Objective: To assess if there is a relationship between residential radon exposure and two lung cancer histologicaltypes, small-cell carcinoma (diagnosed in people with a smoking history) and adenocarcinoma (the mostc...Objective: To assess if there is a relationship between residential radon exposure and two lung cancer histologicaltypes, small-cell carcinoma (diagnosed in people with a smoking history) and adenocarcinoma (the mostcommonly diagnosed histologic type in people who have never smoked) among males and females in Canada.Methods: With survey data of long-term radon measurements in residential homes, long-term averaged tobaccoconsumption rates in the units of cigarettes per day per person and long-term averaged age-standardized lungcancer incidence rates at provincial level, simple linear fitting (ANOVA linear regression) was applied in this studyto determine the effect on lung cancer induction by smoking and exposure to indoor radon, and to assess if there isa relationship between residential radon exposure and lung cancer histological types.Results: Lung cancer incidence rates correlate very well with the tobacco consumption rates (P < 0.05). However,females appear to be more likely than males to develop lung cancer at a given amount of cigarette consumption.For both small-cell carcinoma and adenocarcinoma, a statistically significant correlation between incidence rateand mean radon concentration was observed for females, the correlation was much stronger for adenocarcinoma(P = 0.0057) than small-cell carcinoma (P = 0.0483). However, there was no such correlation for males.Conclusion: It is possible that female non-smokers are more susceptible to radon-induced lung cancer, and the jointeffect of radon exposure and tobacco smoking may be worse in female smokers compared to males, such thathigher incidence rate of adenocarcinoma among females compared to males were observed in recent decades,even though females never smoked more than males.展开更多
文摘Objective: To assess if there is a relationship between residential radon exposure and two lung cancer histologicaltypes, small-cell carcinoma (diagnosed in people with a smoking history) and adenocarcinoma (the mostcommonly diagnosed histologic type in people who have never smoked) among males and females in Canada.Methods: With survey data of long-term radon measurements in residential homes, long-term averaged tobaccoconsumption rates in the units of cigarettes per day per person and long-term averaged age-standardized lungcancer incidence rates at provincial level, simple linear fitting (ANOVA linear regression) was applied in this studyto determine the effect on lung cancer induction by smoking and exposure to indoor radon, and to assess if there isa relationship between residential radon exposure and lung cancer histological types.Results: Lung cancer incidence rates correlate very well with the tobacco consumption rates (P < 0.05). However,females appear to be more likely than males to develop lung cancer at a given amount of cigarette consumption.For both small-cell carcinoma and adenocarcinoma, a statistically significant correlation between incidence rateand mean radon concentration was observed for females, the correlation was much stronger for adenocarcinoma(P = 0.0057) than small-cell carcinoma (P = 0.0483). However, there was no such correlation for males.Conclusion: It is possible that female non-smokers are more susceptible to radon-induced lung cancer, and the jointeffect of radon exposure and tobacco smoking may be worse in female smokers compared to males, such thathigher incidence rate of adenocarcinoma among females compared to males were observed in recent decades,even though females never smoked more than males.
