Cessation of alcohol drinking, tobacco smoking and the reversal of head and neck cancer risk. Other Scholarly Work

Marron, Manuela, Boffetta, Paolo, Zhang, Zuo-Feng et al. (2010). Cessation of alcohol drinking, tobacco smoking and the reversal of head and neck cancer risk. . 39(1), 182-196. 10.1093/ije/dyp291

cited authors

  • Marron, Manuela; Boffetta, Paolo; Zhang, Zuo-Feng; Zaridze, David; Wünsch-Filho, Victor; Winn, Deborah M; Wei, Qingyi; Talamini, Renato; Szeszenia-Dabrowska, Neonila; Sturgis, Erich M; Smith, Elaine; Schwartz, Stephen M; Rudnai, Peter; Purdue, Mark P; Olshan, Andrew F; Eluf-Neto, Jose; Muscat, Joshua; Morgenstern, Hal; Menezes, Ana; McClean, Michael; Matos, Elena; Mates, Ioan Nicolae; Lissowska, Jolanta; Levi, Fabio; Lazarus, Philip; La Vecchia, Carlo; Koifman, Sergio; Kelsey, Karl; Herrero, Rolando; Hayes, Richard B; Franceschi, Silvia; Fernandez, Leticia; Fabianova, Eleonora; Daudt, Alexander W; Dal Maso, Luigino; Curado, Maria Paula; Cadoni, Gabriella; Chen, Chu; Castellsague, Xavier; Boccia, Stefania; Benhamou, Simone; Ferro, Gilles; Berthiller, Julien; Brennan, Paul; Møller, Henrik; Hashibe, Mia

fiu authors

abstract

  • Background

    Quitting tobacco or alcohol use has been reported to reduce the head and neck cancer risk in previous studies. However, it is unclear how many years must pass following cessation of these habits before the risk is reduced, and whether the risk ultimately declines to the level of never smokers or never drinkers.

    Methods

    We pooled individual-level data from case-control studies in the International Head and Neck Cancer Epidemiology Consortium. Data were available from 13 studies on drinking cessation (9167 cases and 12 593 controls), and from 17 studies on smoking cessation (12 040 cases and 16 884 controls). We estimated the effect of quitting smoking and drinking on the risk of head and neck cancer and its subsites, by calculating odds ratios (ORs) using logistic regression models.

    Results

    Quitting tobacco smoking for 1-4 years resulted in a head and neck cancer risk reduction [OR 0.70, confidence interval (CI) 0.61-0.81 compared with current smoking], with the risk reduction due to smoking cessation after > or =20 years (OR 0.23, CI 0.18-0.31), reaching the level of never smokers. For alcohol use, a beneficial effect on the risk of head and neck cancer was only observed after > or =20 years of quitting (OR 0.60, CI 0.40-0.89 compared with current drinking), reaching the level of never drinkers.

    Conclusions

    Our results support that cessation of tobacco smoking and cessation of alcohol drinking protect against the development of head and neck cancer.

publication date

  • February 1, 2010

keywords

  • Adult
  • Age Factors
  • Aged
  • Alcohol Drinking
  • Female
  • Head and Neck Neoplasms
  • Humans
  • Male
  • Middle Aged
  • Risk
  • Risk Reduction Behavior
  • Sex Factors
  • Smoking Cessation
  • Socioeconomic Factors
  • Time Factors

Digital Object Identifier (DOI)

Medium

  • Print-Electronic

start page

  • 182

end page

  • 196

volume

  • 39

issue

  • 1