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. 2012 Aug;124(15-16):493-9.
doi: 10.1007/s00508-012-0207-0. Epub 2012 Jul 20.

Smoking and lung cancer: current trends in Austria

Caroline A Thompson  1 , Thomas Waldhör, Eva S Schernhammer, Monika Hackl, Christian Vutuc, Gerald Haidinger
Affiliations

Smoking and lung cancer: current trends in Austria

Caroline A Thompson et al. Wien Klin Wochenschr. 2012 Aug.

Abstract

Background: Despite a recent decline in smoking behavior in many European countries, lung cancer rates remain high, especially in Central and Eastern Europe. This paper aims to describe trends in smoking behavior and lung cancer incidence and mortality, including histopathological classification of lung cancer, in a Central European country: Austria.

Methods: Using data from the Austrian Central Cancer Registry, we calculated age-standardized incidence, histopathology-specific incidence, and age-standardized and birth cohort-specific mortality rates for all lung cancer cases in Austria. Using national survey data, we estimated prevalence of smoking in the Austrian population. Our analysis covers the time period from 1970 to 2009.

Results: In 2009, lung cancer incidence rates were 41.3/100,000 and 18.5/100,000 and mortality rates were 36.3/100,000 and 14.5/100,000, for males and females, respectively. Male lung cancer rates declined but increased steadily in females over the past three decades. In 2009, the most common histological type is adenocarcinoma, which reflects a shift from predominantly squamous cell carcinoma and large cell carcinoma in the mid 1980s. In 2009, 27 % of men and 19 % of women were smokers, which represent a rise of smoking rates in women, especially in younger women, and a decline in the men.

Conclusions: While in Austrian men the lung cancer rates, in accordance with their decreasing prevalence of smoking, declined over the past 30 years, the increasing smoking prevalence and lung cancer rates in women remain a public health concern. Antismoking laws and public health initiatives to curtail smoking habits are needed in Austria, especially targeting younger women.

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Figures

Fig. 1
Fig. 1
Age-adjusted lung cancer incidence (1983–2007), age-adjusted lung cancer mortality (1970–2009) and smoking prevalence (1972–2007), by sex
Fig. 2
Fig. 2
Male age-adjusted lung cancer mortality by 5-year birth cohort
Fig. 3
Fig. 3
Female age-adjusted lung cancer mortality by 5-year birth cohort
Fig. 4
Fig. 4
Male age-adjusted lung cancer incidence by histological type (1983–2007)
Fig. 5
Fig. 5
Female age-adjusted lung cancer incidence by histological type (1983–2007)
See this image and copyright information in PMC

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