Oesophageal cancer in women: tobacco, alcohol, nutritional and hormonal factors
2001

Oesophageal Cancer in Women: Factors Affecting Risk

Sample size: 539 publication Evidence: moderate

Author Information

Author(s): Gallus S, Bosetti C, Franceschi S, Levi F, Simonato L, Negri E, Vecchia C La

Primary Institution: Istituto di Ricerche Farmacologiche “Mario Negri”

Hypothesis

What are the effects of tobacco, alcohol, nutritional, and hormonal factors on oesophageal cancer in women?

Conclusion

Heavy smoking and alcohol consumption significantly increase the risk of oesophageal cancer in women, while higher fruit and vegetable intake, as well as the use of oral contraceptives and hormone replacement therapy, are associated with a lower risk.

Supporting Evidence

  • Heavy smoking has a multivariate odds ratio of 4.5 for oesophageal cancer.
  • Heavy alcohol drinking has a multivariate odds ratio of 5.4 for oesophageal cancer.
  • Fruit and vegetable intake are inversely related to oesophageal cancer risk.
  • Oral contraceptive and hormone replacement therapy use are inversely related to oesophageal cancer risk.

Takeaway

Women who smoke a lot or drink a lot of alcohol are more likely to get oesophageal cancer, but eating fruits and vegetables and using certain medications can help lower that risk.

Methodology

Analysis of 3 case-control studies from Italy and Switzerland.

Participant Demographics

114 women with squamous cell oesophageal cancer and 425 controls.

Digital Object Identifier (DOI)

10.1054/bjoc.2001.1898

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