BMJ  2005;331:189-191 (23 July), doi:10.1136/bmj.331.7510.189

Paper

Lung cancer mortality at ages 35-54 in the European Union: ecological study of evolving tobacco epidemics

¹ Cancer Centre-Institute of Oncology, Cancer Epidemiology and Prevention Division, 5 Roentgena Str, 02-781 Warsaw, Poland, ² University College London, London WC1E 6BT, ³ Department of Public Health and Primary Care, Institute of Public Health, Cambridge CB2 2SR

The first 150 words of the full text of this article appear below.

Introduction

Epidemiological analyses indicate that disease attributable to smoking is a leading contributor to the large gap in premature mortality between the 15 countries that formerly made up the European Union and the new member states from central and eastern Europe.¹ However, the prevalence of smoking in most countries has not been measured in a sufficiently consistent way, or over a long enough period, to be used to predict trends in diseases caused by smoking.

Participants, methods, and results

Lung cancer mortality can provide a useful measure of a population's exposure to smoking,^{2 3} especially the population segment aged 35-54, when around 80-90% of cases are caused by smoking. We used trends, for each sex, in age standardised mortality due to lung cancer for ages 35-54 to map the lagged effects of the smoking epidemic in the 15 original EU member states and new members from central and eastern Europe, and to infer the earlier trends . . . [Full text of this article]

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