American Journal of Epidemiology Vol. 136, No. 2: 178-191
Copyright © 1992 by The Johns Hopkins University School of Hygiene and Public Health
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Diet and Other Risk Factors for Laryngeal Cancer in Shanghai, China
1Department of Epidemiology, Shanghai Cancer Institute Shanghai, People's Republic of China
2Epidemiology and Biostatisbcs Program, National Can-cer Institute, Division of Cancer Etiology Bethesda, MD
Reprint requests to Dr. Wei Zheng, National Cancer Institute, Executive Plaza North, Room 431, Bethesda, MD 20892
A population-based, case-control study of laryngeal cancer was conducted in Shang-hai, China, during 1988-1990, in which 201 incident cases (177 males, 24 females) and 414 controls (269 males, 145 females) were interviewed. Cigarette smoking was the major risk factor, accounting for 86% of the male and 54% of the female cases. After adjusting for smoking, there was little increase in risk associated with drinking alcoholic beverages. Among men, cases more often reported occupational exposures to asbestos and coal dust. A protective effect was associated with the intake of fruits (particularly oranges and tangerines), certain darfc green/yellow vegetables, and garlic, but there was an increased risk with the intake of salt-preserved meat and fish. The findings suggest that risk factors for laryngeal cancer in Shanghai resemble those in Western countries, and they provide further evidence that dietary factors play an important etiologic role. Am J Epidemiol 1992;136:178–91.
alcohol drinking; ascorbic acid; carotene; case-control studies; diet; laryngeal neoplasms; occupations; tobacco
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