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An examination of male and female odds ratios by BMI, cigarette smoking, and alcohol consumption for cancers of the oral cavity, pharynx, and larynx in pooled data from 15 case-control studies.
Cancer Causes Control. 2011 Sep; 22(9):1217-31.CC

Abstract

BACKGROUND

Greater tobacco smoking and alcohol consumption and lower body mass index (BMI) increase odds ratios (OR) for oral cavity, oropharyngeal, hypopharyngeal, and laryngeal cancers; however, there are no comprehensive sex-specific comparisons of ORs for these factors.

METHODS

We analyzed 2,441 oral cavity (925 women and 1,516 men), 2,297 oropharynx (564 women and 1,733 men), 508 hypopharynx (96 women and 412 men), and 1,740 larynx (237 women and 1,503 men) cases from the INHANCE consortium of 15 head and neck cancer case-control studies. Controls numbered from 7,604 to 13,829 subjects, depending on analysis. Analyses fitted linear-exponential excess ORs models.

RESULTS

ORs were increased in underweight (< 18.5 BMI) relative to normal weight (18.5-24.9) and reduced in overweight and obese categories (≥ 25 BMI) for all sites and were homogeneous by sex. ORs by smoking and drinking in women compared with men were significantly greater for oropharyngeal cancer (p < 0.01 for both factors), suggestive for hypopharyngeal cancer (p = 0.05 and p = 0.06, respectively), but homogeneous for oral cavity (p = 0.56 and p = 0.64) and laryngeal (p = 0.18 and p = 0.72) cancers.

CONCLUSIONS

The extent that OR modifications of smoking and drinking by sex for oropharyngeal and, possibly, hypopharyngeal cancers represent true associations, or derive from unmeasured confounders or unobserved sex-related disease subtypes (e.g., human papillomavirus-positive oropharyngeal cancer) remains to be clarified.

Authors+Show Affiliations

Division of Cancer Epidemiology and Genetics, National Cancer Institute, 6120 Executive Blvd, Rockville, MD 20852, USA. lubinj@mail.nih.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, N.I.H., Intramural

Language

eng

PubMed ID

21744095

Citation

Lubin, Jay H., et al. "An Examination of Male and Female Odds Ratios By BMI, Cigarette Smoking, and Alcohol Consumption for Cancers of the Oral Cavity, Pharynx, and Larynx in Pooled Data From 15 Case-control Studies." Cancer Causes & Control : CCC, vol. 22, no. 9, 2011, pp. 1217-31.
Lubin JH, Muscat J, Gaudet MM, et al. An examination of male and female odds ratios by BMI, cigarette smoking, and alcohol consumption for cancers of the oral cavity, pharynx, and larynx in pooled data from 15 case-control studies. Cancer Causes Control. 2011;22(9):1217-31.
Lubin, J. H., Muscat, J., Gaudet, M. M., Olshan, A. F., Curado, M. P., Dal Maso, L., Wünsch-Filho, V., Sturgis, E. M., Szeszenia-Dabrowska, N., Castellsague, X., Zhang, Z. F., Smith, E., Fernandez, L., Matos, E., Franceschi, S., Fabianova, E., Rudnai, P., Purdue, M. P., Mates, D., ... Hashibe, M. (2011). An examination of male and female odds ratios by BMI, cigarette smoking, and alcohol consumption for cancers of the oral cavity, pharynx, and larynx in pooled data from 15 case-control studies. Cancer Causes & Control : CCC, 22(9), 1217-31. https://doi.org/10.1007/s10552-011-9792-x
Lubin JH, et al. An Examination of Male and Female Odds Ratios By BMI, Cigarette Smoking, and Alcohol Consumption for Cancers of the Oral Cavity, Pharynx, and Larynx in Pooled Data From 15 Case-control Studies. Cancer Causes Control. 2011;22(9):1217-31. PubMed PMID: 21744095.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An examination of male and female odds ratios by BMI, cigarette smoking, and alcohol consumption for cancers of the oral cavity, pharynx, and larynx in pooled data from 15 case-control studies. AU - Lubin,Jay H, AU - Muscat,Joshua, AU - Gaudet,Mia M, AU - Olshan,Andrew F, AU - Curado,Maria Paula, AU - Dal Maso,Luigino, AU - Wünsch-Filho,Victor, AU - Sturgis,Erich M, AU - Szeszenia-Dabrowska,Neonilia, AU - Castellsague,Xavier, AU - Zhang,Zuo-Feng, AU - Smith,Elaine, AU - Fernandez,Leticia, AU - Matos,Elena, AU - Franceschi,Silvia, AU - Fabianova,Eleonora, AU - Rudnai,Peter, AU - Purdue,Mark P, AU - Mates,Dana, AU - Wei,Qingyi, AU - Herrero,Rolando, AU - Kelsey,Karl, AU - Morgenstern,Hal, AU - Shangina,Oxana, AU - Koifman,Sergio, AU - Lissowska,Jolanta, AU - Levi,Fabio, AU - Daudt,Alexander W, AU - Neto,Jose Eluf, AU - Chen,Chu, AU - Lazarus,Philip, AU - Winn,Deborah M, AU - Schwartz,Stephen M, AU - Boffetta,Paolo, AU - Brennan,Paul, AU - Menezes,Ana, AU - La Vecchia,Carlo, AU - McClean,Michael, AU - Talamini,Renato, AU - Rajkumar,Thangarajan, AU - Hayes,Richard B, AU - Hashibe,Mia, Y1 - 2011/07/09/ PY - 2011/02/03/received PY - 2011/05/28/accepted PY - 2011/7/12/entrez PY - 2011/7/12/pubmed PY - 2012/1/26/medline SP - 1217 EP - 31 JF - Cancer causes & control : CCC JO - Cancer Causes Control VL - 22 IS - 9 N2 - BACKGROUND: Greater tobacco smoking and alcohol consumption and lower body mass index (BMI) increase odds ratios (OR) for oral cavity, oropharyngeal, hypopharyngeal, and laryngeal cancers; however, there are no comprehensive sex-specific comparisons of ORs for these factors. METHODS: We analyzed 2,441 oral cavity (925 women and 1,516 men), 2,297 oropharynx (564 women and 1,733 men), 508 hypopharynx (96 women and 412 men), and 1,740 larynx (237 women and 1,503 men) cases from the INHANCE consortium of 15 head and neck cancer case-control studies. Controls numbered from 7,604 to 13,829 subjects, depending on analysis. Analyses fitted linear-exponential excess ORs models. RESULTS: ORs were increased in underweight (< 18.5 BMI) relative to normal weight (18.5-24.9) and reduced in overweight and obese categories (≥ 25 BMI) for all sites and were homogeneous by sex. ORs by smoking and drinking in women compared with men were significantly greater for oropharyngeal cancer (p < 0.01 for both factors), suggestive for hypopharyngeal cancer (p = 0.05 and p = 0.06, respectively), but homogeneous for oral cavity (p = 0.56 and p = 0.64) and laryngeal (p = 0.18 and p = 0.72) cancers. CONCLUSIONS: The extent that OR modifications of smoking and drinking by sex for oropharyngeal and, possibly, hypopharyngeal cancers represent true associations, or derive from unmeasured confounders or unobserved sex-related disease subtypes (e.g., human papillomavirus-positive oropharyngeal cancer) remains to be clarified. SN - 1573-7225 UR - https://www.unboundmedicine.com/medline/citation/21744095/An_examination_of_male_and_female_odds_ratios_by_BMI_cigarette_smoking_and_alcohol_consumption_for_cancers_of_the_oral_cavity_pharynx_and_larynx_in_pooled_data_from_15_case_control_studies_ L2 - https://doi.org/10.1007/s10552-011-9792-x DB - PRIME DP - Unbound Medicine ER -