Tobacco smoking, alcohol consumption, and risk of oral cancer: a case-control study in Beijing, People's Republic of China

Zheng, Tongzhang; Boyle, Peter; Hu, Huanfang; Duan, Jun; Jiang, Peiyue; Ma, Daquan; Shui, Liangpeng; Niu, Shiru; MacMahon, Brian

doi:10.1007/bf00053170

Cited by 88 publications

(59 citation statements)

References 15 publications

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“…17 1 1 0 0 1 1 1 0 1 0 Cui et al 18 1 1 1 0 1 1 1 0 1 1 Dikshit and Kanhere 19 1 0 1 0 1 1 1 0 1 1 Elahi et al 20 1 1 1 0 1 1 1 1 1 1 Elwood et al 21 1 1 0 0 1 1 1 0 1 1 Franceschi et al 22 1 1 0 0 1 1 1 1 1 0 Franceschi et al 23 1 0 0 0 1 1 0 1 1 1 Franco et al 24 1 1 0 0 1 1 1 0 1 0 Greenberg et al 25 0 0 1 0 1 1 1 1 1 1 Guneri et al 26 0 1 0 0 1 1 0 0 1 0 Hashibe et al 27 1 1 0 0 1 1 1 0 1 1 Hayes et al 28 1 1 1 0 1 1 1 1 1 1 Herrero et al 29 1 1 0 0 1 1 1 1 1 1 Kabat et al 30 0 1 0 0 1 1 1 0 1 0 Ko et al 31 1 0 0 0 1 1 1 0 1 0 Levi et al 32 0 0 0 0 1 1 1 1 1 1 Llewellyn et al 33 1 1 1 0 1 1 1 0 1 0 Llewellyn et al 34 1 1 1 0 1 1 1 1 1 0 Lu et al 35 0 1 1 0 1 1 1 0 0 0 Maden et al 36 1 0 1 0 1 1 1 0 1 1 Marshall et al 37 0 1 1 0 1 1 1 0 1 0 Mashberg et al 38 0 1 0 0 1 1 1 0 1 1 Merchant et al 39 0 1 0 1 1 1 1 0 1 0 Merletti et al 40 1 1 1 0 1 1 1 0 1 0 Moreno-Lopez et al 41 1 1 1 0 1 1 0 0 1 0 Muscat et al 42 1 1 0 0 1 1 1 1 1 1 Nandakumar et al 43 1 1 0 0 1 1 1 0 1 0 Olshan et al 44 1 1 0 0 1 1 1 1 1 1 Pacella-Norman 45 1 1 0 0 1 1 1 0 1 1 Rao et al 46 1 0 0 0 1 1 1 0 1 1 Rogers et al 47 1 0 1 0 1 1 1 1 1 0 Rosenquist 48 1 1 1 0 1 1 1 1 1 0 Schwartz et al 49 1 1 1 0 1 1 1 0 1 1 Smith et al 50 1 1 0 0 1 1 1 0 1 0 Toporcov et al 51 1 53 1 1 0 1 1 0 1 0 1 1 Zheng et al 54 1 1 0 0 1 1 1 1 1 1 Znaor et al 55 1 0 0 0 1 1 0 1 1 0 A: Expli...…”

Section: Study Characteristicsmentioning

confidence: 99%

Socioeconomic inequalities and oral cancer risk: A systematic review and meta‐analysis of case‐control studies

Conway

Petticrew

Marlborough³

et al. 2008

Intl Journal of Cancer

340

221

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There is uncertainty and limited recognition of the relationship between socioeconomic inequalities and oral cancer. We aimed to quantitatively assess the association between socioeconomic status (SES) and oral cancer incidence risk. A systematic review of casecontrol studies obtained published and unpublished estimates of the SES risk related to oral cancer. Studies were included which reported odds ratios (ORs) and corresponding 95% CIs of oral cancer with respect to SES, or if the estimates could be calculated or obtained. Meta-analyses were performed on subgroups: SES measure, age, sex, global region, development level, time-period and lifestyle factor adjustments; while sensitivity analyses were conducted based on study methodological issues. Forty-one studies provided 15,344 cases and 33,852 controls which met our inclusion criteria. Compared with individuals who were in high SES strata, the pooled ORs for the risk of developing oral cancer were 1.85 (95%CI 1.60, 2.15; n 5 37 studies) for those with low educational attainment; 1.84 (1.47, 2.31; n 5 14) for those with low occupational social class; and 2.41 (1.59, 3.65; n 5 5) for those with low income. Subgroup analyses showed that low SES was significantly associated with increased oral cancer risk in high and lower income-countries, across the world, and remained when adjusting for potential behavioural confounders. Inequalities persist but are perhaps reducing over recent decades. Oral cancer risk associated with low SES is significant and comparable to lifestyle risk factors. Our results provide evidence to steer health policy which focus on lifestyles factors toward an integrated approach incorporating measures designed to tackle the root causes of disadvantage. ' 2008 Wiley-Liss, Inc.Key words: meta-analysis; oral cancer; SES; socioeconomic status; systematic review In 2000, oral cancer (ICD-10 C00-06) was estimated to be the 8th most common cancer worldwide-with an estimated 267,000 new cases and 128,000 deaths, and with the greatest burden in developing countries. 1 Despite a wealth of literature on the effects of poverty and inequality on health, 2 the effect of socioeconomic circumstances on oral cancer is given little recognition in a predominant medical model approach to research and prevention on the risks of the disease. 3 Recent published work on the relationship between socioeconomic status (SES) and oral cancer has mainly been in the form of descriptive epidemiology studies linking routine registry data to census data. From such studies, increased risk of oral cancer appears associated with high levels of area-based socioeconomic deprivation, 4,5 although this was not reflected in a review of incidence studies from across the world which utilised mainly individual measures of SES. 6 Area-based measures are liable to the 'ecological fallacyÕ whereby individuals are allocated SES based on their area of residence. The few analytical studies to focus on SES have also been equivocal, and socioeconomic correlates have recently been found to be c...

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Section: Study Characteristicsmentioning

confidence: 99%

Socioeconomic inequalities and oral cancer risk: A systematic review and meta‐analysis of case‐control studies

Conway

Petticrew

Marlborough³

et al. 2008

Intl Journal of Cancer

340

221

View full text Add to dashboard Cite

show abstract

“…Periodontal disease has also been associated with an increased risk of cancer at several sites. Several studies have associated oral cancer with both tooth loss and poor oral hygiene independent of age, tobacco consumption, and alcohol consumption (5)(6)(7). Tooth loss has also been reported to be associated with a higher risk of esophageal (8,9), gastric (9,10), and pancreatic (11,12) cancers.…”

Section: Introductionmentioning

confidence: 99%

Teeth Loss and Risk of Cancer at 14 Common Sites in Japanese

Hiraki

Matsuo

Suzuki

et al. 2008

Cancer Epidemiology, Biomarkers &Amp; Prevention

160

212

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Background: Tooth loss has been associated with a higher risk of several types of cancer. To clarify the significance of tooth loss to the risk of 14 common cancers, we conducted a large-scale, case-control study based on the Hospital-based Epidemiologic Research Program at Aichi Cancer Center. Methods: A total of 5,240 cancer subjects and 10,480 ageand sex-matched noncancer controls were recruited. Patients with 14 types of cancer newly diagnosed from 2000 to 2005 were eligible as case subjects, and new outpatients without cancer in the same time period were eligible as controls. Tooth loss was categorized into four groups: group 1, number of remaining teeth, z21; group 2, 9 to 20; group 3, 1 to 8; and group 4, 0. The effect of tooth loss was assessed as odds ratios (OR)

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“…Finally, in a study including 104 case/control pairs from Beijing, China, the multivariate odds ratio (OR) of oral cancer among exclusive pipe smoking was 5.7 in males and 4.9 in females. 6 To provide further quantification of the risk of upper digestive tract neoplasms for exclusive pipe smokers, we analysed data from a network of case-control studies conducted in Italy and Switzerland. …”

mentioning

confidence: 99%

Pipe smoking and cancers of the upper digestive tract

Randi

Scotti

Bosetti

et al. 2007

Intl Journal of Cancer

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Pipe smoking has been related to the risk of cancers of the upper digestive and respiratory tract, but quantification of the risk for exclusive pipe smokers is still limited. To analyse the association between exclusive pipe smoking and cancers of the upper digestive tract, we used data from a series of case-control studies conducted in Italy and Switzerland between 1984 and 1999. After excluding cigarette and cigar smokers, 41 male oral and pharyngeal cancer cases, 52 male oesophageal cancer cases and 1,032 male controls were included in the present analysis. Odds ratios (OR) of cancers were estimated by the mean of unconditional multivariate logistic regression, including terms for age, study centre, education, body mass index, and alcohol drinking. Compared to never smokers, exclusive pipe smokers had an OR of 8.7 [95% confidence intervals (CI): 4.0-18.9] of all upper digestive tract cancers. The OR was 12.6 for oral and pharyngeal and 7.2 for oesophageal cancer. Pipe smokers who were also heavy alcohol drinkers had an OR of 38.8 (95% CI: 13.6-110.9) as compared to never smokers and light drinkers. Thus, pipe smoking and heavy alcohol drinking appears to interact at least on a multiplicative model. ' 2007 Wiley-Liss, Inc.Key words: digestive cancer; pipe smoking; case-control study; risk factors Pipe smoking has been related to the risk of cancers of the upper digestive and respiratory tracts, 1,2 but quantification of the risk for exclusive pipe smokers is still limited. The American Cancer Society Cancer Prevention Study II (ACS-CPS II) 2 reported relative risk (RR) of oral and pharyngeal cancers of 3.9, based on 15 deaths, and of oesophageal cancer of 2.4, based on 20 deaths, for current pipe smokers. Another cohort of 25,129 Swedish men enrolled in 1963 and followed-up to 1979 gave RRs of 1.4 for cancers of the oral cavity, pharynx and larynx (based on 3 deaths) and of 3.6 for cancer of the oesophagus (based on 6 deaths). 3Other cohort studies from the USA 4,5 reported similar RR for oral, pharyngeal and oesophageal cancers, again based on small numbers. Finally, in a study including 104 case/control pairs from Beijing, China, the multivariate odds ratio (OR) of oral cancer among exclusive pipe smoking was 5.7 in males and 4.9 in females. 6 To provide further quantification of the risk of upper digestive tract neoplasms for exclusive pipe smokers, we analysed data from a network of case-control studies conducted in Italy and Switzerland. Material and methodsThe present analysis is based on data from 3 hospital-based case-control studies of cancers of the oral cavity and pharynx, and 3 case-control studies of the cancer of the oesophagus, whose methods have already been described. [7][8][9][10][11] Only male subjects were included in the present analysis, since female cancers of the upper digestive tract are rare, and the proportion of female pipe smokers is negligible.Two Italian case-control studies on oral and pharyngeal cancers were conducted between 1984 and 1997 in the greater Milan area and the pro...

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Tobacco smoking, alcohol consumption, and risk of oral cancer: a case-control study in Beijing, People's Republic of China

Cited by 88 publications

References 15 publications

Socioeconomic inequalities and oral cancer risk: A systematic review and meta‐analysis of case‐control studies

Socioeconomic inequalities and oral cancer risk: A systematic review and meta‐analysis of case‐control studies

Teeth Loss and Risk of Cancer at 14 Common Sites in Japanese

Pipe smoking and cancers of the upper digestive tract

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