smoking prevalence increased in Austria between 1986 and 1995 by 33.7% among females and by 9.6% among males. Patterns of smoking among females (prevalence and cigarettes per day) are approaching those of males.