Résumé :
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[BDSP. Notice produite par INIST-CNRS 0R0xiBu7. Diffusion soumise à autorisation]. Exposure to fuel from cooking and heating has not been studied in Europe, where lung cancer rates are high and many residents have had a long tradition of burning coal and unprocessed biomass. Study subjects included 2,861 cases and 3,118 controls recruited during 1998-2002 in the Czech Republic, Hungary, Poland, Romania, Russia, Slovakia, and the United Kingdom. The odds ratio of lung cancer associated with solid fuel use was 1.22 (95% confidence interval (Cl) : 1.04,1.44) for cooking or heating, 1.37 (95% Cl : 0.90,2.09) for solid fuel only for cooking, and 1.24 (95% Cl : 1.05,1.47) for solid fuels used for both cooking and heating. Risk increased relative to the percentage of time that solid fuel was used for cooking (rhôtrend<0.0001), while no risk increase was detected for solid fuel used for heating. The odds ratio of lung cancer in whole-life users of solid cooking fuel was 1.80 (95% Cl : 1.35,2.40). Switching to nonsolid fuels resulted in a decrease in risk. The odds ratio for the longest duration of time since switching was 0.76 (95% Cl : 0.63,0.92). The data suggest a modest increased risk of lung cancer related to solid-fuel use for cooking rather than heating.
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