Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2000-3-3
pubmed:abstractText
While tobacco and alcohol are established risk factors for oesophageal squamous-cell carcinoma, their roles in the aetiology of the increasingly common oesophageal adenocarcinoma remains uncertain. We tested the association between tobacco, snuff and alcohol use and the risk of oesophageal and cardia cancer in a nationwide, population-based case-control study in Sweden. Face-to-face interviews were conducted with 618 (81% of all eligible) patients (189 oesophageal adenocarcinoma, 262 cardia adenocarcinoma and 167 oesophageal squamous-cell carcinoma) and 820 control subjects. Odds ratios (OR) were calculated by logistic regression with multivariate adjustments for potential confounding. The risk of oesophageal adenocarcinoma was not associated with snuff or alcohol use, and the association with smoking was weak or absent. Gastric cardia adenocarcinoma was dose-dependently associated with smoking (OR=4.2, 95% CI=2.5-7.0 among heavy smokers compared with never-smokers), but not with alcohol or snuff use. Oesophageal squamous-cell carcinoma was strongly associated with tobacco, moderately with alcohol, but not with snuff use; combined use of tobacco and alcohol entailed a strongly increased risk (OR=23.1, 95% CI=9.6-56.0 among heavy users compared with never-users). We conclude that tobacco smoking, a strong risk factor for oesophageal squamous-cell carcinoma and cardia adenocarcinoma, does not play an important role in the aetiology of oesophageal adenocarcinoma. None of the studied exposures can explain the increasing incidence of oesophageal adenocarcinoma.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0020-7136
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
85
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
340-6
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:10652424-Adenocarcinoma, pubmed-meshheading:10652424-Adult, pubmed-meshheading:10652424-Aged, pubmed-meshheading:10652424-Alcohol Drinking, pubmed-meshheading:10652424-Carcinoma, Squamous Cell, pubmed-meshheading:10652424-Cardia, pubmed-meshheading:10652424-Case-Control Studies, pubmed-meshheading:10652424-Esophageal Neoplasms, pubmed-meshheading:10652424-Female, pubmed-meshheading:10652424-Humans, pubmed-meshheading:10652424-Logistic Models, pubmed-meshheading:10652424-Male, pubmed-meshheading:10652424-Middle Aged, pubmed-meshheading:10652424-Multivariate Analysis, pubmed-meshheading:10652424-Odds Ratio, pubmed-meshheading:10652424-Plants, Toxic, pubmed-meshheading:10652424-Risk Factors, pubmed-meshheading:10652424-Smoking, pubmed-meshheading:10652424-Stomach Neoplasms, pubmed-meshheading:10652424-Sweden, pubmed-meshheading:10652424-Tobacco, Smokeless
pubmed:year
2000
pubmed:articleTitle
The role of tobacco, snuff and alcohol use in the aetiology of cancer of the oesophagus and gastric cardia.
pubmed:affiliation
Department of Medical Epidemiology, Karolinska Institutet, Stockholm, Sweden.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't