Geographic pattern of lung cancer in Japan and its environmental correlations

Standardized lung cancer mortality ratios, 1969-1978, for basic administrative units of Japan were related to various environmental characteristics by multiple regression analysis. Elevated lung cancer mortality was demonstrated in the areas along the sea coast, particularly those with fishing ports, low socioeconomic status, and high level of air pollution. High mortality was also observed in coal mining areas and areas with shipyards. Data on tobacco expenditures provided partial adjustment for the effects of cigarette smoking on these correlations.