Document Detail


Hookah smoking, nass chewing, and oesophageal squamous cell carcinoma in Kashmir, India.
MedLine Citation:
PMID:  23033008     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Although cigarette smoking is an established risk factor for oesophageal squamous cell carcinoma (ESCC), there is little information about the association between other smoking and smokeless tobacco products, including hookah and nass, and ESCC risk. We conducted a case-control study in Kashmir Valley, India, where hookah smoking, nass chewing, and ESCC are common, to investigate the association of hookah smoking, nass use, and several other habits with ESCC.
METHODS: We recruited 702 histologically confirmed ESCC cases and 1663 hospital-based controls, individually matched to the cases for age, sex, and district of residence from September 2008 to January 2012. Conditional logistic regression models were used to calculate odds ratios (ORs) and 95% confidence intervals (95% CIs).
RESULTS: Ever-hookah smoking (OR=1.85; 95% CI, 1.41-2.44) and nass chewing (OR=2.88; 95% CI, 2.06-4.04) were associated with ESCC risk. These associations were consistent across different measures of use, including intensity, duration, and cumulative amount of use, and after excluding ever users of the other product and cigarette smokers. Our results also suggest an increased risk of ESCC associated with ever-gutka chewing and -bidi smoking. However, the latter associations were based on small number of participants.
CONCLUSION: This study shows that hookah and nass use are associated with ESCC risk. As prevalence of hookah use seems to be increasing among young people worldwide, these results may have relevance not only for the regions in which hookah use has been a traditional habit, but also for other regions, including western countries.
Authors:
N A Dar; G A Bhat; I A Shah; B Iqbal; M A Kakhdoomi; I Nisar; R Rafiq; S T Iqbal; A B Bhat; S Nabi; S A Shah; R Shafi; A Masood; M M Lone; S A Zargar; M S Najar; F Islami; P Boffetta
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-10-02
Journal Detail:
Title:  British journal of cancer     Volume:  107     ISSN:  1532-1827     ISO Abbreviation:  Br. J. Cancer     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-24     Completed Date:  2013-03-21     Revised Date:  2013-05-13    
Medline Journal Info:
Nlm Unique ID:  0370635     Medline TA:  Br J Cancer     Country:  England    
Other Details:
Languages:  eng     Pagination:  1618-23     Citation Subset:  IM    
Affiliation:
Department of Biochemistry, University of Kashmir, Hazratbal, Srinagar 190006, India. nazirramzan@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Carcinoma, Squamous Cell / epidemiology*,  etiology
Case-Control Studies
Esophageal Neoplasms / epidemiology*,  etiology
Female
Humans
India / epidemiology
Male
Middle Aged
Plant Extracts / administration & dosage*,  adverse effects
Risk Factors
Smoking / adverse effects,  epidemiology*
Chemical
Reg. No./Substance:
0/Plant Extracts; 64706-31-6/nas
Comments/Corrections
Comment In:
Br J Cancer. 2013 Apr 2;108(6):1389-90   [PMID:  23470468 ]
Br J Cancer. 2013 Apr 2;108(6):1391-2   [PMID:  23470467 ]

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