Age at start of using tobacco on the risk of head and neck cancer: Pooled analysis in the International Head and Neck Cancer Epidemiology Consortium (INHANCE)

Chun-Pin Chang; Shen-Chih Chang; Shu-Chun Chuang; Julien Berthiller; Gilles Ferro; Keitaro Matsuo; Victor Wünsch-Filho; Tatiana N. Toporcov; Marcos Brasilino De Carvalho; Carlo La Vecchia; Andrew F. Olshan; Jose P. Zevallos; Diego Serraino; Joshua Muscat; Erich M. Sturgis; Guojun Li; Hal Morgenstern; Fabio Levi; Luigino Dal Maso; Elaine Smith; Karl Kelsey; Michael Mcclean; Thomas L. Vaughan; Philip Lazarus; Heribert Ramroth; Chu Chen; Stephen M. Schwartz; Deborah M. Winn; Cristina Bosetti; Valeria Edefonti; Werner Garavello; Eva Negri; Richard B. Hayes; Mark P. Purdue; Stefania Boccia; Gabriella Cadoni; Oxana Shangina; Rosalina Koifman; Maria Paula Curado; Marta Vilensky; Beata Swiatkowska; Rolando Herrero; Silvia Franceschi; Simone Benhamou; Leticia Fernandez; Ana M.B. Menezes; Alexander W. Daudt; Dana Mates; Stimson Schantz; Guo-Pei Yu; Jolanta Lissowska; Hermann Brenner; Eleonora Fabianova; Peter Rudnai; Paul Brennan; Paolo Boffetta; Zuo-Feng Zhang; Mia Hashibe; Yuan-Chin Amy Lee

doi:10.1016/j.canep.2019.101615

Age at start of using tobacco on the risk of head and neck cancer: Pooled analysis in the International Head and Neck Cancer Epidemiology Consortium (INHANCE)

Chun-Pin Chang, Shen-Chih Chang, Shu-Chun Chuang, Julien Berthiller, Gilles Ferro, Keitaro Matsuo, Victor Wünsch-Filho, Tatiana N. Toporcov, Marcos Brasilino De Carvalho, Carlo La Vecchia, Andrew F. Olshan, Jose P. Zevallos, Diego Serraino, Joshua Muscat, Erich M. Sturgis, Guojun Li, Hal Morgenstern, Fabio Levi, Luigino Dal Maso, Elaine SmithKarl Kelsey, Michael Mcclean, Thomas L. Vaughan, Philip Lazarus, Heribert Ramroth, Chu Chen, Stephen M. Schwartz, Deborah M. Winn, Cristina Bosetti, Valeria Edefonti, Werner Garavello, Eva Negri, Richard B. Hayes, Mark P. Purdue, Stefania Boccia, Gabriella Cadoni, Oxana Shangina, Rosalina Koifman, Maria Paula Curado, Marta Vilensky, Beata Swiatkowska, Rolando Herrero, Silvia Franceschi, Simone Benhamou, Leticia Fernandez, Ana M.B. Menezes, Alexander W. Daudt, Dana Mates, Stimson Schantz, Guo-Pei Yu, Jolanta Lissowska, Hermann Brenner, Eleonora Fabianova, Peter Rudnai, Paul Brennan, Paolo Boffetta, Zuo-Feng Zhang, Mia Hashibe, Yuan-Chin Amy Lee

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Abstract

Background: Tobacco use is a well-established risk factor for head and neck cancer (HNC). However, less is known about the potential impact of exposure to tobacco at an early age on HNC risk. Methods: We analyzed individual-level data on ever tobacco smokers from 27 case-control studies (17,146 HNC cases and 17,449 controls) in the International Head and Neck Cancer Epidemiology (INHANCE) consortium. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using random-effects logistic regression models. Results: Without adjusting for tobacco packyears, we observed that younger age at starting tobacco use was associated with an increased HNC risk for ever smokers (OR<10 years vs. ≥30 years: 1.64, 95% CI: 1.35, 1.97). However, the observed association between age at starting tobacco use and HNC risk became null after adjusting for tobacco packyears (OR<10 years vs. ≥30 years: 0.97, 95% CI: 0.80, 1.19). In the stratified analyses on HNC subsites by tobacco packyears or years since quitting, no difference in the association between age at start and HNC risk was observed. Conclusions: Results from this pooled analysis suggest that increased HNC risks observed with earlier age at starting tobacco smoking are largely due to longer duration and higher cumulative tobacco exposures.

Original language	English
Pages (from-to)	1-8
Number of pages	8
Journal	Cancer Epidemiology
Volume	63
DOIs	https://doi.org/10.1016/j.canep.2019.101615
Publication status	Published - 2019

Keywords

Age at start of tobacco use
Head and neck cancer
Hypopharyngeal cancer
Laryngeal cancer
Oral cancer
Oropharyngeal cancer

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.canep.2019.101615

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Chang, C.-P., Chang, S.-C., Chuang, S.-C., Berthiller, J., Ferro, G., Matsuo, K., Wünsch-Filho, V., Toporcov, T. N., De Carvalho, M. B., La Vecchia, C., Olshan, A. F., Zevallos, J. P., Serraino, D., Muscat, J., Sturgis, E. M., Li, G., Morgenstern, H., Levi, F., Dal Maso, L., ... Lee, Y.-C. A. (2019). Age at start of using tobacco on the risk of head and neck cancer: Pooled analysis in the International Head and Neck Cancer Epidemiology Consortium (INHANCE). Cancer Epidemiology, 63, 1-8. https://doi.org/10.1016/j.canep.2019.101615

@article{39b692ec59834ddda1f01cc53e667d65,

title = "Age at start of using tobacco on the risk of head and neck cancer: Pooled analysis in the International Head and Neck Cancer Epidemiology Consortium (INHANCE)",

abstract = "Background: Tobacco use is a well-established risk factor for head and neck cancer (HNC). However, less is known about the potential impact of exposure to tobacco at an early age on HNC risk. Methods: We analyzed individual-level data on ever tobacco smokers from 27 case-control studies (17,146 HNC cases and 17,449 controls) in the International Head and Neck Cancer Epidemiology (INHANCE) consortium. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using random-effects logistic regression models. Results: Without adjusting for tobacco packyears, we observed that younger age at starting tobacco use was associated with an increased HNC risk for ever smokers (OR<10 years vs. ≥30 years: 1.64, 95% CI: 1.35, 1.97). However, the observed association between age at starting tobacco use and HNC risk became null after adjusting for tobacco packyears (OR<10 years vs. ≥30 years: 0.97, 95% CI: 0.80, 1.19). In the stratified analyses on HNC subsites by tobacco packyears or years since quitting, no difference in the association between age at start and HNC risk was observed. Conclusions: Results from this pooled analysis suggest that increased HNC risks observed with earlier age at starting tobacco smoking are largely due to longer duration and higher cumulative tobacco exposures.",

keywords = "Age at start of tobacco use, Head and neck cancer, Hypopharyngeal cancer, Laryngeal cancer, Oral cancer, Oropharyngeal cancer, Age at start of tobacco use, Head and neck cancer, Hypopharyngeal cancer, Laryngeal cancer, Oral cancer, Oropharyngeal cancer",

author = "Chun-Pin Chang and Shen-Chih Chang and Shu-Chun Chuang and Julien Berthiller and Gilles Ferro and Keitaro Matsuo and Victor W{\"u}nsch-Filho and Toporcov, {Tatiana N.} and {De Carvalho}, {Marcos Brasilino} and {La Vecchia}, Carlo and Olshan, {Andrew F.} and Zevallos, {Jose P.} and Diego Serraino and Joshua Muscat and Sturgis, {Erich M.} and Guojun Li and Hal Morgenstern and Fabio Levi and {Dal Maso}, Luigino and Elaine Smith and Karl Kelsey and Michael Mcclean and Vaughan, {Thomas L.} and Philip Lazarus and Heribert Ramroth and Chu Chen and Schwartz, {Stephen M.} and Winn, {Deborah M.} and Cristina Bosetti and Valeria Edefonti and Werner Garavello and Eva Negri and Hayes, {Richard B.} and Purdue, {Mark P.} and Stefania Boccia and Gabriella Cadoni and Oxana Shangina and Rosalina Koifman and Curado, {Maria Paula} and Marta Vilensky and Beata Swiatkowska and Rolando Herrero and Silvia Franceschi and Simone Benhamou and Leticia Fernandez and Menezes, {Ana M.B.} and Daudt, {Alexander W.} and Dana Mates and Stimson Schantz and Guo-Pei Yu and Jolanta Lissowska and Hermann Brenner and Eleonora Fabianova and Peter Rudnai and Paul Brennan and Paolo Boffetta and Zuo-Feng Zhang and Mia Hashibe and Lee, {Yuan-Chin Amy}",

year = "2019",

doi = "10.1016/j.canep.2019.101615",

language = "English",

volume = "63",

pages = "1--8",

journal = "Cancer Epidemiology",

issn = "1877-7821",

publisher = "Amsterdam-Oxford: Elsevier",

}

Chang, C-P, Chang, S-C, Chuang, S-C, Berthiller, J, Ferro, G, Matsuo, K, Wünsch-Filho, V, Toporcov, TN, De Carvalho, MB, La Vecchia, C, Olshan, AF, Zevallos, JP, Serraino, D, Muscat, J, Sturgis, EM, Li, G, Morgenstern, H, Levi, F, Dal Maso, L, Smith, E, Kelsey, K, Mcclean, M, Vaughan, TL, Lazarus, P, Ramroth, H, Chen, C, Schwartz, SM, Winn, DM, Bosetti, C, Edefonti, V, Garavello, W, Negri, E, Hayes, RB, Purdue, MP, Boccia, S , Cadoni, G, Shangina, O, Koifman, R, Curado, MP, Vilensky, M, Swiatkowska, B, Herrero, R, Franceschi, S, Benhamou, S, Fernandez, L, Menezes, AMB, Daudt, AW, Mates, D, Schantz, S, Yu, G-P, Lissowska, J, Brenner, H, Fabianova, E, Rudnai, P, Brennan, P, Boffetta, P, Zhang, Z-F, Hashibe, M & Lee, Y-CA 2019, 'Age at start of using tobacco on the risk of head and neck cancer: Pooled analysis in the International Head and Neck Cancer Epidemiology Consortium (INHANCE)', Cancer Epidemiology, vol. 63, pp. 1-8. https://doi.org/10.1016/j.canep.2019.101615

TY - JOUR

T1 - Age at start of using tobacco on the risk of head and neck cancer: Pooled analysis in the International Head and Neck Cancer Epidemiology Consortium (INHANCE)

AU - Chang, Chun-Pin

AU - Chang, Shen-Chih

AU - Chuang, Shu-Chun

AU - Berthiller, Julien

AU - Ferro, Gilles

AU - Matsuo, Keitaro

AU - Wünsch-Filho, Victor

AU - Toporcov, Tatiana N.

AU - De Carvalho, Marcos Brasilino

AU - La Vecchia, Carlo

AU - Olshan, Andrew F.

AU - Zevallos, Jose P.

AU - Serraino, Diego

AU - Muscat, Joshua

AU - Sturgis, Erich M.

AU - Li, Guojun

AU - Morgenstern, Hal

AU - Levi, Fabio

AU - Dal Maso, Luigino

AU - Smith, Elaine

AU - Kelsey, Karl

AU - Mcclean, Michael

AU - Vaughan, Thomas L.

AU - Lazarus, Philip

AU - Ramroth, Heribert

AU - Chen, Chu

AU - Schwartz, Stephen M.

AU - Winn, Deborah M.

AU - Bosetti, Cristina

AU - Edefonti, Valeria

AU - Garavello, Werner

AU - Negri, Eva

AU - Hayes, Richard B.

AU - Purdue, Mark P.

AU - Boccia, Stefania

AU - Cadoni, Gabriella

AU - Shangina, Oxana

AU - Koifman, Rosalina

AU - Curado, Maria Paula

AU - Vilensky, Marta

AU - Swiatkowska, Beata

AU - Herrero, Rolando

AU - Franceschi, Silvia

AU - Benhamou, Simone

AU - Fernandez, Leticia

AU - Menezes, Ana M.B.

AU - Daudt, Alexander W.

AU - Mates, Dana

AU - Schantz, Stimson

AU - Yu, Guo-Pei

AU - Lissowska, Jolanta

AU - Brenner, Hermann

AU - Fabianova, Eleonora

AU - Rudnai, Peter

AU - Brennan, Paul

AU - Boffetta, Paolo

AU - Zhang, Zuo-Feng

AU - Hashibe, Mia

AU - Lee, Yuan-Chin Amy

PY - 2019

Y1 - 2019

N2 - Background: Tobacco use is a well-established risk factor for head and neck cancer (HNC). However, less is known about the potential impact of exposure to tobacco at an early age on HNC risk. Methods: We analyzed individual-level data on ever tobacco smokers from 27 case-control studies (17,146 HNC cases and 17,449 controls) in the International Head and Neck Cancer Epidemiology (INHANCE) consortium. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using random-effects logistic regression models. Results: Without adjusting for tobacco packyears, we observed that younger age at starting tobacco use was associated with an increased HNC risk for ever smokers (OR<10 years vs. ≥30 years: 1.64, 95% CI: 1.35, 1.97). However, the observed association between age at starting tobacco use and HNC risk became null after adjusting for tobacco packyears (OR<10 years vs. ≥30 years: 0.97, 95% CI: 0.80, 1.19). In the stratified analyses on HNC subsites by tobacco packyears or years since quitting, no difference in the association between age at start and HNC risk was observed. Conclusions: Results from this pooled analysis suggest that increased HNC risks observed with earlier age at starting tobacco smoking are largely due to longer duration and higher cumulative tobacco exposures.

AB - Background: Tobacco use is a well-established risk factor for head and neck cancer (HNC). However, less is known about the potential impact of exposure to tobacco at an early age on HNC risk. Methods: We analyzed individual-level data on ever tobacco smokers from 27 case-control studies (17,146 HNC cases and 17,449 controls) in the International Head and Neck Cancer Epidemiology (INHANCE) consortium. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using random-effects logistic regression models. Results: Without adjusting for tobacco packyears, we observed that younger age at starting tobacco use was associated with an increased HNC risk for ever smokers (OR<10 years vs. ≥30 years: 1.64, 95% CI: 1.35, 1.97). However, the observed association between age at starting tobacco use and HNC risk became null after adjusting for tobacco packyears (OR<10 years vs. ≥30 years: 0.97, 95% CI: 0.80, 1.19). In the stratified analyses on HNC subsites by tobacco packyears or years since quitting, no difference in the association between age at start and HNC risk was observed. Conclusions: Results from this pooled analysis suggest that increased HNC risks observed with earlier age at starting tobacco smoking are largely due to longer duration and higher cumulative tobacco exposures.

KW - Age at start of tobacco use

KW - Head and neck cancer

KW - Hypopharyngeal cancer

KW - Laryngeal cancer

KW - Oral cancer

KW - Oropharyngeal cancer

KW - Age at start of tobacco use

KW - Head and neck cancer

KW - Hypopharyngeal cancer

KW - Laryngeal cancer

KW - Oral cancer

KW - Oropharyngeal cancer

UR - http://hdl.handle.net/10807/147833

UR - http://www.elsevier.com

U2 - 10.1016/j.canep.2019.101615

DO - 10.1016/j.canep.2019.101615

M3 - Article

SN - 1877-7821

VL - 63

SP - 1

EP - 8

JO - Cancer Epidemiology

JF - Cancer Epidemiology

ER -

Age at start of using tobacco on the risk of head and neck cancer: Pooled analysis in the International Head and Neck Cancer Epidemiology Consortium (INHANCE)

Abstract

Keywords

UN SDGs

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