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(Chest. 2003;123:21S-49S.)
© 2003 American College of Chest Physicians

Epidemiology of Lung Cancer*

Anthony J. Alberg, PhD, MPH and Jonathan M. Samet, MD, MS

* From the Department of Epidemiology, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD.

Correspondence to: Anthony J. Alberg, PhD, MPH, Department of Epidemiology, Johns Hopkins University, Bloomberg School of Public Health, 615 North Wolfe St, Baltimore, MD 21205; e-mail: aalberg{at}jhsph.edu

In the United States, lung cancer remains the leading cause of cancer death in both men and women even though an extensive list of risk factors has been well-characterized. Far and away the most important cause of lung cancer is exposure to tobacco smoke through active or passive smoking. The reductions in smoking prevalence in men that occurred in the late 1960s through the 1980s will continue to drive the lung cancer mortality rates downward in men during the first portion of this century. This favorable trend will not persist unless further reductions in smoking prevalence are achieved.

Key Words: air pollution • asbestos • cigarette smoking • epidemiology • lung cancer • nutrition • passive smoking • occupation • radiation • tobacco




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