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Cigarette smoking-attributable burden of cancer by race and ethnicity in the United States

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Abstract

Purpose

Cigarette smoking is the leading preventable cause of death and disability from cancer in the U.S. Smoking prevalence varies by racial and ethnic group, and therefore the smoking-related burden of cancer is expected to vary accordingly.

Methods

We estimated the cigarette smoking-attributable Disability-Adjusted Life Years (DALYs) lost to cancer, overall and within racial/ethnic groups, using published DALY estimates, smoking prevalence from survey data, and relative risks from large cohort studies.

Results

In 2011, 2.6 million DALYs were lost to cancer due to cigarette smoking (27% of all DALYs lost to cancer). Smoking-attributable DALY rates were higher in men (968 per 100,000 people [95% confidence interval: 943–992]) than women (557 [540–574]). In combined sex analyses, DALY rates were higher in non-Hispanic Blacks (960 [934–983]) and non-Hispanic Whites (786 [768–802]) than in Hispanics (409 [399–421]) and non-Hispanic Asians (335 [320–350]).

Conclusions

Smoking-attributable cancer burden was substantial in all racial and ethnic groups, underscoring the need for intensified tobacco cessation in all populations.

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Funding

This work was supported by the Intramural Research Department of the American Cancer Society.

Author information

Authors and Affiliations

  1. Surveillance & Health Services Research, American Cancer Society, 250 William Street NW, Atlanta, GA, 30303, USA

    Joannie Lortet-Tieulent & Ahmedin Jemal

  2. Cancer Surveillance, International Agency for Research on Cancer, Lyon, France

    Ivana Kulhánová & Isabelle Soerjomataram

  3. Epidemiology Research, American Cancer Society, Atlanta, USA

    Eric J. Jacobs

  4. Cancer Surveillance, Department of Public Health, Erasmus University Medical Centre, Rotterdam, The Netherlands

    Jan Willem Coebergh

Authors
  1. Joannie Lortet-Tieulent
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  2. Ivana Kulhánová
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  3. Eric J. Jacobs
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  4. Jan Willem Coebergh
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  5. Isabelle Soerjomataram
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  6. Ahmedin Jemal
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Corresponding author

Correspondence to Joannie Lortet-Tieulent.

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The authors declare that they have no conflict of interest.

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Lortet-Tieulent, J., Kulhánová, I., Jacobs, E.J. et al. Cigarette smoking-attributable burden of cancer by race and ethnicity in the United States. Cancer Causes Control 28, 981–984 (2017). https://doi.org/10.1007/s10552-017-0932-9

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  • DOI: https://doi.org/10.1007/s10552-017-0932-9

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