NDLI: Mouthwash in the etiology of oral cancer in Puerto Rico

Content Provider	Springer Nature Link
Author	Winn, Deborah M. Diehl, Scott R. Brown, Linda M. Harty, Lea C. Bravo Otero, Eleuterio Fraumeni, Joseph F. Kleinman, Dushanka V. Hayes, Richard B.
Copyright Year	2001
Abstract	Objectives: To determine if the risk of cancers of the mouth and pharynx is associated with mouthwash use in Puerto Rico, an area of relatively high risk. Methods: Interviews were conducted with 342 cases of oral and pharyngeal cancer registered in Puerto Rico and diagnosed between 1992 and 1995 and with 521 population-based controls regarding mouthwash use and other factors. Mouthwash-related risks were estimated using unconditional logistic regression controlling for potential confounders. Results: The adjusted odds ratio associated with using mouthwash with an alcohol content of 25% or greater was 1.0. Risks were not higher with greater frequency, years of use, or lifetime mouthwash exposure. Among tobacco and alcohol abstainers the odds ratio associated with mouthwash use was 2.8 (CI = 0.8–9.9), in contrast to 0.8 (CI = 0.4–1.7) and 0.9 (CI = 0.6–1.3) among those with light and heavy cigarette smoking/alcohol drinking behaviors, respectively. Conclusions: There was no overall increased risk of oral cancer associated with mouthwash use. An elevated, but not statistically significant, risk was observed among the small number of subjects who neither smoked cigarettes nor drank alcohol, among whom an effect of alcohol-containing mouthwash would be most likely evident. Our findings indicate the need to clarify the mechanisms of oral carcinogenesis, including the possible role of alcohol-containing mouthwash.
Starting Page	419
Ending Page	429
Page Count	11
File Format	PDF
ISSN	09575243
Journal	Cancer Causes & Control
Volume Number	12
Issue Number	5
e-ISSN	15737225
Language	English
Publisher	Kluwer Academic Publishers
Publisher Date	2001-01-01
Publisher Place	Dordrecht
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Public Health/Gesundheitswesen Hematology Oncology Epidemiology
Content Type	Text
Resource Type	Article
Subject	Cancer Research Oncology

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