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Cigar and pipe smoking and cancer risk in the european prospective investigation into cancer and nutrition.

https://arctichealth.org/en/permalink/ahliterature98017
Source
Int J Cancer. 2010 Feb 16;
Publication Type
Article
Date
Feb-16-2010
Author
Va McCormack
A. Agudo
Cc Dahm
K. Overvad
A. Olsen
A. Tjonneland
R. Kaaks
H. Boeing
J. Manjer
M. Almquist
G. Hallmans
I. Johansson
Md Chirlaque
A. Barricarte
M. Dorronsoro
L. Rodriguez
Ml Redondo
Kt Khaw
N. Wareham
N. Allen
T. Key
E. Riboli
P. Boffetta
Author Affiliation
International Agency for Research on Cancer, Lyon, France.
Source
Int J Cancer. 2010 Feb 16;
Date
Feb-16-2010
Language
English
Publication Type
Article
Abstract
The carcinogenicity of cigar and pipe smoking is established but the effect of detailed smoking characteristics is less well defined. We examined the effects on cancer incidence of exclusive cigar and pipe smoking, and in combination with cigarettes, among 102395 men from Denmark, Germany, Spain, Sweden and UK in the EPIC cohort. Hazard ratios (HR) and their 95% confidence intervals (CI) for cancer during a median 9 year follow-up from ages 35-70 years were estimated using proportional hazards models. Compared to never smokers, HR of cancers of lung, upper aero-digestive tract and bladder combined was 2.2 (95% CI: 1.3, 3.8) for exclusive cigar smokers (16 cases), 3.0 (2.1, 4.5) for exclusive pipe smokers (33 cases) and 5.3 (4.4, 6.4) for exclusive cigarette smokers (1069 cases). For each smoking type, effects were stronger in current than in ex-smokers, and in inhalers than in non-inhalers. Ever smokers of both cigarettes and cigars (HR 5.7 (4.4, 7.3), 120 cases) and cigarettes and pipes (5.1 (4.1, 6.4), 247 cases) had as high a raised risk as had exclusive cigarette smokers. In these smokers, the magnitude of the raised risk was smaller if they had switched to cigars or pipes only (i.e. quit cigarettes) and had not compensated with greater smoking intensity. Cigar and pipe smoking is not a safe alternative to cigarette smoking. The lower cancer risk of cigar and pipe smokers as compared to cigarette smokers is explained by lesser degree of inhalation and lower smoking intensity. (c) 2010 UICC.
PubMed ID
20162568 View in PubMed
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Increase of immunity to rubella and interruption of rubella transmission in Gipuzkoa (Basque Country, Spain) after an enhanced vaccination programme.

https://arctichealth.org/en/permalink/ahliterature178839
Source
Epidemiol Infect. 2004 Aug;132(4):685-92
Publication Type
Article
Date
Aug-2004
Author
G. Cilla
M. Dorronsoro
J R Sáenz-Domínguez
E. Serrano
E. Pérez-Trallero
Author Affiliation
Servicio de Microbiología, Hospital Donostia, San Sebastián, Spain.
Source
Epidemiol Infect. 2004 Aug;132(4):685-92
Date
Aug-2004
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Child
Child, Preschool
Female
Humans
Incidence
Male
Middle Aged
Pregnancy
Prevalence
Rubella - epidemiology - etiology - prevention & control
Rubella Vaccine - immunology
Spain - epidemiology
Vaccination
Abstract
In Spain, vaccination against rubella was initiated in schoolgirls in the mid-1970s. In Gipuzkoa, subsequent extensions to the vaccination schedule culminated in 1992 with the introduction of the two-dose measles, mumps and rubella vaccine in children and adolescents of both sexes. Moreover, in 1985 a programme for the identification and vaccination of non-immune parturient women was implemented in the region's main hospital. The prevalence of rubella-susceptible parturient women decreased from 3.7 % at the beginning of the study to
PubMed ID
15310170 View in PubMed
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Patterns of alcohol consumption in 10 European countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) project.

https://arctichealth.org/en/permalink/ahliterature186257
Source
Public Health Nutr. 2002 Dec;5(6B):1287-96
Publication Type
Article
Date
Dec-2002
Author
S. Sieri
A. Agudo
E. Kesse
K. Klipstein-Grobusch
B. San-José
A A Welch
V. Krogh
R. Luben
N. Allen
K. Overvad
A. Tjønneland
F. Clavel-Chapelon
A. Thiébaut
A B Miller
H. Boeing
M. Kolyva
C. Saieva
E. Celentano
M C Ocké
P H M Peeters
M. Brustad
M. Kumle
M. Dorronsoro
A. Fernandez Feito
I. Mattisson
L. Weinehall
E. Riboli
N. Slimani
Author Affiliation
Epidemiology Unit, National Cancer Institute, Via Venezian 1, 20133 Milan, Italy. sieris@libero.it
Source
Public Health Nutr. 2002 Dec;5(6B):1287-96
Date
Dec-2002
Language
English
Publication Type
Article
Keywords
Adult
Aged
Alcohol drinking - epidemiology
Beer - statistics & numerical data
Diet Surveys
Europe - epidemiology
Female
Humans
Male
Mental Recall
Middle Aged
Population Surveillance - methods
Prospective Studies
Sex Distribution
Wine - statistics & numerical data
Abstract
The aim of this study was to compare the quantities of alcohol and types of alcoholic beverages consumed, and the timing of consumption, in centres participating in the European Prospective Investigation into Cancer and Nutrition (EPIC). These centres, in 10 European countries, are characterised by widely differing drinking habits and frequencies of alcohol-related diseases.
We collected a single standardised 24-hour dietary recall per subject from a random sample of the EPIC cohort (36 900 persons initially and 35 955 after exclusion of subjects under 35 and over 74 years of age). This provided detailed information on the distribution of alcohol consumption during the day in relation to main meals, and was used to determine weekly consumption patterns. The crude and adjusted (by age, day of week and season) means of total ethanol consumption and consumption according to type of beverage were stratified by centre and sex.
Sex was a strong determinant of drinking patterns in all 10 countries. The highest total alcohol consumption was observed in the Spanish centres (San Sebastian, 41.4 g day-1) for men and in Danish centres (Copenhagen, 20.9 g day-1) for women. The lowest total alcohol intake was in the Swedish centres (Umeå, 10.2 g day-1) in men and in Greek women (3.4 g day-1). Among men, the main contributor to total alcohol intake was wine in Mediterranean countries and beer in the Dutch, German, Swedish and Danish centres. In most centres, the main source of alcohol for women was wine except for Murcia (Spain), where it was beer. Alcohol consumption, particularly by women, increased markedly during the weekend in nearly all centres. The German, Dutch, UK (general population) and Danish centres were characterised by the highest percentages of alcohol consumption outside mealtimes.
The large variation in drinking patterns among the EPIC centres provides an opportunity to better understand the relationship between alcohol and alcohol-related diseases.
PubMed ID
12639233 View in PubMed
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Variability of fish consumption within the 10 European countries participating in the European Investigation into Cancer and Nutrition (EPIC) study.

https://arctichealth.org/en/permalink/ahliterature18550
Source
Public Health Nutr. 2002 Dec;5(6B):1273-85
Publication Type
Article
Date
Dec-2002
Author
A A Welch
E. Lund
P. Amiano
M. Dorronsoro
M. Brustad
M. Kumle
M. Rodriguez
C. Lasheras
L. Janzon
J. Jansson
R. Luben
E A Spencer
K. Overvad
A. Tjønneland
F. Clavel-Chapelon
J. Linseisen
K. Klipstein-Grobusch
V. Benetou
X. Zavitsanos
R. Tumino
R. Galasso
H B Bueno-De-Mesquita
M C Ocké
U R Charrondière
N. Slimani
Author Affiliation
Strangeways Research Laboratory, Department of Public Health and Primary Care, University of Cambridge, Wort's Causeway, UK. ailsa.welch@srl.cam.ac.uk
Source
Public Health Nutr. 2002 Dec;5(6B):1273-85
Date
Dec-2002
Language
English
Publication Type
Article
Keywords
Adult
Aged
Animals
Cross-Sectional Studies
Crustacea
Diet
Diet Surveys
Europe
Female
Fishes
Humans
Male
Mental Recall
Middle Aged
Population Surveillance - methods
Prospective Studies
Research Support, Non-U.S. Gov't
Shellfish
Abstract
OBJECTIVE: To describe and compare the consumption of total fish (marine foods) and the fish sub-groups - white fish, fatty fish, very fatty fish, fish products and crustacea, in participants from the European Investigation into Cancer and Nutrition (EPIC) study. DESIGN: Cross-sectional analysis of dietary intake using a computerised standardised 24-hour recall interview. Crude means, means and standard errors adjusted by age, season and day of the week were calculated, stratified by centre and gender. SETTING: Twenty-seven redefined centres in the 10 European countries participating in the EPIC study. SUBJECTS: In total, 35 955 subjects (13 031 men and 22 924 women), aged 35-74 years, selected from the main EPIC cohort. RESULTS: A six- to sevenfold variation in total fish consumption exists in women and men, between the lowest consumption in Germany and the highest in Spain. Overall, white fish represented 49% and 45% of the intake of total fish in women and men, respectively, with the greatest consumption in centres in Spain and Greece and the least in the German and Dutch centres. Consumption of fatty fish reflected that of total fish. However, the greatest intake of very fatty fish was in the coastal areas of northern Europe (Denmark, Sweden and Norway) and in Germany. Consumption of fish products was greater in northern than in southern Europe, with white fish products predominating in centres in France, Italy, Spain, The Netherlands and Norway. Intake of roe and roe products was low. The highest consumption of crustacea was found in the French, Spanish and Italian centres. The number of fish types consumed was greater in southern than in northern Europe. The greatest variability in consumption by day of the week was found in the countries with the lowest fish intake. CONCLUSIONS: Throughout Europe, substantial geographic variation exists in total fish intake, fish sub-groups and the number of types consumed. Day-to-day variability in consumption is also high.
PubMed ID
12639232 View in PubMed
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