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The Emerging Tobacco Epidemic in China
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To the Editor.In the article on the tobacco epidemic in China by Dr Chen and colleagues,1 the finding that among middle-aged Shanghai men one fifth of all deaths during the 1980s were due to smoking is alarming. Shanghai is the most cosmopolitan city in China; all new fashions and trends have their start in Shanghai. Will this serve as a warning of what may come for the rest of China in the next millennium?
Tsung O. Cheng, MD
George Washington University Medical Center Washington, DC
1. Chen Z-M, Xu Z, Collins R, Li W-X, Peto R. Early health effects of the emerging tobacco epidemic in China: a 16-year prospective study. JAMA. 1997;278:1500-1504.
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To the Editor.Dr Lam and colleagues1 and Dr Chen and colleagues2 report striking data that quantify the impact of tobacco use on smoking-related mortality in China. These generally well-designed studies have a deficiency in research methods that is common to virtually all scientific reports of smoking-related disease statistics: they use an inaccurate and potentially misleading categorization of smoking status.
In the report by . . . [Full Text of this Article]
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Early Health Effects of the Emerging Tobacco Epidemic in China: A 16-Year Prospective Study
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