國家衛生研究院 NHRI:Item 3990099045/10418
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/10418


    Title: Smokeless tobacco use and the risk of head and neck cancer: Pooled analysis of US studies in the inhance consortium
    Authors: Wyss, AB;Hashibe, M;Lee, YCA;Chuang, SC;Muscat, J;Chen, C;Schwartz, SM;Smith, E;Zhang, ZF;Morgenstern, H;Wei, Q;Li, G;Kelsey, KT;McClean, M;Winn, DM;Schantz, S;Yu, GP;Gillison, ML;Zevallos, JP;Boffetta, P;Olshan, AF
    Contributors: Division of Health Policy Translation
    Abstract: Previous studies on smokeless tobacco use and head and neck cancer (HNC) have found inconsistent and often imprecise estimates, with limited control for cigarette smoking. Using pooled data from 11 US case-control studies (1981-2006) of oral, pharyngeal, and laryngeal cancers (6,772 cases and 8,375 controls) in the International Head and Neck Cancer Epidemiology (INHANCE) Consortium, we applied hierarchical logistic regression to estimate odds ratios and 95% confidence intervals for ever use, frequency of use, and duration of use of snuff and chewing tobacco separately for never and ever cigarette smokers. Ever use (versus never use) of snuff was strongly associated with HNC among never cigarette smokers (odds ratio (OR) = 1.71, 95% confidence interval (CI): 1.08, 2.70), particularly for oral cavity cancers (OR = 3.01, 95% CI: 1.63, 5.55). Although ever (versus never) tobacco chewing was weakly associated with HNC among never cigarette smokers (OR = 1.20, 95% CI: 0.81, 1.77), analyses restricted to cancers of the oral cavity showed a stronger association (OR = 1.81, 95% CI: 1.04, 3.17). Few or no associations between each type of smokeless tobacco and HNC were observed among ever cigarette smokers, possibly reflecting residual confounding by smoking. Smokeless tobacco use appears to be associated with HNC, especially oral cancers, with snuff being more strongly associated than chewing tobacco.
    Date: 2016-11
    Relation: American Journal of Epidemiology. 2016 Nov;184(10):703-716.
    Link to: http://dx.doi.org/10.1093/aje/kww075
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0002-9262&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000392724700001
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85014856423
    Appears in Collections:[Shu-Chun Chuang] Periodical Articles

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