Morton Lindsay McOmber, Holford Theodore R, Leaderer Brian, Zhang Yawei, Zahm Shelia Hoar, Boyle Peter, Flynn Stuart, Tallini Giovanni, Owens Patricia H, Zhang Bing, Zheng Tongzhang
Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut 06520, USA.
Cancer Causes Control. 2003 Sep;14(7):687-94. doi: 10.1023/a:1025626208861.
Incidence rates of non-Hodgkin's lymphoma (NHL) have risen dramatically over the past several decades; however, the etiology of NHL remains largely unknown. Previous studies of the relationship between alcohol consumption and NHL have yielded conflicting results. Data from a population-based case-control study among women in Connecticut were analyzed to determine the potential impact of alcohol consumption on risk of NHL.
The study included 601 histologically confirmed, incident cases of NHL and 718 population-based controls. In-person interviews were administered using standardized, structured questionnaires to collect data on history of consumption for beer, wine, and liquor.
When compared to non-drinkers, women who reported consumption of at least 12 drinks per year of any type of alcohol experienced slightly reduced risk of NHL (OR: 0.82; 95% CI: 0.65-1.04). Further stratification by alcohol type revealed that the inverse association was mainly limited to wine consumption (OR: 0.75; 95% CI: 0.59-0.96), with no clear association for beer or liquor consumption. Risk of NHL was further reduced with increasing duration of wine consumption (p for linear trend = 0.02). Consumption of wine for greater than 40 years was associated with approximately 40% reduction in risk (OR: 0.63; 95% CI: 0.44-0.91).
Our results are consistent with several recent epidemiologic studies that have also suggested an inverse association between wine consumption and risk of NHL. The reduction in risk of NHL associated with increased duration of wine consumption warrants further investigation in other populations.
在过去几十年中,非霍奇金淋巴瘤(NHL)的发病率急剧上升;然而,NHL的病因在很大程度上仍然未知。先前关于饮酒与NHL之间关系的研究得出了相互矛盾的结果。分析了康涅狄格州基于人群的病例对照研究的数据,以确定饮酒对NHL风险的潜在影响。
该研究包括601例经组织学确诊的NHL新发病例和718例基于人群的对照。使用标准化的结构化问卷进行面对面访谈,以收集啤酒、葡萄酒和烈酒消费史的数据。
与不饮酒者相比,报告每年饮用至少12杯任何类型酒精饮料的女性患NHL的风险略有降低(OR:0.82;95%CI:0.65 - 1.04)。按酒精类型进一步分层显示,这种负相关主要限于葡萄酒消费(OR:0.75;95%CI:0.59 - 0.96),啤酒或烈酒消费无明显关联。随着葡萄酒消费时间的延长,NHL风险进一步降低(线性趋势p = 0.02)。饮用葡萄酒超过40年与风险降低约40%相关(OR:0.63;95%CI:0.44 - 0.91)。
我们的结果与最近的几项流行病学研究一致,这些研究也表明葡萄酒消费与NHL风险之间存在负相关。与葡萄酒消费时间延长相关的NHL风险降低值得在其他人群中进一步研究。