Interaction between tobacco and alcohol use and the risk of head and neck cancer: pooled analysis in the International Head and Neck Cancer Epidemiology Consortium. Other Scholarly Work

Hashibe, Mia, Brennan, Paul, Chuang, Shu-Chun et al. (2009). Interaction between tobacco and alcohol use and the risk of head and neck cancer: pooled analysis in the International Head and Neck Cancer Epidemiology Consortium. . 18(2), 541-550. 10.1158/1055-9965.epi-08-0347

cited authors

  • Hashibe, Mia; Brennan, Paul; Chuang, Shu-Chun; Boccia, Stefania; Castellsague, Xavier; Chen, Chu; Curado, Maria Paula; Dal Maso, Luigino; Daudt, Alexander W; Fabianova, Eleonora; Fernandez, Leticia; W√ľnsch-Filho, Victor; Franceschi, Silvia; Hayes, Richard B; Herrero, Rolando; Kelsey, Karl; Koifman, Sergio; La Vecchia, Carlo; Lazarus, Philip; Levi, Fabio; Lence, Juan J; Mates, Dana; Matos, Elena; Menezes, Ana; McClean, Michael D; Muscat, Joshua; Eluf-Neto, Jose; Olshan, Andrew F; Purdue, Mark; Rudnai, Peter; Schwartz, Stephen M; Smith, Elaine; Sturgis, Erich M; Szeszenia-Dabrowska, Neonilia; Talamini, Renato; Wei, Qingyi; Winn, Deborah M; Shangina, Oxana; Pilarska, Agnieszka; Zhang, Zuo-Feng; Ferro, Gilles; Berthiller, Julien; Boffetta, Paolo

fiu authors

abstract

  • Background

    The magnitude of risk conferred by the interaction between tobacco and alcohol use on the risk of head and neck cancers is not clear because studies have used various methods to quantify the excess head and neck cancer burden.

    Methods

    We analyzed individual-level pooled data from 17 European and American case-control studies (11,221 cases and 16,168 controls) participating in the International Head and Neck Cancer Epidemiology consortium. We estimated the multiplicative interaction parameter (psi) and population attributable risks (PAR).

    Results

    A greater than multiplicative joint effect between ever tobacco and alcohol use was observed for head and neck cancer risk (psi = 2.15; 95% confidence interval, 1.53-3.04). The PAR for tobacco or alcohol was 72% (95% confidence interval, 61-79%) for head and neck cancer, of which 4% was due to alcohol alone, 33% was due to tobacco alone, and 35% was due to tobacco and alcohol combined. The total PAR differed by subsite (64% for oral cavity cancer, 72% for pharyngeal cancer, 89% for laryngeal cancer), by sex (74% for men, 57% for women), by age (33% for cases <45 years, 73% for cases >60 years), and by region (84% in Europe, 51% in North America, 83% in Latin America).

    Conclusions

    Our results confirm that the joint effect between tobacco and alcohol use is greater than multiplicative on head and neck cancer risk. However, a substantial proportion of head and neck cancers cannot be attributed to tobacco or alcohol use, particularly for oral cavity cancer and for head and neck cancer among women and among young-onset cases.

publication date

  • February 3, 2009

keywords

  • Adult
  • Aged
  • Alcohol Drinking
  • Case-Control Studies
  • Europe
  • Female
  • Head and Neck Neoplasms
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • North America
  • Risk Factors
  • Tobacco Use Disorder

Digital Object Identifier (DOI)

Medium

  • Print-Electronic

start page

  • 541

end page

  • 550

volume

  • 18

issue

  • 2