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Oral SNUFF, smoking habits and alcohol consumption in relation to oral cancer in a Swedish case-control study

Schildt, Elsy Britt LU ; Eriksson, Mikael LU orcid ; Hardell, Lennart and Magnuson, Anders (1998) In International Journal of Cancer 77(3). p.341-346
Abstract

The use of oral snuff is a widespread habit in Sweden. We investigated whether the use of Swedish moist snuff leads to an increasing risk of oral cancer. Other risk factors such as smoking tobacco and alcoholic beverages were also investigated. Our study comprised 410 patients with oral cancer, from the period 1980-1989, and 410 matched controls. All subjects received a mailed questionnaire. The response rates were 96% and 91% for cases and controls, respectively. In the study, a total of 20% of all subjects, cases and controls, were active or ex-snuff users. The univariate analysis did not show any increased risk [odds ratio (OR) 0.7, 95% confidence interval (CI) 0.4-1.1] for active snuff users. We found an increased risk (OR 1.8, CI... (More)

The use of oral snuff is a widespread habit in Sweden. We investigated whether the use of Swedish moist snuff leads to an increasing risk of oral cancer. Other risk factors such as smoking tobacco and alcoholic beverages were also investigated. Our study comprised 410 patients with oral cancer, from the period 1980-1989, and 410 matched controls. All subjects received a mailed questionnaire. The response rates were 96% and 91% for cases and controls, respectively. In the study, a total of 20% of all subjects, cases and controls, were active or ex-snuff users. The univariate analysis did not show any increased risk [odds ratio (OR) 0.7, 95% confidence interval (CI) 0.4-1.1] for active snuff users. We found an increased risk (OR 1.8, CI 1.1- 2.7) for oral cancer among active smokers. Alcohol consumption showed the strongest risk for oral cancer. Among consumers of beer, an increased risk of 1.9 (CI 0.9-3.9) was found. Corresponding ORs for wine and liquor were 1.3 (CI 0.9-1.8) and 1.6 (CI 1.1-2.3), respectively. A dose-response effect was observed. Although not statistically significant, a multivariate analysis similarly suggested that the most important risk factors were beer and liquor consumption, followed by smoking.

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author
; ; and
publishing date
type
Contribution to journal
publication status
published
subject
in
International Journal of Cancer
volume
77
issue
3
pages
341 - 346
publisher
John Wiley & Sons Inc.
external identifiers
  • pmid:9663593
  • scopus:0031863630
ISSN
0020-7136
DOI
10.1002/(SICI)1097-0215(19980729)77:3<341::AID-IJC6>3.0.CO;2-O
language
English
LU publication?
no
id
8c3523c5-fcc5-4518-ba56-357db16296f6
date added to LUP
2020-02-19 16:10:07
date last changed
2024-03-20 04:12:34
@article{8c3523c5-fcc5-4518-ba56-357db16296f6,
  abstract     = {{<p>The use of oral snuff is a widespread habit in Sweden. We investigated whether the use of Swedish moist snuff leads to an increasing risk of oral cancer. Other risk factors such as smoking tobacco and alcoholic beverages were also investigated. Our study comprised 410 patients with oral cancer, from the period 1980-1989, and 410 matched controls. All subjects received a mailed questionnaire. The response rates were 96% and 91% for cases and controls, respectively. In the study, a total of 20% of all subjects, cases and controls, were active or ex-snuff users. The univariate analysis did not show any increased risk [odds ratio (OR) 0.7, 95% confidence interval (CI) 0.4-1.1] for active snuff users. We found an increased risk (OR 1.8, CI 1.1- 2.7) for oral cancer among active smokers. Alcohol consumption showed the strongest risk for oral cancer. Among consumers of beer, an increased risk of 1.9 (CI 0.9-3.9) was found. Corresponding ORs for wine and liquor were 1.3 (CI 0.9-1.8) and 1.6 (CI 1.1-2.3), respectively. A dose-response effect was observed. Although not statistically significant, a multivariate analysis similarly suggested that the most important risk factors were beer and liquor consumption, followed by smoking.</p>}},
  author       = {{Schildt, Elsy Britt and Eriksson, Mikael and Hardell, Lennart and Magnuson, Anders}},
  issn         = {{0020-7136}},
  language     = {{eng}},
  month        = {{07}},
  number       = {{3}},
  pages        = {{341--346}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{International Journal of Cancer}},
  title        = {{Oral SNUFF, smoking habits and alcohol consumption in relation to oral cancer in a Swedish case-control study}},
  url          = {{http://dx.doi.org/10.1002/(SICI)1097-0215(19980729)77:3<341::AID-IJC6>3.0.CO;2-O}},
  doi          = {{10.1002/(SICI)1097-0215(19980729)77:3<341::AID-IJC6>3.0.CO;2-O}},
  volume       = {{77}},
  year         = {{1998}},
}