This study estimated the proportion of lung cancer in Greece that was attri
butable to occupational exposure. Two hundred eighty-two patients with lung
cancer and 494 controls were interviewed about their socioeconomic charact
eristics, sex, age, and occupational, smoking, and residential histories. E
ach subject was classified as exposed or unexposed to known occupational lu
ng carcinogens, Because of the small number of females exposed, only males
were included in the multivariate analyses. When the occupationally exposed
subjects were compared with the unexposed subjects and an adjustment for s
moking was made, the relative risk fm lung cancer was 2.9 (95% confidence i
nterval, 1.95-4.31). If 5% to 10% of the Greek population were occupational
ly exposed, the attributable risk would be 9.9% to 16.6%, respectively. Occ
upational exposures conferred an additional risk that was approximately thr
eefold that of smoking alone, Risks increased in a dose-response fashion wi
th increasing cigarette consumption.