Table 3.
Risk of Head and Neck Cancer According to Quartile of Dietary Pattern (Determined Among Control Subjects), Overall and by Cancer Site, CHANCE Study, North Carolina, 2002–2006
| Dietary Pattern | No. of Controls | Overall | Oral/Pharyngeal Cancer | Laryngeal Cancer | ||||||
| No. of Cases | ORa | 95% CI | No. of Cases | OR | 95% CI | No. of Cases | OR | 95% CI | ||
| Fruits, vegetables, and lean protein | ||||||||||
| Q1 | 329 | 505 | 1 | 325 | 1 | 180 | 1 | |||
| Q2 | 329 | 294 | 0.77 | 0.60, 1.00 | 186 | 0.77 | 0.59, 1.01 | 108 | 0.78 | 0.56, 1.09 |
| Q3 | 329 | 221 | 0.71 | 0.54, 0.94 | 148 | 0.71 | 0.52, 0.95 | 73 | 0.70 | 0.48, 1.03 |
| Q4 | 330 | 156 | 0.53 | 0.39, 0.71 | 98 | 0.45 | 0.32, 0.63 | 58 | 0.73 | 0.48, 1.10 |
| P-trend | <0.0005 | <0.0005 | 0.08 | |||||||
| P-heterogeneityb | 0.24 | |||||||||
| Fried foods, high-fat and processed meats, and sweets | ||||||||||
| Q1 | 329 | 133 | 1 | 101 | 1 | 32 | 1 | |||
| Q2 | 329 | 179 | 0.94 | 0.69, 1.29 | 126 | 0.90 | 0.64, 1.26 | 53 | 1.10 | 0.66, 1.83 |
| Q3 | 329 | 264 | 1.02 | 0.74, 1.42 | 164 | 0.86 | 0.60, 1.24 | 100 | 1.53 | 0.93, 2.52 |
| Q4 | 330 | 600 | 1.24 | 0.84, 1.82 | 366 | 0.96 | 0.63, 1.47 | 234 | 2.12 | 1.21, 3.72 |
| P-trend | 0.02 | <0.005 | 0.01 | |||||||
| P-heterogeneity | 0.05 | |||||||||
Abbreviations: CHANCE, Carolina Head and Neck Cancer Epidemiology; CI, confidence interval; OR, odds ratio; Q, quartile.
Odds ratios were adjusted for matching strata (gender, race, age), total energy intake (continuous), tobacco use (number of years of cigarette smoking: never, 1–19, 20–39, or ≥40), beer consumption (number of 12-ounce (0.4-L) servings per week: none, <1, 1–4, 5–14, 15–29, or ≥30), liquor consumption (number of 1.5-ounce (44.4-mL) servings per week: none, <1, 1–4, 5–14, 15–29, or ≥30), and education (high school or less, some college, college or more).
P value for test of heterogeneity of effect across tumor sites, assessed using the likelihood ratio test and a multinomial logistic regression model.