Effect of different types of smoking and synergism with hepatitis C virus on risk of hepatocellular carcinoma in American men and women

The International Agency for Research on Cancer has declared smoking to be a risk factor for hepatocellular carcinoma (HCC). However, passive exposure to cigarette smoke and use of noncigarette tobacco products on the risk of HCC has not been examined. Therefore, we evaluated the independent effects...

Full description

Saved in:
Bibliographic Details
Main Author: Hassan, Manal (author)
Other Authors: Spitz, Margaret (author), Thomas, Melanie (author), El-Deeb, Adel (author), Glover, Katrina (author), Nguyem, Nga (author), Chan, Wenyaw (author), Kaseb, Ahmed (author), Curley, Steven (author), Vauthey, Nicolas (author), Ellis, Lee (author), Abdalla, Eddie (author), Lozano, Richard (author), Patt, Yehuda (author), Brown, Thomas (author), Abbruzzese, James (author), Li, Donghui (author)
Format: article
Published: 2008
Online Access:http://hdl.handle.net/10725/2588
http://dx.doi.org/10.1002/ijc.23730
http://onlinelibrary.wiley.com/doi/10.1002/ijc.23730/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1864513458670665728
author Hassan, Manal
author2 Spitz, Margaret
Thomas, Melanie
El-Deeb, Adel
Glover, Katrina
Nguyem, Nga
Chan, Wenyaw
Kaseb, Ahmed
Curley, Steven
Vauthey, Nicolas
Ellis, Lee
Abdalla, Eddie
Lozano, Richard
Patt, Yehuda
Brown, Thomas
Abbruzzese, James
Li, Donghui
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Hassan, Manal
Spitz, Margaret
Thomas, Melanie
El-Deeb, Adel
Glover, Katrina
Nguyem, Nga
Chan, Wenyaw
Kaseb, Ahmed
Curley, Steven
Vauthey, Nicolas
Ellis, Lee
Abdalla, Eddie
Lozano, Richard
Patt, Yehuda
Brown, Thomas
Abbruzzese, James
Li, Donghui
author_role author
dc.creator.none.fl_str_mv Hassan, Manal
Spitz, Margaret
Thomas, Melanie
El-Deeb, Adel
Glover, Katrina
Nguyem, Nga
Chan, Wenyaw
Kaseb, Ahmed
Curley, Steven
Vauthey, Nicolas
Ellis, Lee
Abdalla, Eddie
Lozano, Richard
Patt, Yehuda
Brown, Thomas
Abbruzzese, James
Li, Donghui
dc.date.none.fl_str_mv 2008
2015-11-17T07:23:19Z
2015-11-17T07:23:19Z
2015-11-17
dc.identifier.none.fl_str_mv 0020-7136
http://hdl.handle.net/10725/2588
http://dx.doi.org/10.1002/ijc.23730
Hassan, M. M., Spitz, M. R., Thomas, M. B., El‐Deeb, A. S., Glover, K. Y., Nguyen, N. T., ... & Li, D. (2008). Effect of different types of smoking and synergism with hepatitis C virus on risk of hepatocellular carcinoma in American men and women: Case‐control study. International Journal of Cancer, 123(8), 1883-1891.
http://onlinelibrary.wiley.com/doi/10.1002/ijc.23730/full
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv International Journal of Cancer
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Effect of different types of smoking and synergism with hepatitis C virus on risk of hepatocellular carcinoma in American men and women
Case-control study
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description The International Agency for Research on Cancer has declared smoking to be a risk factor for hepatocellular carcinoma (HCC). However, passive exposure to cigarette smoke and use of noncigarette tobacco products on the risk of HCC has not been examined. Therefore, we evaluated the independent effects of different types of smoking exposure along with multiple risk factors for HCC and determined whether the magnitude of smoking was modified by other risk factors in men and women. We conducted a case-control study at The University of Texas M. D. Anderson Cancer Center where 319 HCC patients and 1,061 healthy control subjects were personally interviewed for several HCC risk factors. Multivariate logistic regression analysis was performed to estimate the adjusted odds ratio (AOR) and 95% confidence interval (CI) for each potential risk factor. Use of smokeless tobacco (chewing tobacco and snuff), cigars, pipes and passive smoking exposure were not related to HCC among noncigarette smokers. However, regular cigarette smoking was associated with HCC in men: AOR, 1.9 (95% CI, 1.1–3.1). Heavy alcohol consumption was associated with HCC in women: AOR, 7.7 (95% CI, 2.3–25.1). Cigarette smoking interacted synergistically with chronic infection of hepatitis C virus in men: AOR, 136.3 (95% CI, 43.2–429.6) and with heavy alcohol consumption in women: AOR, 13.7 (95% CI, 3.2–57.9). We conclude that sex differences were observed in HCC relationship with cigarette smoking and alcohol consumption. Controlling for smoking exposure might be a prudent approach to the prevention of HCC, especially in patients with chronic viral hepatitis infections. © 2008 Wiley-Liss, Inc.
eu_rights_str_mv openAccess
format article
id LAURepo_cb2b585918ebf8d2b7b2239ed953494e
identifier_str_mv 0020-7136
Hassan, M. M., Spitz, M. R., Thomas, M. B., El‐Deeb, A. S., Glover, K. Y., Nguyen, N. T., ... & Li, D. (2008). Effect of different types of smoking and synergism with hepatitis C virus on risk of hepatocellular carcinoma in American men and women: Case‐control study. International Journal of Cancer, 123(8), 1883-1891.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/2588
publishDate 2008
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
spelling Effect of different types of smoking and synergism with hepatitis C virus on risk of hepatocellular carcinoma in American men and womenCase-control studyHassan, ManalSpitz, MargaretThomas, MelanieEl-Deeb, AdelGlover, KatrinaNguyem, NgaChan, WenyawKaseb, AhmedCurley, StevenVauthey, NicolasEllis, LeeAbdalla, EddieLozano, RichardPatt, YehudaBrown, ThomasAbbruzzese, JamesLi, DonghuiThe International Agency for Research on Cancer has declared smoking to be a risk factor for hepatocellular carcinoma (HCC). However, passive exposure to cigarette smoke and use of noncigarette tobacco products on the risk of HCC has not been examined. Therefore, we evaluated the independent effects of different types of smoking exposure along with multiple risk factors for HCC and determined whether the magnitude of smoking was modified by other risk factors in men and women. We conducted a case-control study at The University of Texas M. D. Anderson Cancer Center where 319 HCC patients and 1,061 healthy control subjects were personally interviewed for several HCC risk factors. Multivariate logistic regression analysis was performed to estimate the adjusted odds ratio (AOR) and 95% confidence interval (CI) for each potential risk factor. Use of smokeless tobacco (chewing tobacco and snuff), cigars, pipes and passive smoking exposure were not related to HCC among noncigarette smokers. However, regular cigarette smoking was associated with HCC in men: AOR, 1.9 (95% CI, 1.1–3.1). Heavy alcohol consumption was associated with HCC in women: AOR, 7.7 (95% CI, 2.3–25.1). Cigarette smoking interacted synergistically with chronic infection of hepatitis C virus in men: AOR, 136.3 (95% CI, 43.2–429.6) and with heavy alcohol consumption in women: AOR, 13.7 (95% CI, 3.2–57.9). We conclude that sex differences were observed in HCC relationship with cigarette smoking and alcohol consumption. Controlling for smoking exposure might be a prudent approach to the prevention of HCC, especially in patients with chronic viral hepatitis infections. © 2008 Wiley-Liss, Inc.PublishedN/A2015-11-17T07:23:19Z2015-11-17T07:23:19Z20082015-11-17Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article0020-7136http://hdl.handle.net/10725/2588http://dx.doi.org/10.1002/ijc.23730Hassan, M. M., Spitz, M. R., Thomas, M. B., El‐Deeb, A. S., Glover, K. Y., Nguyen, N. T., ... & Li, D. (2008). Effect of different types of smoking and synergism with hepatitis C virus on risk of hepatocellular carcinoma in American men and women: Case‐control study. International Journal of Cancer, 123(8), 1883-1891.http://onlinelibrary.wiley.com/doi/10.1002/ijc.23730/fullenInternational Journal of Cancerinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/25882019-02-26T08:25:49Z
spellingShingle Effect of different types of smoking and synergism with hepatitis C virus on risk of hepatocellular carcinoma in American men and women
Hassan, Manal
status_str publishedVersion
title Effect of different types of smoking and synergism with hepatitis C virus on risk of hepatocellular carcinoma in American men and women
title_full Effect of different types of smoking and synergism with hepatitis C virus on risk of hepatocellular carcinoma in American men and women
title_fullStr Effect of different types of smoking and synergism with hepatitis C virus on risk of hepatocellular carcinoma in American men and women
title_full_unstemmed Effect of different types of smoking and synergism with hepatitis C virus on risk of hepatocellular carcinoma in American men and women
title_short Effect of different types of smoking and synergism with hepatitis C virus on risk of hepatocellular carcinoma in American men and women
title_sort Effect of different types of smoking and synergism with hepatitis C virus on risk of hepatocellular carcinoma in American men and women
url http://hdl.handle.net/10725/2588
http://dx.doi.org/10.1002/ijc.23730
http://onlinelibrary.wiley.com/doi/10.1002/ijc.23730/full