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American Journal of Epidemiology Vol. 135, No. 7: 763-768
Copyright © 1992 by The Johns Hopkins University School of Hygiene and Public Health

research-article

Smoking and Risk of Leukemia

Linda Morris Brown1,1, Robert Gibson2, Aaron Blair1, Leon F. Burmeister3, Leonard M. Schuman2, Kenneth P. Cantor1 and Joseph F. Fraumeni, Jr1

1Epidemiology and Biostatistjcs Program National Cancer Institute Betnesda MD
2Department of Epidemiology University of Minnesota Minneapofis MN
3Department of Preventive Medicine University of Iowa Iowa City IA

Reprint requests to Linda Morris Brown, National Cancer Institute, Executive Plaza North, Suite 415, Bethesda, MD 20892

The relation between tobacco use and leukemia was evaluated in a population-based case-control study of 578 white men with leukemia and 820 controls conducted in Iowa and Minnesota during 1981–1984. Risks were significantly elevated for all leukemia (odds ratio (OR) = 1.4) and chronic lymphocyte leukemia (OR = 1.6) for both tobacco users and cigarette smokers. There were significantly elevated risks for cigarette smokers of longest duration for all leukemia (OR = 1.6), chronic myelogenous leukemia (OR = 3.3), and chronic lymphocytic leukemia (OR = 1.6). Thus, the findings of this study provide additional support for an association between smoking and the risk of several types of leukemia. Am J Epidemiol 1992;135:763–8.

case-control studies; leukemia; smoking; tobacco


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