Interaction between known risk factors for head and neck cancer and socioeconomic status: the Carolina Head and Neck Cancer Study.
cam.issuedOnline | 2018-08 | |
dc.contributor.author | Stanford-Moore, Gaelen | |
dc.contributor.author | Bradshaw, Patrick T | |
dc.contributor.author | Weissler, Mark C | |
dc.contributor.author | Zevallos, Jose P | |
dc.contributor.author | Brennan, Paul | |
dc.contributor.author | Anantharaman, Devasena | |
dc.contributor.author | Abedi-Ardekani, Behnoush | |
dc.contributor.author | Olshan, Andrew F | |
dc.contributor.orcid | Stanford-Moore, Gaelen [0000-0002-2247-8000] | |
dc.date.accessioned | 2018-11-24T00:30:44Z | |
dc.date.available | 2018-11-24T00:30:44Z | |
dc.date.issued | 2018-09 | |
dc.description.abstract | Prior studies of squamous cell carcinoma of the head and neck (SCCHN) have explored the effect of socioeconomic status (SES) as an independent risk factor; however, none have investigated the interaction of known risk factors with SES. We examined this using the North Carolina Head and Neck Cancer Epidemiology Study, a population-based case-control study. Incident cases of SCCHN from North Carolina between 2002 and 2006 (n = 1,153) were identified and age, sex, and race-matched controls (n = 1,267) were selected from driver license records. SES measures included household income, educational attainment, and health insurance. Logistic regression was used to estimate adjusted odds ratios (OR) and 95% confidence intervals (CI). Current smoking was more strongly associated with SCCHN among those households making < $20,000/year [OR 5.11 (3.61-6.61)] compared to household incomes > $50,000/year [OR 2.47 (1.69-3.25); p interaction < 0.001]. Current drinking was more strongly associated with SCCHN in household incomes < $20,000 [OR 2.91 (2.05-3.78)] compared to > $50,000/year [1.28 (0.97-1.58); p interaction < 0.001]. Current drinkers with less than high school education or income < $20,000 had nearly threefold odds of never-drinkers in the same SES category [OR 2.91 (2.05-3.78); 2.09 (1.39-2.78), respectively]. Our results suggest that the relationship of smoking and alcohol use may be stronger among those of lower SES. | |
dc.format.medium | Print-Electronic | |
dc.identifier.doi | 10.17863/CAM.25898 | |
dc.identifier.eissn | 1573-7225 | |
dc.identifier.issn | 0957-5243 | |
dc.identifier.uri | https://www.repository.cam.ac.uk/handle/1810/285920 | |
dc.language | eng | |
dc.language.iso | eng | |
dc.publisher | Springer Science and Business Media LLC | |
dc.publisher.url | http://dx.doi.org/10.1007/s10552-018-1062-8 | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Alcohol | |
dc.subject | Case–control studies | |
dc.subject | Epidemiology | |
dc.subject | Head and neck cancer | |
dc.subject | Risk factors | |
dc.subject | Socioeconomic status | |
dc.subject | Tobacco | |
dc.subject | Adult | |
dc.subject | Aged | |
dc.subject | Aged, 80 and over | |
dc.subject | Alcohol Drinking | |
dc.subject | Carcinoma, Squamous Cell | |
dc.subject | Case-Control Studies | |
dc.subject | Female | |
dc.subject | Head and Neck Neoplasms | |
dc.subject | Humans | |
dc.subject | Income | |
dc.subject | Logistic Models | |
dc.subject | Male | |
dc.subject | Middle Aged | |
dc.subject | North Carolina | |
dc.subject | Odds Ratio | |
dc.subject | Oral Health | |
dc.subject | Risk Factors | |
dc.subject | Smoking | |
dc.subject | Social Class | |
dc.subject | Squamous Cell Carcinoma of Head and Neck | |
dc.subject | Young Adult | |
dc.title | Interaction between known risk factors for head and neck cancer and socioeconomic status: the Carolina Head and Neck Cancer Study. | |
dc.type | Article | |
dcterms.dateAccepted | 2018-07-24 | |
prism.endingPage | 873 | |
prism.issueIdentifier | 9 | |
prism.publicationDate | 2018 | |
prism.publicationName | Cancer Causes Control | |
prism.startingPage | 863 | |
prism.volume | 29 | |
rioxxterms.licenseref.startdate | 2018-09 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.type | Journal Article/Review | |
rioxxterms.version | VoR | |
rioxxterms.versionofrecord | 10.1007/s10552-018-1062-8 |
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