1. Active and Passive Smoking and Risk of Nasopharyngeal Carcinoma: A Population-Based Case-Control Study in Southern China.
- Author
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Chang, Ellen T., Zhiwei Liu, Hildesheim, Allan, Qing Liu, Yonglin Cai, Zhe Zhang, Guomin Chen, Shang-Hang Xie, Su-Mei Cao, Jian-Yong Shao, Wei-Hua Jia, Yuming Zheng, Jian Liao, Yufeng Chen, Longde Lin, Ernberg, Ingemar, Vaughan, Thomas L., Adami, Hans-Olov, Guangwu Huang, and Yi Zeng
- Subjects
NASOPHARYNX tumors ,CONFIDENCE intervals ,MULTIVARIATE analysis ,PASSIVE smoking ,SEX distribution ,SMOKING ,SMOKING cessation ,SPOUSES ,TIME ,LOGISTIC regression analysis ,STATISTICAL significance ,CASE-control method ,ODDS ratio ,TUMOR risk factors - Abstract
The magnitude and patterns of associations between smoking and risk of nasopharyngeal carcinoma (NPC) in high-incidence regions remain uncertain. Associations with active and passive tobacco smoking were estimated using multivariate logistic regression in a population-based case-control study of 2,530 NPC cases and 2,595 controls in Guangdong and Guangxi, southern China, in 2010-2014. Among men, risk of NPC was significantly higher in current smokers compared with never smokers (odds ratio (OR) = 1.32,95% confidence interval (CI): 1.14,1.53) but not in former smokers (OR = 0.92, 95% CI: 0.73,1.17). Risk increased with smoking intensity (per 10 cigarettes/ day, OR = 1.09, 95% CI: 1.03,1.16), smoking duration (per 10 years, OR = 1.11,95% CI: 1.06,1.16), and cumulative smoking (per10pack-years, OR = 1.08, 95% CI: 1.04,1.12). Risk decreased with later age at smoking initiation (per year, OR = 0.97, 95% CI: 0.96, 0.98) but not greater time since smoking cessation. Exposures to passive smoking during childhood (OR = 1.24, 95% CI: 1.03, 1.48) and from a spouse during adulthood (OR = 1.30, 95% CI: 1.03, 1.63) were independently associated with increased NPC risk in never-smoking men and women, but exposure- response trends were not observed. In conclusion, active and passive tobacco smoking are associated with modestly increased risk of NPC in southern China; risk is highest among long-term smokers. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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