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American Journal of Epidemiology Vol. 128, No. 1: 74-77
Copyright © 1988 by The Johns Hopkins University School of Hygiene and Public Health

research-article

SMOKING AND INVASIVE CERVICAL CANCER RISK

RESULTS FROM A CASE-CONTROL STUDY

PETER NISCHAN1, KLAUS EBELING1 and CHRISTOF SCHINDLER2

1Academy of Sciences of the German Democratic Republic, Central Institute of Cancer Research Berlin-Buch 1115, German Democratic Republic
2Karl Marx University, Clinic of Obstetrics and Gynecology Leipzig, German Democratic Republic

The association between cigarette smoking and risk of invasive cervical cancer was investigated in a case-control study conducted in four hospitals in Leipzig, German Democratic Republic in 1983–1985. Analyses were based on 225 women aged 64 years or younger with newly diagnosed invasive cervical cancer and 435 age-matched controls with orthopedic or skin diseases. The crude relative risk of invasive cervical cancer was significantly elevated for women who had ever smoked (relative risk (RR) = 1.5, 95% confidence interval (Cl) =1.1–2.1). Adjustment for number of sexual partners reduced the risk to RR = 1.2 (95% Cl = 0.8– 1.6). Furthermore, the risk for smokers depended significantly on number of sexual partners (p < 0.05) and was increased only among women with no partner or one partner (RR = 2.7, 95% Cl = 1.2–6.1).

cervix neoplasms; smoking


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