Joint effect of tobacco, alcohol, and oral HPV infection on head and neck cancer risk in the French West Indies
Abstract We investigated the role of tobacco and alcohol consumption on the occurrence of head and neck squamous cell carcinomas (HNSCC), and the joint effects of these factors with oral human papillomavirus (HPV) infection in the French West Indies, in the Caribbean. We conducted a population‐based...
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doaj-ed89d6bf0a0644428d96fca7aa9f7aff2020-11-25T02:44:57ZengWileyCancer Medicine2045-76342020-09-019186854686310.1002/cam4.3327Joint effect of tobacco, alcohol, and oral HPV infection on head and neck cancer risk in the French West IndiesAviane Auguste0Jacqueline Deloumeaux1Clarisse Joachim2Stanie Gaete3Leah Michineau4Cécile Herrmann‐Storck5Suzy Duflo6Danièle Luce7Univ Rennes Inserm EHESP Irset (Institut de Recherche en Santé, Environnement et Travail) – UMR_S 1085 Pointe‐à‐Pitre FranceGeneral Cancer Registry of Guadeloupe University Hospital of Guadeloupe Pointe‐à‐Pitre GuadeloupeMartinique Cancer Registry UF 1441 Registre des Cancers Pôle de Cancérologie Hématologie Urologie Pathologie University Hospital of Martinique Fort‐de‐France MartiniqueKarubiotec™ Biological Resources Center Centre de Ressources Biologiques de Guadeloupe Pointe‐à‐Pitre GuadeloupeUniv Rennes Inserm EHESP Irset (Institut de Recherche en Santé, Environnement et Travail) – UMR_S 1085 Pointe‐à‐Pitre FranceLaboratory of Microbiology University Hospital of Guadeloupe Pointe‐à‐Pitre GuadeloupeDepartment of Oto‐Rhino‐Laryngology and Head and Neck Surgery University Hospital of Guadeloupe Pointe‐à‐Pitre GuadeloupeUniv Rennes Inserm EHESP Irset (Institut de Recherche en Santé, Environnement et Travail) – UMR_S 1085 Pointe‐à‐Pitre FranceAbstract We investigated the role of tobacco and alcohol consumption on the occurrence of head and neck squamous cell carcinomas (HNSCC), and the joint effects of these factors with oral human papillomavirus (HPV) infection in the French West Indies, in the Caribbean. We conducted a population‐based case‐control study (145 cases and 405 controls). We used logistic regression models to estimate adjusted odds ratios (OR) and their 95% confidence intervals (CI). Two‐way interactions were assessed on both multiplicative and additive scales. Current smoking (OR = 11.6, 95% CI = 6.7‐20.1), drinking more than five glasses of alcohol per day (OR = 2.7, 95% CI = 1.2‐4.7), and oral infection with High‐risk HPV (OR = 2.4, 95% CI = 1.1‐5.0) were significantly associated with HNSCC. The combined exposure to tobacco and alcohol produced a significant synergistic effect on the incidence of HNSCC. Oral infection with High‐risk HPV increased the risk of HNSCC in never smokers and nondrinkers. The effects of tobacco, alcohol, and of the combined exposure of tobacco and alcohol were substantially lower in HPV‐positive than in HPV‐negative HNSCC. This is the first case‐control study to investigate the role of tobacco smoking, alcohol drinking and oral HPV infection in an Afro‐Caribbean population. Although each of these risk factors has a significant effect, our findings indicate that tobacco and alcohol play a less important role in Hr‐HPV‐positive HNSCC. Further investigations are warranted notably on the interaction of these three risk factors by cancer site.https://doi.org/10.1002/cam4.3327alcohol drinkingFrench West Indieshead and neck cancerhigh‐risk oral HPVtobacco smoking |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Aviane Auguste Jacqueline Deloumeaux Clarisse Joachim Stanie Gaete Leah Michineau Cécile Herrmann‐Storck Suzy Duflo Danièle Luce |
spellingShingle |
Aviane Auguste Jacqueline Deloumeaux Clarisse Joachim Stanie Gaete Leah Michineau Cécile Herrmann‐Storck Suzy Duflo Danièle Luce Joint effect of tobacco, alcohol, and oral HPV infection on head and neck cancer risk in the French West Indies Cancer Medicine alcohol drinking French West Indies head and neck cancer high‐risk oral HPV tobacco smoking |
author_facet |
Aviane Auguste Jacqueline Deloumeaux Clarisse Joachim Stanie Gaete Leah Michineau Cécile Herrmann‐Storck Suzy Duflo Danièle Luce |
author_sort |
Aviane Auguste |
title |
Joint effect of tobacco, alcohol, and oral HPV infection on head and neck cancer risk in the French West Indies |
title_short |
Joint effect of tobacco, alcohol, and oral HPV infection on head and neck cancer risk in the French West Indies |
title_full |
Joint effect of tobacco, alcohol, and oral HPV infection on head and neck cancer risk in the French West Indies |
title_fullStr |
Joint effect of tobacco, alcohol, and oral HPV infection on head and neck cancer risk in the French West Indies |
title_full_unstemmed |
Joint effect of tobacco, alcohol, and oral HPV infection on head and neck cancer risk in the French West Indies |
title_sort |
joint effect of tobacco, alcohol, and oral hpv infection on head and neck cancer risk in the french west indies |
publisher |
Wiley |
series |
Cancer Medicine |
issn |
2045-7634 |
publishDate |
2020-09-01 |
description |
Abstract We investigated the role of tobacco and alcohol consumption on the occurrence of head and neck squamous cell carcinomas (HNSCC), and the joint effects of these factors with oral human papillomavirus (HPV) infection in the French West Indies, in the Caribbean. We conducted a population‐based case‐control study (145 cases and 405 controls). We used logistic regression models to estimate adjusted odds ratios (OR) and their 95% confidence intervals (CI). Two‐way interactions were assessed on both multiplicative and additive scales. Current smoking (OR = 11.6, 95% CI = 6.7‐20.1), drinking more than five glasses of alcohol per day (OR = 2.7, 95% CI = 1.2‐4.7), and oral infection with High‐risk HPV (OR = 2.4, 95% CI = 1.1‐5.0) were significantly associated with HNSCC. The combined exposure to tobacco and alcohol produced a significant synergistic effect on the incidence of HNSCC. Oral infection with High‐risk HPV increased the risk of HNSCC in never smokers and nondrinkers. The effects of tobacco, alcohol, and of the combined exposure of tobacco and alcohol were substantially lower in HPV‐positive than in HPV‐negative HNSCC. This is the first case‐control study to investigate the role of tobacco smoking, alcohol drinking and oral HPV infection in an Afro‐Caribbean population. Although each of these risk factors has a significant effect, our findings indicate that tobacco and alcohol play a less important role in Hr‐HPV‐positive HNSCC. Further investigations are warranted notably on the interaction of these three risk factors by cancer site. |
topic |
alcohol drinking French West Indies head and neck cancer high‐risk oral HPV tobacco smoking |
url |
https://doi.org/10.1002/cam4.3327 |
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