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Risk factors for head and neck cancer in more and less developed countries: Analysis from the INHANCE consortium

  • Neerav Goyal
  • , Max Hennessy
  • , Erik Lehman
  • , Wenxue Lin
  • , Antonio Agudo
  • , Wolfgang Ahrens
  • , Stefania Boccia
  • , Paul Brennan
  • , Hermann Brenner
  • , Gabriella Cadoni
  • , Cristina Canova
  • , Chu Chen
  • , David Conway
  • , Maria Paula Curado
  • , Luigino Dal Maso
  • , Alexander W. Daudt
  • , Valeria Edefonti
  • , Eleonora Fabianova
  • , Leticia Fernandez
  • , Silvia Franceschi
  • Werner Garavello, Maura Gillison, Richard B. Hayes, Claire Healy, Rolando Herrero, Ivana Holcatova, Jossy L. Kanda, Karl Kelsey, Bo T Hansen, Rosalina Koifman, Pagona Lagiou, Carlo La Vecchia, Fabio Levi, Guojun Li, Jolanta Lissowska, Rossana Mendoza López, Danièle Luce, Gary Macfarlane, Dana Mates, Keitaro Matsuo, Michael McClean, Ana Menezes, Gwenn Menvielle, Hal Morgenstern, Kirsten Moysich, Eva Negri, Andrew F. Olshan, Tamas Pandics, Jerry Polesel, Mark Purdue, Loredana Radoi, Heribert Ramroth, Lorenzo Richiardi, Stimson Schantz, Stephen M. Schwartz, Diego Serraino, Oxana Shangina, Elaine Smith, Erich M. Sturgis, Beata Świątkowska, Peter Thomson, Thomas L. Vaughan, Marta Vilensky, Deborah M. Winn, Victor Wunsch-Filho, Guo Pei Yu, Jose P. Zevallos, Zuo Feng Zhang, Tongzhang Zheng, Ariana Znaor, Paolo Boffetta, Mia Hashibe, Yuan Chin A. Lee, Joshua E. Muscat
  • Pennsylvania State University
  • Institute Catala Oncologia
  • University of Bremen
  • Catholic University of the Sacred Heart
  • Fondazione Policlinico Universitario A.Gemelli IRCS
  • International Agency for Research on Cancer
  • German Cancer Research Center
  • University of Padua
  • Fred Hutchinson Cancer Research Center
  • University of Glasgow
  • Epidemiology - CIPE/ACCAMARGO
  • IRCCS Centro di Riferimento Oncologico - Aviano PN
  • Universidade Federal do Rio Grande do Sul
  • University of Milan
  • Regional Authority of Public Health in Banska Bystrica
  • National School of Public Health
  • University of Milan - Bicocca
  • University of Texas MD Anderson Cancer Center
  • New York University
  • Trinity College Dublin
  • Institute of Hygiene and Epidemiology
  • Fundação Universitaria do ABC, Faculdade de Medicina do ABC
  • Brown University
  • Cancer Registry of Norway Institute of Population-Based Cancer Research
  • Fundação Oswaldo Cruz
  • National and Kapodistrian University of Athens
  • University of Lausanne
  • Maria Sklodowska-Curie Institute of Oncology
  • Universidade de São Paulo
  • Inserm U1085—IRSET
  • University of Aberdeen
  • National Institute of Public Health
  • Nagoya University
  • Boston University
  • Universidade Federal de Pelotas
  • Sorbonne Université
  • University of Michigan, Ann Arbor
  • Roswell Park Cancer Institute
  • University of North Carolina at Chapel Hill
  • National Public Health Center
  • Continuum Health Partners, Inc.
  • Université Paris-Saclay
  • Heidelberg University 
  • University of Turin
  • Cancer Research Centre
  • University of Iowa
  • Baylor College of Medicine
  • Nofer Institute of Occupational Medicine
  • The University of Hong Kong
  • Universidad de Buenos Aires
  • National Institutes of Health
  • New York Medical College
  • Washington University St. Louis
  • University of California at Los Angeles
  • University of Utah

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Objective: We analyzed the pooled case-control data from the International Head and Neck Cancer Epidemiology (INHANCE) consortium to compare cigarette smoking and alcohol consumption risk factors for head and neck cancer between less developed and more developed countries. Subjects and Methods: The location of each study was categorized as either a less developed or more developed country. We compared the risk of overall head and neck cancer and cancer of specific anatomic subsites associated with cigarette smoking and alcohol consumption. Additionally, age and sex distribution between categories was compared. Results: The odds ratios for head and neck cancer sites associated with smoking duration differed between less developed and more developed countries. Smoking greater than 20 years conferred a higher risk for oral cavity and laryngeal cancer in more developed countries, whereas the risk was greater for oropharynx and hypopharynx cancer in less developed countries. Alcohol consumed for more than 20 years conferred a higher risk for oropharynx, hypopharynx, and larynx cancer in less developed countries. The proportion of cases that were young (<45 years) or female differed by country type for some HNC subsites. Conclusion: These findings suggest the degree of industrialization and economic development affects the relationship between smoking and alcohol with head and neck cancer.

Original languageEnglish
Pages (from-to)1565-1578
Number of pages14
JournalOral Diseases
Volume29
Issue number4
DOIs
StatePublished - May 2023

Keywords

  • INHANCE
  • alcohol use
  • head and neck cancer
  • smoking
  • socioeconomic status

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