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Changes in Cigarette-Related Disease Risks and Their Implications for Prevention and Control - Smoking and Tobacco Control Monograph No. 8 (Paperback)
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Changes in Cigarette-Related Disease Risks and Their Implications for Prevention and Control - Smoking and Tobacco Control Monograph No. 8 (Paperback)
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This, the eighth monograph in the Smoking and Tobacco Control
series published by the National Cancer Institute (NCI), is in many
respects also the most significant. Contained in this volume are
new results from five of the world's largest prospective
epidemiological studies defining the magnitude of disease risks
caused by cigarette smoking. Thirty years ago, in January 1966, NCI
published a similar monograph titled Epidemiological Approaches to
the Study of Cancer and Other Chronic Diseases. The report of the
Surgeon General's Advisory Committee on Smoking and Health had been
released in 1964 and had relied extensively on data from
prospective mortality studies to delineate the relationship between
cigarette smoking and various chronic diseases. The 1966 NCI
monograph provided a detailed examination of the outcomes of
several of the large prospective mortality studies presented in the
1964 advisory committee report. At that time, the outcomes
available from these studies were based on 3 to 6 years of follow
up; with the exception of the American Cancer Society's (ACS)
Cancer Prevention Study I (CPS-I), studies in the 1966 NCI
monograph did not include substantial numbers of females. This
monograph includes three new prospective mortality studies (CPS-II,
the Nurses' Health Study, and the Kaiser Permanente Prospective
Mortality study, provides the outcomes of the CPS-I study after 12
years of follow up, and provides 26 years of follow up of the study
of U.S. veterans. Data from these studies provide the most
comprehensive description of the disease consequences produced by
smoking available to date and are accompanied by a detailed
description of the changes in smoking behaviors of the U.S.
population over the past century. Prospective mortality studies
continue to play a critical role in quantifying the relative
mortality risks of smoking for the individual as well as in
estimating the overall disease burden caused by cigarette smoking
in our society. The goal of this monograph is to facilitate both
these tasks by providing, in one volume, comprehensive descriptions
of smoking behaviors and the disease risks that result from those
behaviors.
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