A case-control study of bidi smoking and bronchogenic carcinoma

Ann Thorac Med. 2010 Oct;5(4):238-41. doi: 10.4103/1817-1737.69116.


Objective: To evaluate the risks imposed by tobacco smoking, in particular, bidi smoking, in the development of lung cancer.

Methods: Two hundred eighty-four histologically confirmed patients of bronchogenic carcinoma and 852 controls matched for age, sex, and socioeconomic status were interviewed according to a predesigned questionnaire. Effects of individual variables defining the various aspects of tobacco smoking, in particular, bidi smoking, were assessed using logistic regression models.

Results: 81.3% cases of bronchogenic carcinoma were ever smokers as compared with 42.2% among controls. The odd ratios for ever smoking, bidi smoking, and cigarette smoking were 5.9 (confidence interval [CI] 4.3, 8.4), 6.1 (CI 4.3, 8.7), and 5.3 (CI 2.7, 10.4), respectively.

Conclusion: Bidi smoking poses a very high risk for lung cancer even more than that of cigarette smoking.

Keywords: Bidi; cigarette; epidemiology; lung cancer; tobacco.