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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Burden of disease from breast cancer attributable to smoking and second-hand smoke exposure in Europe
Author(s): Carreras, Giulia
Lachi, Alessio
Boffi, Roberto
Clancy, Luke
Gallus, Silvano
Fernández, Esteve
López, Maria Jose
Soriano, Joan B
López Nicolás, Ángel
Semple, Sean
Behrakis, Panagiotis
Gorini, Giuseppe
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Keywords: breast cancer
burden of disease
population attributable fraction
second‐hand smoke
Issue Date: 1-Nov-2020
Citation: Carreras G, Lachi A, Boffi R, Clancy L, Gallus S, Fernández E, López MJ, Soriano JB, López Nicolás Á, Semple S, Behrakis P & Gorini G (2020) Burden of disease from breast cancer attributable to smoking and second-hand smoke exposure in Europe. International Journal of Cancer, 147 (9), pp. 2387-2393.
Abstract: Smoking and second‐hand smoke (SHS) exposure have been recently linked to a higher risk of breast cancer in women. The aim of this work is to estimate the number of deaths and disability‐adjusted life years (DALYs) from breast cancer attributable to these two risk factors in the European Union (EU‐28) in 2017. The comparative risk assessment method was used. Data on prevalence of smoking and SHS exposure were extracted from the Eurobarometer surveys, relative risks from a recent meta‐analysis, and data on mortality and DALYs from breast cancer were estimated from the Global Burden of Disease, Injuries and Risk Factors Study. In 2017, 82 239 DALYs and 3354 deaths from breast cancer in the EU‐28 could have been avoided by removing exposure to these two risk factors (smoking and SHS exposure). The proportion of DALYs from breast cancer lost respectively from smoking and SHS exposure was 2.6% and 1.0%, although geographically distributed with significant heterogeneity. These results represent the first estimates of breast cancer burden in women attributable to smoking and SHS exposure for the EU‐28. It is important to increase awareness among women, health professionals and wider society of the association between smoking, SHS exposure and breast cancer, a relationship that is not widely recognised or discussed.
DOI Link: 10.1002/ijc.33021
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This is the peer reviewed version of the following article: Carreras, G, Lachi, A, Boffi, R, et al. Burden of disease from breast cancer attributable to smoking and second-hand smoke exposure in Europe. Int. J. Cancer. 2020; 147: 2387-2393, which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for self-archiving.
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