ArticleAnnals of translational medicine2020
A comparison of the burden of lung cancer attributable to tobacco exposure in China and the USA.
Article in Annals of translational medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 12 citations in OpenAlex.
- Diverging Trajectories of Lung Cancer Burden in China, Japan, and South Korea: A Comparative Risk Assessment from the Global Burden of Disease Study 1990-2021.Thoracic cancer · 2026Article
- Article
- Real-world outcomes of immune checkpoint inhibitors as second-line therapy for extensive-stage small-cell lung cancer: a multicenter retrospective analysis.Frontiers in immunology · 2025Article
- Trends and projections of smoking-attributable lung cancer burden among the elderly in China, 1990-2021.American journal of cancer research · 2025Article
- Global, regional, and national burden of ischemic heart disease attributable to secondhand smoke from 1990 to 2019.Tobacco induced diseases · 2024Article
- Epidemiological and clinical characteristics of lung cancer in Saudi Arabia: a retrospective study in single oncology center.Oncology research · 2024Article
- The lag effect of 24-year tobacco consumption on lung cancer mortality in Henan Province, China, 1992 to 2016.Environmental science and pollution research international · 2022Article
- The epidemiological trends in the burden of lung cancer attributable to PMBMC public health · 2021Article
- Epidemiological Characteristics of Pancreatic Cancer in China From 1990 to 2019.Cancer control : journal of the Moffitt Cancer CenterArticle
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTobacco exposure (TE) is the major contributor to lung cancer mortality worldwide. This study aims to clarify the possible reasons underlying the long-term trends and differences in lung cancer mortality attributable to TE in China and the United States of America (USA).
methodsLung cancer mortality data from China and the USA were obtained from the Global Burden of Disease (GBD) Study 2017. Joinpoint regression analysis was used to assess the magnitude and direction of trends from 1990 to 2017, and the age-period-cohort model (APCM) was used to analyze the temporal trends of lung cancer mortality by age, period, and cohort.
resultsFor lung cancer attributable to smoking, the age-standardized mortality rates (ASMRs) exhibited an upward trend in China and a downward trend in the USA. The overall net drifts per year were 0.72% for China and -3.03% for the USA, and the local drift values in China and the USA increased by age group. All cohort/period relative risks (RRs) increased in China but decreased in the USA. The longitudinal age curves increased rapidly in China, whereas those in the USA were rose gradually. For lung cancer attributable to secondhand smoke, the ASMRs showed a downward trend in both China and the USA. The overall net drifts per year were -0.48% for China and -3.97% for the USA, and the local drift values in China and the USA also increased by age group. Cohort/period RRs decreased in the USA, and fluctuated in China. The longitudinal age curve trends in China and the USA were similar to those of smoking.
conclusionsThe dangers of TE in China remain serious. The rates of lung cancer mortality attributable to TE have increased, especially in older individuals. We recommend that China strengthens the implementation of effective targeted tobacco control policies and other interventions to reduce the burden of lung cancer.
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