Childhood passive smoke exposure is associated with adult head and neck cancer.

Journal Article (Journal Article)

INTRODUCTION: Passive smoke is carcinogenic but its association with head and neck squamous cell carcinoma (HNSCC) is uncertain. METHODS: We conducted a case-control study of childhood passive smoke exposure (CPSE) and HNSCC in 858 cases and 806 frequency-matched controls using an interviewer-administered questionnaire. Odds ratios (OR) and 95% confidence intervals (CI) were estimated with logistic regression controlling for adult smoking in the total study population, and in never-smokers only (184 cases and 415 controls). CPSE was also studied in oropharyngeal separately from other HNSCC using polytomous logistic regression. RESULTS: CPSE was associated with HNSCC (OR, 1.28; 95% CI, 1.01-1.63) after controlling for adult smoking and other factors. This association was similar in magnitude, although not statistically significant, among subjects who never smoked as adults (OR, 1.19, 95% CI, 0.80-1.76). CPSE was associated more strongly with oropharyngeal cancer (a HNSCC subtype commonly associated with human papillomavirus (HPV) infection) than with HNSCC at non-oropharyngeal sites (OR, 2.02; 95% CI, 1.01-4.06, N=52 cases vs. OR, 1.04; 95% CI, 0.68-1.60, N=132 cases; P-for-heterogeneity=0.08). CONCLUSIONS: Data from this large US-based case control study suggest a role for CPSE in HNSCC etiology.

Full Text

Duke Authors

Cited Authors

  • Troy, JD; Grandis, JR; Youk, AO; Diergaarde, B; Romkes, M; Weissfeld, JL

Published Date

  • August 2013

Published In

Volume / Issue

  • 37 / 4

Start / End Page

  • 417 - 423

PubMed ID

  • 23619143

Pubmed Central ID

  • PMC3706460

Electronic International Standard Serial Number (EISSN)

  • 1877-783X

Digital Object Identifier (DOI)

  • 10.1016/j.canep.2013.03.011


  • eng

Conference Location

  • Netherlands