Smoking, alcohol drinking, green tea consumption and the risk of esophageal cancer in Japanese men.

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概要

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• BACKGROUND: Although smoking and alcohol drinking are established risk factors of esophageal cancer, their public health impact is unclear. Furthermore, the effect of green tea is controversial.METHODS: The present study was based on a pooled analysis of two prospective cohort studies. A self-administered questionnaire about health habits was distributed to 9,008 men in Cohort 1 and 17,715 men in Cohort 2, aged 40 years or older, with no previous history of cancer. We identified 38 and 40 patient cases with esophageal cancer among the subjects in Cohort 1 (9.0 years of follow-up) and Cohort 2 (7.6 years of follow-up), respectively. Cox proportional hazards regression was used to estimate hazard ratios (HRs) of the risk of esophageal cancer incidence.RESULTS: Cigarette smoking, alcohol drinking and green tea consumption were significantly associated with an increased risk of esophageal cancer. Compared with men who had never smoked, never drunk alcohol or green tea, the pooled multivariate HRs (95% confidence intervals) were 5.09 (1.80-14.40) (p for trend <0.0001), 2.73 (1.55-4.81) (p for trend=0.0002), or 1.67 (0.89-3.16) (P for trend=0.04) for men who were currently smoking ≥20 cigarettes/day, drinking alcohol daily, or drinking ≥5 cups green tea/day, respectively. The population attributable fractions of esophageal cancer incidence that was attributable to smoking, alcohol drinking and green tea consumption were 72.0%, 48.6%, and 22.1%, respectively.CONCLUSIONS: Among the variables studied, smoking has the largest public health impact on esophageal cancer incidence in Japanese men, followed by alcohol drinking and green tea drinking.J Epidemiol 2006; 16: 185-192.

• Japan Epidemiological Associationの論文
• 2006-09-01

著者

• TSUBONO Yoshitaka

  Division of Health Policy, Tohoku University School of Public Policy

• TSUJI Ichiro

  Division of Epidemiology, Department of Public Health and Forensic Medicine, Graduate School of Medi

• KURIYAMA Shinichi

  Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Gradu

• FUKAO Akira

  Department of Public Health, Yamagata University School of Medicine

• Fukao A

  Department Of Public Health Yamagata University Graduate School Of Medicine

• Fukao Akira

  東北大学 医学系研究科公衆衛生学

• Tsuji I

  Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat

• Tsuji Ichiro

  東北大学 医学系研究科運動学分野

• Kuriyama Shinichi

  東北大学 医学系研究科循環器病態学

• Kuriyama Shinichi

  Division Of Epidemiology Department Of Public Health & Forensic Medicine Tohoku University Gradu

• Tsubono Y

  Division Of Health Policy Tohoku University School Of Public Policy

• Tsubono Yoshitaka

  宮城県立がんセンター研究所 疫学部

• Tsubono Yoshitaka

  国立がんセンター東病院

• Tsuji Ichiro

  東北大学 医学系研究科循環器病態学

• Toyoshima Hideaki

  名古屋大学 医学系研究科医学ネットワーク管理学

• Toyoshima Hideaki

  愛知教育大学

• Fukao A

  Department Of Public Health Yamagata University School Of Medicine

• Yoshida Takashi

  Division Of Breast Surgery Saitama Cancer Center

• Toyoshima H

  Department Of Public Health/health Information Dynamics Nagoya University Graduate School Of Medicin

• Fukao Akira

  Yamagata University School Of Medicine Department Of Public Health

• Fukao Akira

  Department Of Public Health Tohoku University School Of Medicine

• ISHIKAWA Atsunobu

  Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Gradu

• TAKAHASHI Haruhiko

  Tachiya Hospital

• TACHIYA Hidekiyo

  Tachiya Hospital

• Tsubono Yoshitaka

  Division Of Health Policy Tohoku University School Of Public Policy

• Takei Hiroyuki

  Second Department Of Surgery

• Takei Hiroyuki

  Division Of Breast Surgery Saitama Cancer Center

• Kanemura Seiki

  Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat

• Yokoe Takao

  Fukuoka Institute Of Health And Environmental Sciences

• Tsubono Yoshitaka

  Division Of Breast Surgery Saitama Cancer Center

• Tomata Yasutake

  Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat

• Ishikawa Atsunobu

  Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat

• Tsuji Ichiro

  Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat

• Yoshimura Takesumi

  Department Of Clinical Epidemiology Institute Of Industrial Ecological Sciences University Of Occupa

• Kuriyama Shinichi

  東北大学 医学系研究科公衆衛生学

• Ishida Tsunehiro

  Division Of Epidemiology Department Of Public Health And Forensic Medicine Tohoku University Graduat

• Fukao Akira

  Department Of Public Health Graduate School Of Medical Science Yamagata University

• Kuriyama Shinichi

  Division Of Epidemiology Tohoku University Graduate School Of Medicine

• 栗山 進一

  Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine

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