De Stefani E, Oreggia F, Ronco A, Fierro L, Rivero S
Registro Nacional de Cancer, Montevideo, Uruguay.
Cancer Epidemiol Biomarkers Prev. 1994 Jul-Aug;3(5):381-5.
A hospital-based, case-control study of oropharyngeal cancer was conducted in the Oncology Institute, Montevideo, Uruguay, during 1988-1992, in which 246 new cases and 253 controls were interviewed. The study was restricted to males. As in most previous studies, tobacco smoking and alcohol drinking were the major risk factors. Past and current salted meat consumption was associated with increased risks of oropharyngeal cancer after controlling for the effects of tobacco and alcohol; current consumption was associated with a significant increase in risk (odds ratio, 2.3; 95% confidence interval, 1.1-5.2). Current heavy consumption of salted meat was associated with a significant 4.7% increased risk of oropharyngeal cancer after adjusting for tobacco smoking and alcohol drinking. These findings suggest that current consumption of salted meat is more relevant to the etiology of this set of neoplasms than past consumption. Furthermore, the joint effect of pack-years of cigarette smoking, alcohol drinking, and ever consumption of salted meat was associated with a high risk of oral and pharyngeal cancer (odds ratio, 10.0; 95% confidence interval, 4.7-21.3) using the referent category of moderate smokers, moderate drinkers, and never users of salted meat.
1988年至1992年期间,在乌拉圭蒙得维的亚肿瘤研究所开展了一项基于医院的口咽癌病例对照研究,共对246例新发病例和253例对照进行了访谈。该研究仅限于男性。与大多数先前的研究一样,吸烟和饮酒是主要的危险因素。在控制了烟草和酒精的影响后,过去和现在食用腌肉与口咽癌风险增加有关;目前食用腌肉与风险显著增加相关(比值比为2.3;95%置信区间为1.1至5.2)。在调整了吸烟和饮酒因素后,目前大量食用腌肉与口咽癌风险显著增加4.7%相关。这些发现表明,目前食用腌肉比过去食用腌肉与这组肿瘤的病因学更相关。此外,以中度吸烟者、中度饮酒者和从未食用腌肉者为参照类别,吸烟包年数、饮酒量和曾经食用腌肉的联合作用与口腔和咽癌的高风险相关(比值比为10.0;95%置信区间为4.7至21.3)。