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PHC131
Q) Smoking causes Lung Cancer" Discuss based on Hill's criteria? (250 words)
Smoking causes Lung Cancer" Discuss based on Hill's criteria?
The Bradford Hill criteria or Hill's criteria is the main aspects used in epidemiology and public health , for forming epidemiologic evidence of a causal association between an assumed cause and an observed effect. These are a group of nine principles.
Temporality: Cigarette smoking is the number one risk factor for lung cancer. Most of the patients with lung cancer have history of smoking. So that means cause precede the effect
Consistency: Most of the researchers in different parts of the world and many studies have steadily proved the fact that smoking leads to lung cancer
Plausibility: Association is consistent with existing knowledge. Biological plausibility is already proved and evidence is clear. Histopathology effect of smoking on bronchial epithelium and difference in lung cancer incidence by sex is already noted
Strength of association: Tobacco smoke comprises nearly 5000 chemical substances, many of which are proved to be lethal and carcinogenic. Most of the studies proved that this leads to cancer in lungs
Dose response relationship: Absolutely the risk in higher according to the dose of exposure. Chain smokers and daily smokers are mostly affected. Those who are occasionally smoking have less chance of getting lung cancer
Specificity: it leads to many effects in the smoker
Experiment: There are so many clinical trials proved the association. Cellular pathologic studies proved this
Coherence: Histopathology effect of smoking on bronchial epithelium and the difference in lung cancer incidence by biological sex
Analogy: Effect is there with similar carcinogenic inhalers
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