Risk Factors Modifying Familial Aggregation for Lung Cancer in Affected Individual
Keywords:
familial aggregation, lung cancer, risk factors, epidemiology.Abstract
Introduction: Oncologic diseases are considered multifactorial and have a complex hereditary component (multiple involved genes interact with each other, as well as with environmental phenomenons), have a global distribution and affect an increasing number of individuals. Lung cancer is a disease with a high global incidence.
Objective: To determine the risk factors that modify familial aggregation for lung cancer.
Methods: A longitudinal, retrospective and case-control study was carried out with the population of Banes Municipality, Holguin Province, from October 2022 to March 2023. The universe included 133 diagnosed individuals and their families. The sample was obtained by simple random sampling (72 cases) and the control group was formed at a 3:1 ratio (216 individuals with no history of disease). Bioethical requirements were met. Inclusion and exclusion criteria were applied. The following statistics were used: chi-square, odds ratio (OR), as well as p and confidence interval. The variables age, degree of consanguinity and risk factors were determined. The family tree was obtained.
Results: Relatives with first and second degrees of consanguinity showed the highest incidence of the disease. The age group 70 years and older prevailed. Familial aggregation was demonstrated for the disease (X2 = 28.38, OR = 5.19, CI 95 % [2.65, 1 0.17]). Age older than 40 years (87.1 %) and dyspnea (87.5 %) were remarkable clinical aspects. Risk factors showed association for the disease (X2 = 23.64, p ≤ 0.05). Smoking (X2 = 3, OR = 1.12, CI 95 % [0.99, 1.27]) and history of chronic lung disease (X2 = 124.1, OR = 0.48, CI 95 % [0.42, 0.55]) expressed highly significant association for lung cancer.
Conclusions: Smoking and family history of the disease came to be the risk factors that modified familial aggregation for lung cancer.
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