Cancer Smoking and Drinking in Relation to Oral and Pharyngeal

Cancer Smoking and Drinking in Relation to Oral and Pharyngeal

7 Pages · 2006 · 1.32 MB · English

A case-control study of oral and pharyngeal cancer conducted in four areas of the United Administration. Registry data on oropharyngeal cancer from prior years .. David Main for computer support, Louise Hanson for field supervision, and Susan Privot eral Communications Commission. 1986. 4.

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    1988;48:32823287 Cancer Res   William J Blot, Joseph K McLaughlin, Deborah M Winn, et al   Cancer Smoking and Drinking in Relation to Oral and Pharyngeal         Updated Version http://cancerresaacrjournalsorg/content/48/11/3282 Access the most recent version of this article at:     Citing Articles http://cancerresaacrjournalsorg/content/48/11/3282#relatedurls This article has been cited by 100 HighWirehosted articles Access the \ articles at:     Email alerts related to this article or journal Sign up to receive free emailalerts Subscriptions Reprints and [email protected] Department at To order reprints of this article or to subscribe to the journal, contac\ t the AACR Publications Permissions [email protected] Department at To request permission to reuse all or part of this article, contact the\ AACR Publications American Association for Cancer Research  Copyright © 1988 on June 8, 2012 cancerresaacrjournalsorg Downloaded from [CANCERSmoking William PrestonMartin, National California California, ABSTRACT A areas alcohol of among the Among to increased packs cigar, shown filter sharply having marily risks consuming generally and analyzed that proximately States INTRODUCTION Tobacco for pean separate alcoholic fore, uate precisely the and populationbased cancer United METHODS Incident geal 141149\), nasopharynx to registries San New Received The of accordance 1 Etiology, between after Controls Controls technique the each listing numbers groups\), similar control \(not years rosters Administration were tion Interviews took interviews another interviewers this alcohol tions, questions or more, of responding series consumed weekends weekly The tobacco Point OR2 used tobacco more a multiplicative for kin \(quartile 2 them smoking 5 as tobacco the study; analyses controls 2% presented 2 3282 American Association for Cancer Research  Copyright © 1988 on June 8, 2012 cancerresaacrjournalsorg Downloaded from SMOKING, RESULTS Interviews cases 75% intervieweligible age 73% 76% Table controls white origin years, Angeles total\) similar, than Few have controls among cases numbers yses phones numbers, analyses Tobacco males, corresponding \(78% smokers, consumers As adjusted and smoked little cessation with per duration seen and Table according IndicatorSex Male FemaleRaceWhite BlackAge <505059 6069 70+Location New Atlanta Los San of \(68\) 352\(32\)920 \(83\) 194\(17\)147\(13\) 288 414\(37\) 265 \(44\) 135\(12\) 420 67\(6\)1114No of \(66\) 431 \(84\) 203\(16\)189\(15\) 333 463 283 \(37\) 138\(11\) 525\(41\) 141 \(with smoking\), larly current those for actually level with day Increased less excess age, tion, cigarette = \(34% experienced to ciated adjusting mixed280%\) smokers Sufficient pipes associated significantly and/or alcohol numbers consumption to cigars/week 87\) trols\) Six smokeless were among snuff\) males, smokeless in Alcohol had lower males\) nearly Table trolled sumption Over more About compared excess and small moderate The type for 3283 American Association for Cancer Research  Copyright © 1988 on June 8, 2012 cancerresaacrjournalsorg Downloaded from SMOKING, Table Males Females Exposure indexNever smokedCigar or Cigarette ofcases5052 659No ofcontrols18556 593OR"10191995% CI1134 1329Noofcases540 298No ofcontrols2020229OR\302\260103095% CI2045 No 119 2039 40+ Years 119 2039 40+ Age <171724 25+ Years 019 1019 20+ 80 312 262 45 286 313 325 279 38 485 64 56 43 173 288 130 138 281 171 258 285 47 239 98 114 141 12 21 28 08 19 36 21 18 18 34 11 11 07 0718 1431 1844 0513 1228 2356 1432 1227 0933 2351 0719 0719 0412 60 145 93 15 127 153 89 153 54 258 24 10 4 104 94 31 59 105 64 59 116 54 129 39 35 26 18 36 62 10 29 50 29 31 28 47 18 08 04 1129 2358 36113 0519 1846 3083 1749 2049 1648 3073 0936 0419 0114 1 TableMales Females Type No alcohol <114514152930+Hard liquor <114514152930+Beer <114514152930+Wine <114514152930+Noof cases407199154389173134138118179146130141134195497114703135No of controls13920621915011833724016556313332311616244490205110216OR"10121\ 73388Vf1013265510e1217344710"0707092595% CI0720102720545414307130918173934910817122\ 4275130730510041005180965Noof cases637572558713578653241180734824272306041713No of controls171129932992789550533436020712731094171OR\302\2601012132391\ 10*1315497810e22292318010"0608051695% CI07190821124539210092109251614321292143615\ 5609652115904100414012302136 " 0 ' '' adjustment risk and except There age or sumption were of drinking, ration tionnaire OR Smoking \(females\) were Conversely, were nonsmokers, were ing risk, females We logistic categorical products 3284 American Association for Cancer Research  Copyright © 1988 on June 8, 2012 cancerresaacrjournalsorg Downloaded from SMOKING, Table All No drinks/wkSmoking statusNonsmoker Short 119/day 2039/day 40+/day Pipe/cigar Cl<110\(12,66\)* 07 17\(2,6\) 19\(8, 74 06\(1,4\)10\(40, 139\)1413\(12,52\) 22\(24,61\) 15\(7,21\) 24\(17,34\) 07\(6, 10 14\(21,90\) 27\(8, 44 44\(19, 37\(8, 32 54\(16, 72 202\(43, 47\(13,9\)33\(154, 150\)205430+58 \(6, 64 79 238\(145,33\) 377\(148,21\) 230\(25,6\)88\(389, 118\)54143Total"10\(50, 185\) 11 16\(55,77\) 28\(250, 44 19\(52,56\)95% CI0717 0927 1843 2772 1134 * b ' J Table All No drinks/wkSmoking statusNonsmoker Short 119/day 2039/day 40+/day yrTotal''95% CI<110\(36, 112\)* 10\(7,27\) 09 22\(12, ~\(4, 16\(8,21\) 51 27 93\(14,6\)12\(75, 129\)071951413\(7,23\) 04 28\(11, 69\(35, 78\(15,7\)13\(72,93\)0821152900 \(0, 11 46 124\(319\) 180\(18,4\)23 \(55, \(0, ~\(3, 110\(9,3\) 460 1079\(37, \(87,9\)39210Total"10\(54,202\) 10\(25,88\) 30 44\(136,74\) 102\(88, CI0518 19522772 52204 " * 'Quit '' significant = strong We models the tive risks The to heavy Attributable highly consumers tionattributable and/or lationattributable and amount among 74% to 20 ages/week\) Racial patterns similar smoking, ages for ancy heavy population, prevalence females, controls were geal Anatomic tongue and respectively, in drinking to were men tended Pipe oral buccal DISCUSSION Tobacco for scribed oral early depict studies cancer \(1012\) States 3285 American Association for Cancer Research  Copyright © 1988 on June 8, 2012 cancerresaacrjournalsorg Downloaded from SMOKING Table and Males Females Other Other Tongue Amount or for20+ yr40+/day for 20+yPipe/cigar onlyNo of no bysite100814193219100713246021610121838522710182443\ 123272101515345816101417431042731013262881101211201\ 101041008204697101015286615110169714336710161435150\ 100 " '' associated ment Although tobacco questions pared methods risk largest ryngeal We rately doseresponse after were and and ported provides with Because calculate estimate ryngeal States, cancers assign tobacco used shown were smoking, population and contribute However, what 19\) described important We both long nonfilter a the Smoking cigarettes, that tobacco prevalence population tobacco risk consistent The cessation both relative short stages following rapid bladder derscore preventing however, with appears ryngeal Increased heavy and in alcohol nogenesis deficiencies taminants of of solubilize ryngeal information calculate evaluate the drinking of smoking, risk ever, consumption a are of remain In with dependently Although increased for for ingredients volved, 3286 American Association for Cancer Research  Copyright © 1988 on June 8, 2012 cancerresaacrjournalsorg Downloaded from SMOKING in smoking actually drinkers drinking, and that lowed day, nearly and National show whites, derived the lence onehalf compared ing black Similar higher to to In implicates determinants response alone the to reducing provides product, rettes Furthermore, sharply that carcinogenesis ACKNOWLEDGMENTS We David and REFERENCES 1 and583595 2 burg, Am 3 eral 4 Analysis Research 5 NC: 6 casecontrol 7 effects 8 Am 9 10 and 11 veterans: 12 in 13 factors 14 etiological \(Wash 15 alcohol501505, 16 ton, 17 tobacco 711716, 18 Alcohol, of 19 related 20 in 21 tobacco \(Phila\), 22 pharynx 23 Fischman, oral 24 Schmahl, cigarette 25 Washington 26 bladder 1125, 27 diseases 28 Cancer Saunders 29 DNA 30 \(Phila\), 31 the 32 Hoover, women 33 factors reference 70:470487,1957 34 Intake Inst, 35 end ogr, 3287 American Association for Cancer Research  Copyright © 1988 on June 8, 2012 cancerresaacrjournalsorg Downloaded from

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