Citation
Wyss, Annah B.; Hashibe, Mia; Chuang, Shu-Chun; Lee, Yuan-Chin Amy; Zhang, Zuo-Feng; Yu, Guo-Pei; Winn, Deborah M.; Wei, Qingyi; Talamini, Renato; & Szeszenia-Dabrowska, Neonila, et al. (2013). Cigarette, Cigar, and Pipe Smoking and the Risk of Head and Neck Cancers: Pooled Analysis in the International Head and Neck Cancer Epidemiology Consortium. American Journal of Epidemiology, 178(5), 679-690. PMCID: PMC3755640Abstract
Cigar and pipe smoking are considered risk factors for head and neck cancers, but the magnitude of effect estimates for these products has been imprecisely estimated. By using pooled data from the International Head and Neck Cancer Epidemiology (INHANCE) Consortium (comprising 13,935 cases and 18,691 controls in 19 studies from 1981 to 2007), we applied hierarchical logistic regression to more precisely estimate odds ratios and 95% confidence intervals for cigarette, cigar, and pipe smoking separately, compared with reference groups of those who had never smoked each single product. Odds ratios for cigar and pipe smoking were stratified by ever cigarette smoking. We also considered effect estimates of smoking a single product exclusively versus never having smoked any product (reference group). Among never cigarette smokers, the odds ratio for ever cigar smoking was 2.54 (95% confidence interval (CI): 1.93, 3.34), and the odds ratio for ever pipe smoking was 2.08 (95% CI: 1.55, 2.81). These odds ratios increased with increasing frequency and duration of smoking (Ptrend = 0.0001). Odds ratios for cigar and pipe smoking were not elevated among ever cigarette smokers. Head and neck cancer risk was elevated for those who reported exclusive cigar smoking (odds ratio = 3.49, 95% CI: 2.58, 4.73) or exclusive pipe smoking (odds ratio = 3.71, 95% CI: 2.59, 5.33). These results suggest that cigar and pipe smoking are independently associated with increased risk of head and neck cancers.URL
http://dx.doi.org/10.1093/aje/kwt029Reference Type
Journal ArticleYear Published
2013Journal Title
American Journal of EpidemiologyAuthor(s)
Wyss, Annah B.Hashibe, Mia
Chuang, Shu-Chun
Lee, Yuan-Chin Amy
Zhang, Zuo-Feng
Yu, Guo-Pei
Winn, Deborah M.
Wei, Qingyi
Talamini, Renato
Szeszenia-Dabrowska, Neonila
Sturgis, Erich M.
Smith, Elaine
Shangina, Oxana
Schwartz, Stephen M.
Schantz, Stimson
Rudnai, Peter
Purdue, Mark P.
Eluf-Neto, Jose
Muscat, Joshua E.
Morgenstern, Hal
Michaluart, Pedro, Jr.
Menezes, Ana M.
Matos, Elena L.
Mates, Ioan Nicolae
Lissowska, Jolanta
Levi, Fabio
Lazarus, Philip
La Vecchia, Carlo
Koifman, Sergio
Herrero, Rolando
Hayes, Richard B.
Franceschi, Silvia
Wunsch-Filho, Victor
Fernandez, Leticia
Fabianova, Eleonora
Daudt, Alexander W.
Dal Maso, Luigino
Curado, Maria Paula
Chen, Chu
Castellsague, Xavier
de Carvalho, Marcos Brasilino
Cadoni, Gabriella
Boccia, Stefania
Brennan, Paul
Boffetta, Paolo
Olshan, Andrew F.