Division of Research, Kaiser Permanente Northern California, Oakland, California 94612, USA.
Nutr Cancer. 2011;63(2):314-8. doi: 10.1080/01635581.2011.523496.
Laboratory and epidemiologic studies suggest a protective effect of tea consumption on risk of cutaneous squamous cell carcinoma (SCC). We designed a case-control study to examine the association between putative protective exposures, including tea consumption, and SCC risk using a large health maintenance organization population. Cases (n=415) were defined as Kaiser Permanente Northern California (KPNC) members with a pathology-verified SCC in 2004 and controls (n=415) were age-, gender-, and race-matched members with no previous history of skin cancer. Tea consumption and SCC risk factors were ascertained by questionnaire. Odds ratios (OR) and 95% confidence intervals (CI) were calculated using conditional logistic regression to estimate the association of SCC with regular use, as well as dose and duration of tea consumption. Risk factor adjusted models included education, smoking, hair and eye color, skin type, family history of skin cancer, and history of freckling, sunburns, sun exposure, and tanning bed use. Adjusted analyses showed no reduction in SCC risk with regular consumption of tea (OR=1.11, 95% CI: 0.81-1.54). Examining duration, dose, and combined duration and dose exposure variables did not alter findings. We found no evidence that tea consumption was associated with cutaneous SCC risk.
实验室和流行病学研究表明,饮茶可能对皮肤鳞状细胞癌(SCC)的风险具有保护作用。我们设计了一项病例对照研究,以使用大型健康维护组织人群来检查包括饮茶在内的潜在保护暴露与 SCC 风险之间的关联。病例(n=415)定义为 2004 年在 Kaiser Permanente Northern California(KPNC)中经病理证实患有 SCC 的成员,对照组(n=415)为年龄、性别和种族匹配的成员,且无皮肤癌既往史。通过问卷调查确定茶的摄入量和 SCC 风险因素。使用条件逻辑回归计算比值比(OR)和 95%置信区间(CI),以估计 SCC 与定期饮茶以及饮茶量和持续时间的关系。调整后的风险因素模型包括教育程度、吸烟、头发和眼睛颜色、皮肤类型、皮肤癌家族史以及雀斑、晒伤、阳光暴露和日光浴床使用史。调整分析表明,经常饮茶并不能降低 SCC 风险(OR=1.11,95%CI:0.81-1.54)。检查持续时间、剂量以及持续时间和剂量的组合暴露变量并没有改变研究结果。我们没有发现饮茶与皮肤 SCC 风险之间存在关联的证据。