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WEEK 22:
Lung cancer epidemiology:
| Question | Answer |
|---|---|
| lung cancer incidence over time | increase |
| social deprivation and smoking | strong associated between lung cancer incidence and deprivation in both males and females (so the more deprived the higher the smoking prevalence) |
| how is social deprivation and LC measured (4) | unemployment, non car ownership, non home ownership, and household overcrowding |
| risk factors for LC (5) | tobacco, air pollution (outdoor and household- second hand smoking), environmental/ occupational exposures (radon or asbestos) , gender, race |
| particulate matter in outdoor pollution | level 1 carcinogen by IARC |
| 3 billion people cook using polluting open fires/ simple stoves eg (3) | kerosene, biomass (wood, animal dung and crop waste), and coal |
| radon | radioactive gas released from normal decay of elements eg uranium, thorium and radium in rocks and soil |
| types of asbestos (2) | chrysotile and amphibole |
| compare males and females who smoke | females who smoke show higher levels of polycyclic aromatic hydrocarbon DNA adducts due to possible synergistic interaction between oestrogens and tobacco compounds |
| most common cancers in males and females UK | lung |
| male to female ratio of lung cancer annual incidence in the UK | 11:10 (in 1975 was 39:10 it is DECREASED) |
| how many diagnoses of lung cancer per year UK | 1000 extra diagnoses per year |
| median age for lung cancer | 73 |
| highest rates age for lung cancer | 80-85 |
| how has pathological subtypes (carcinoid, SCLC, and NSCLC) changed over time | both SCLC and squamous reduced |
| all the factors influencing and associated with lung cancer (8) | gender, age, family history, genetic factors, lifestyle, environmental, race, and ethnicity |