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Opium Use and the Risk of Head and Neck Squamous Cell Carcinoma Publisher Pubmed



Mohebbi E1, 2 ; Hadji M1, 3 ; Rashidian H1 ; Rezaianzadeh A4 ; Marzban M5, 6 ; Haghdoost AA7 ; Naghibzadeh Tahami A7 ; Moradi A8 ; Gholipour M8 ; Najafi F9, 10 ; Safarifaramani R11 ; Alizadehnavaei R12 ; Ansarimoghaddam A13 ; Bakhshi M13 Show All Authors
Authors
  1. Mohebbi E1, 2
  2. Hadji M1, 3
  3. Rashidian H1
  4. Rezaianzadeh A4
  5. Marzban M5, 6
  6. Haghdoost AA7
  7. Naghibzadeh Tahami A7
  8. Moradi A8
  9. Gholipour M8
  10. Najafi F9, 10
  11. Safarifaramani R11
  12. Alizadehnavaei R12
  13. Ansarimoghaddam A13
  14. Bakhshi M13
  15. Nejatizadeh A14, 15
  16. Mahmoudi M16
  17. Shahidsales S17
  18. Ahmadisimab S17
  19. Arabi Mianroodi AA18
  20. Seyyedsalehi MS1
  21. Hosseini B1, 19
  22. Peyghambari V1
  23. Shirkhoda M1
  24. Shirkoohi R1
  25. Ebrahimi E1
  26. Manifar S1
  27. Mohagheghi MA1
  28. Rozek L20, 21
  29. Brennan P22
  30. Poustchi H23
  31. Etemadi A23, 24
  32. Pukkala E3, 25
  33. Schuz J26
  34. Malekzadeh R23
  35. Weiderpass E22
  36. Rahimimovaghar A27
  37. Boffetta P28, 29
  38. Kamanagar F30
  39. Zendehdel K1
Show Affiliations
Authors Affiliations
  1. 1. Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Pathology and Stem Cell Research Center, Kerman University of Medical Sciences, Kerman, Iran
  3. 3. Health Science Unit, Faculty of Social Sciences, Tampere University, Tampere, Finland
  4. 4. Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  5. 5. School of Public Health, Department of Epidemiology and Biostatistics, Bushehr University of Medical Sciences, Bushehr, Iran
  6. 6. The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, The Persian Gulf Department of Aging Health Research, Bushehr University of Medical Sciences, Bushehr, Iran
  7. 7. Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  8. 8. Golestan Research Center of Gastroenterology and Hepatology, Golestan University of Medical Sciences, Gorgan, Iran
  9. 9. Research Center for Environmental Determinants of Health, Institute of Health, Kermanshah Medical Sciences University, Kermanshah, Iran
  10. 10. Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  11. 11. Research Center for Environmental Determinants of Health, Research Institute for Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
  12. 12. Gastrointestinal Cancer Research Center, Non-communicable diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran
  13. 13. Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
  14. 14. Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  15. 15. Molecular Medicine Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  16. 16. Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  17. 17. Cancer Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  18. 18. Department of Otorhinolaryngology Head and Neck Surgery, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran
  19. 19. International Agency for Research on Cancer (IARC), Lyon, France
  20. 20. Department of Environmental Health Sciences, University of Michigan, Ann Arbor, MI, United States
  21. 21. Department of Otolaryngology, University of Michigan, Ann Arbor, MI, United States
  22. 22. International Agency for Research on Cancer (IARC/WHO), Lyon, France
  23. 23. Digestive Oncology Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  24. 24. Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, United States
  25. 25. Finnish Cancer Registry, Helsinki, Finland
  26. 26. Section of Environment and Radiation, International Agency for Research on Cancer (IARC), Lyon, France
  27. 27. Iranian National Center for Addiction Studies (INCAS), Tehran University of Medical Sciences, Tehran, Iran
  28. 28. Stony Brook Cancer Center, Stony Brook University, Stony Brook, NY, United States
  29. 29. Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
  30. 30. Department of Biology, School of Computer, Mathematical, and Natural Sciences, Morgan State University, Baltimore, MD, United States

Source: International Journal of Cancer Published:2021


Abstract

Scant evidence exists to support the association of opium use with head and neck cancer, limited to the larynx and oral cavity. In a multicenter case-control study—Iran Opium and Cancer study, we recruited 633 cases of head and neck squamous cell carcinoma (HNSCC) (254 lip and oral cavity, 54 pharynx, 327 larynx and 28 other subsites within the head and neck) and 3065 frequency-matched controls from April 2016 to April 2019. Odds ratios (ORs) for opium use and 95% confidence intervals (95% CIs) were obtained using mixed-effects logistic regression because of heterogeneity among centers. The adjusted OR (95% CI) for regular opium use was 3.76 (2.96-4.79) for all HNSCC combined. Strong dose-response effects were observed by frequency or amount of use, and duration of use. Regular opium uses significantly increased the risk of HNSCC of the pharynx, larynx and other subsites within the head and neck with OR (95% CI) of 2.90 (1.40-6.02), 6.55 (4.69-9.13) and 5.95 (2.41-14.71), respectively. The observed associations were significant even among never tobacco smokers (including cigarette and water-pipe smoking). Moreover, by the multiplicative interaction scale, the effect of opium use could be varied by cigarette smoking on HNSCC, 8.16 (6.20-10.74). For the first time, the current study showed opium users have an increased risk of several anatomic subsites of HNSCC. © 2020 UICC
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