Table 3.17. Relative risks for cervical intraepithelial for smokers neoplasia compared with nonsmokers, case-control studies

StudyCasesControlsRelative risk (95% confidence interval)
TypeNumberSourceNumberEver smokedCurrent smokersFormer smokers
Harris et al. 1980 Dysplasia/CIS§ 190Hospital4222.1 * **
Lyon et al. 1983 CIS217Community2433.0 (1.9-4.8) >§<§
Trevathan et al. 1983 Mild, moderate dysplasia194Family-planning program2882.4 (1.6-3.7)2.6 (1.7-4.1)1.6 (0.8-3.6)
Severe dysplasia813.3 (1.9-5.8)3.0 (1.6-5.6)5.7 (2.4-13.5)
CIS993.6 (2.1-6.2)4.2 (2.7-7.5)2.1 (0.8-5.6)
Clarke et al. 1985 Dysplasia250Neighbor5003.1 * ** 1.1 **
Mayberry 1985 CIN 210¶¶ Clinic3172.0 (1.3-3.0)1.4 (0.7-2.8)
La Vecchia et al. 1986 CIN183Screening program1832.6 (1.3-5.2) *** 2.5 (0.9-6.7)
Brock et al. 1989 CIS116Physician1934.5 (2.2-9.1)1.3 (0.6-3.0)
Slattery et al. 1989 CIS266§§§ Random digit dialing4083.4 (2.1-5.6)1.4 (0.8-2.5)
Coker et al. 1992 CIN II, III103Clinic ¶¶¶ 2681.7 (0.9-3.3)3.4 (1.7-7.0)
Parazzini et al. 1992a CIN I, II128Screening program3231.8 (1.1-2.9)1.1 (0.4-2.9)
CIN III2382.0 (1.3-3.1)1.7 (0.8-3.5)
Munoz et al. 1993 CIN III525Cytology512
Spain1.3 (0.7-2.3)0.9 (0.2-3.8)
Colombia2.0 (1.3-3.0)1.8 (0.9-3.5)
Becker et al. 1994 CIN II, III201Colposcopy3371.4 (1.0-2.1)1.8 (1.2-2.8)0.9 (0.5-1.5)
de Vet et al. 1994 Dysplasia257Population7053.5 (2.1-5.9) * 2.0 (1.1-3.4)
Kjaer et al. 1996 CIS586Population6142.3 (1.6-3.2)2.4 (1.7-3.4)1.6 (1.0-2.7)
Ylitalo et al. 1999 CIS422Screening program4221.9 (1.3-2.8)1.5 (0.9-2.3)
*

>20 cigarettes/day.

**

95% confidence interval was not provided,but the results were reported as not significant.

§

CIS = Carcinoma in situ.

>§<§

90% confidence interval.

CIN = Cervical intraepithelial neoplasia; CIN II and CIN III define disease progression.

¶¶

Includes 35 women with severe dysplasia, 9 with CIS, and 10 with invasive carcinoma.

***

>15 cigarettes/day.

§§§

Includes 36 women with invasive carcinoma.

¶¶¶

Women with normal cervical cytologies.

From: Chapter 3. Health Consequences of Tobacco Use Among Women

Cover of Women and Smoking
Women and Smoking: A Report of the Surgeon General.
Office on Smoking and Health (US).

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