Table 2.
Relationship Between Tobacco Use and SCCHN Within the Carolina Head and Neck Cancer Study (CHANCE) 2002–2006, Stratified by Race
Overall | African-Americans | Whites | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cases | Controls | Crude | Adjusted | Cases | Controls | Crude | Adjusted | Cases | Controls | Crude | Adjusted | ||||||||||
n | % | n | % | OR | OR | 95% CI | n | % | n | % | OR | OR | 95% CI | n | % | n | % | OR | OR | 95% CI | |
Current Cigarette Use | |||||||||||||||||||||
Never smoked | 173 | 12.9 | 525 | 38.1 | 1 | 1 | 16 | 4.6 | 103 | 39 | 1 | 1 | 157 | 15.9 | 422 | 37.9 | 1 | 1 | |||
Ex-smoker | 394 | 29.5 | 583 | 42.3 | 2.16 | 1.63 | 1.26, 2.11 | 80 | 22.9 | 97 | 36.7 | 5.68 | 5.73 | 2.66, 12.4 | 314 | 31.8 | 486 | 43.7 | 1.83 | 1.37 | 1.04, 1.81 |
Current Smoker | 770 | 40.3 | 269 | 19.5 | 8.26 | 3.92 | 3.00, 5.13 | 253 | 72.5 | 64 | 24.2 | 25.8 | 15.1 | 7.11, 32.0 | 517 | 52.3 | 205 | 18.4 | 6.53 | 3.14 | 2.36, 4.20 |
Likelihood Ratio Test: χ2 = 19.0 df=2, P <0.001 | |||||||||||||||||||||
Cigarettes Per Day | |||||||||||||||||||||
Never Smokers | 173 | 13 | 525 | 38.2 | 1 | 1 | 16 | 4.6 | 103 | 39 | 1 | 1 | 157 | 15.9 | 422 | 37.9 | 1 | 1 | |||
1–19 | 231 | 17.3 | 338 | 24.6 | 1.95 | 1.48 | 1.12, 1.97 | 107 | 30.6 | 95 | 36 | 7.38 | 6.39 | 3.00, 13.6 | 124 | 12.6 | 243 | 21.9 | 1.43 | 1.14 | 0.83, 1.58 |
20+ | 931 | 69.7 | 512 | 37.2 | 5.87 | 3.14 | 2.44, 4.05 | 227 | 64.9 | 66 | 25 | 22.6 | 15.1 | 7.09, 32.3 | 704 | 71.5 | 446 | 40.1 | 4.57 | 2.51 | 1.92, 3.27 |
Likelihood Ratio Test: χ2 = 26.3 df=2, P <0.001 | |||||||||||||||||||||
Years Smoked | |||||||||||||||||||||
Never Smokers | 173 | 13 | 525 | 38.2 | 1 | 1 | 16 | 4.7 | 103 | 39 | 1 | 1 | 157 | 15.9 | 422 | 38.1 | 1 | 1 | |||
1–19 | 119 | 9 | 294 | 21.4 | 1.08 | 1.03 | 0.75, 1.41 | 19 | 5.5 | 55 | 20.8 | 2.05 | 2.75 | 1.10, 6.90 | 100 | 10.1 | 239 | 21.6 | 0.99 | 0.92 | 0.65, 1.28 |
20–39 | 499 | 37.6 | 334 | 24.3 | 3.95 | 2.47 | 1.87, 3.25 | 179 | 52.2 | 69 | 26.1 | 13.7 | 11.1 | 5.16, 23.9 | 320 | 32.4 | 265 | 23.9 | 3 | 1.89 | 1.41, 2.55 |
40–49 | 344 | 25.9 | 142 | 10.3 | 9.83 | 5.18 | 3.74, 7.19 | 90 | 26.2 | 31 | 11.7 | 30.6 | 21.4 | 8.87, 51.4 | 254 | 25.8 | 111 | 10 | 8.01 | 4.24 | 2.98, 6.05 |
50+ | 194 | 14.6 | 78 | 5.68 | 14.5 | 6.36 | 4.28, 9.43 | 39 | 11.4 | 6 | 2.27 | 95.5 | 47.3 | 13.3, 167 | 155 | 15.7 | 72 | 6.49 | 10.7 | 4.91 | 3.25, 7.42 |
Likelihood Ratio Test: χ2 = 26.5 df=4, P <0.001 | |||||||||||||||||||||
Years Since Quitting | |||||||||||||||||||||
Never Smoked | 173 | 12.9 | 525 | 38.1 | 1 | 1 | 16 | 4.6 | 103 | 39 | 1 | 1 | 157 | 15.9 | 422 | 37.9 | 1 | 1 | |||
Current Smokers | 770 | 57.6 | 269 | 19.5 | 8.31 | 4.05 | 3.09, 5.30 | 253 | 72.5 | 64 | 24.2 | 26.2 | 15.4 | 7.26, 32.8 | 517 | 52.3 | 205 | 18.4 | 6.55 | 3.2 | 2.41, 4.31 |
1–9 | 167 | 12.5 | 111 | 8.1 | 4.63 | 2.98 | 2.11, 4.20 | 40 | 11.5 | 20 | 7.6 | 14.2 | 13 | 5.15, 32.7 | 127 | 12.9 | 91 | 8.2 | 3.77 | 2.36 | 1.62, 3.44 |
10–19 | 93 | 7 | 138 | 10 | 2.07 | 1.45 | 1.01, 2.09 | 22 | 6.3 | 27 | 10.2 | 5.28 | 4.46 | 1.70, 11.7 | 71 | 7.2 | 111 | 10 | 1.76 | 1.25 | 0.84, 1.87 |
20+ | 134 | 10 | 334 | 24.3 | 1.28 | 1.16 | 0.85, 1.58 | 18 | 5.2 | 50 | 18.9 | 2.16 | 2.75 | 1.06, 7.13 | 116 | 11.7 | 284 | 25.5 | 1.17 | 1.04 | 0.75, 1.44 |
Likelihood Ratio Test: χ2 = 20.4 df=4, P <0.001 | |||||||||||||||||||||
Age Started Smoking | |||||||||||||||||||||
Never Smokers | 173 | 13 | 525 | 38.2 | 1 | 1 | 16 | 4.6 | 103 | 39 | 1 | 1 | 157 | 15.9 | 422 | 38 | 1 | 1 | |||
<17 | 706 | 53 | 405 | 29.5 | 5.37 | 2.7 | 2.07, 3.52 | 201 | 58.3 | 65 | 24.6 | 21.9 | 14.9 | 6.83, 32.4 | 505 | 51.2 | 340 | 30.6 | 4.1 | 2.05 | 1.55, 2.73 |
17–24 | 403 | 30.3 | 389 | 28.3 | 3.22 | 2.22 | 1.71, 2.89 | 114 | 33 | 84 | 31.8 | 8.71 | 6.91 | 3.24, 14.7 | 289 | 29.3 | 305 | 27.5 | 2.73 | 1.95 | 1.47, 2.59 |
25+ | 50 | 3.8 | 55 | 4 | 2.89 | 2.01 | 1.22, 3.29 | 14 | 4.1 | 12 | 4.6 | 8.48 | 9.26 | 2.81, 30.5 | 36 | 3.7 | 43 | 3.9 | 2.37 | 1.56 | 0.90, 2.73 |
Likelihood Ratio Test: χ2 = 29.0 df=3, P <0.001 | |||||||||||||||||||||
Type of Cigarette | |||||||||||||||||||||
Never Smokers | 173 | 13 | 525 | 38.3 | 1 | 1 | 16 | 4.6 | 103 | 39.2 | 1 | 1 | 157 | 15.9 | 422 | 38.1 | 1 | 1 | |||
Filtered Menthols | 277 | 20.8 | 180 | 13.1 | 3.98 | 2.37 | 1.74, 3.25 | 147 | 42.1 | 78 | 29.7 | 14 | 7.18 | 3.36, 15.3 | 130 | 13.2 | 102 | 9.21 | 3.45 | 2.15 | 1.49, 3.10 |
Filtered Non-menthols | 581 | 43.5 | 377 | 27.5 | 4.6 | 2.55 | 1.98, 3.31 | 108 | 31 | 44 | 16.7 | 28 | 15.3 | 6.67, 35.1 | 473 | 48 | 333 | 30.1 | 3.42 | 2.04 | 1.55, 2.67 |
Filtered Menthols and Non-menthols | 70 | 5.24 | 63 | 4.6 | 3.19 | 1.91 | 1.20, 3.02 | 20 | 5.73 | 11 | 4.2 | 19.4 | 8.29 | 2.54, 27.0 | 50 | 5.1 | 52 | 4.69 | 2.22 | 1.56 | 0.94, 2.59 |
Unfiltered | 75 | 5.62 | 101 | 7.37 | 2.95 | 1.58 | 1.03, 2.42 | 18 | 5.16 | 13 | 4.9 | 19.9 | 9.12 | 2.95, 28.3 | 57 | 5.8 | 88 | 7.94 | 2.06 | 1.23 | 0.77, 1.96 |
Both filtered and unfiltered menthols and/or non-menthols | 159 | 11.9 | 125 | 9.2 | 4.81 | 2.61 | 1.81, 3.77 | 40 | 11.5 | 14 | 5.3 | 38.1 | 15.8 | 5.48, 45.7 | 119 | 12.1 | 111 | 10 | 3.14 | 2.05 | 1.39, 3.04 |
Likelihood Ratio Test: χ2 = 28.4 df=5, P <0.001 | |||||||||||||||||||||
Ever Cigar | |||||||||||||||||||||
No | 1010 | 75.5 | 1060 | 77 | 1 | 1 | 276 | 79.1 | 214 | 81.1 | 1 | 1 | 734 | 74.3 | 846 | 76 | 1 | 1 | |||
Yes | 327 | 24.5 | 317 | 23 | 1.05 | 0.87 | 0.68, 1.13 | 73 | 20.9 | 50 | 18.9 | 0.98 | 1.03 | 0.61, 1.74 | 254 | 25.7 | 267 | 24 | 1.07 | 0.84 | 0.63, 1.12 |
Likelihood Ratio Test: χ2 = 0.47 df=1, P =0.49 | |||||||||||||||||||||
Ever Pipe | |||||||||||||||||||||
No | 1122 | 83.9 | 1099 | 79.9 | 1 | 1 | 315 | 90 | 232 | 87.9 | 1 | 1 | 734 | 74.3 | 846 | 76 | 1 | 1 | |||
Yes | 215 | 16.1 | 276 | 20.1 | 0.8 | 0.75 | 0.56, 1.00 | 35 | 10 | 32 | 12.1 | 0.79 | 0.76 | 0.39, 1.50 | 180 | 18.3 | 244 | 22 | 0.8 | 0.75 | 0.55, 1.01 |
Likelihood Ratio Test: χ2 = 0.006 df=1, P =0.94 | |||||||||||||||||||||
Ever Chew | |||||||||||||||||||||
No | 1128 | 84.2 | 1218 | 88.5 | 1 | 1 | 298 | 84.9 | 241 | 91.3 | 1 | 1 | 734 | 74.3 | 846 | 76 | 1 | 1 | |||
Yes | 211 | 15.8 | 159 | 11.6 | 1.46 | 1.18 | 0.87, 1.61 | 53 | 15 | 23 | 8.7 | 1.96 | 1.72 | 0.84, 3.51 | 158 | 16 | 136 | 12.2 | 1.36 | 1.1 | 0.80, 1.53 |
Likelihood Ratio Test: χ2 = 1.31 df=1, P =0.25 | |||||||||||||||||||||
Ever Snuff | |||||||||||||||||||||
No | 1268 | 94.6 | 1325 | 96.3 | 1 | 1 | 318 | 90.6 | 252 | 95.5 | 1 | 1 | 734 | 74.3 | 846 | 76 | 1 | 1 | |||
Yes | 72 | 5.4 | 51 | 3.7 | 1.41 | 0.99 | 0.61, 1.60 | 33 | 9.4 | 12 | 4.6 | 2.98 | 2.35 | 0.93, 5.95 | 39 | 3.9 | 39 | 3.51 | 0.99 | 0.72 | 0.42, 1.26 |
Likelihood Ratio Test: χ2 = 4.92 df=1, P =0.027 | |||||||||||||||||||||
Tobacco Type | |||||||||||||||||||||
None | 127 | 9.5 | 442 | 32.1 | 1 | 1 | 8 | 2.3 | 88 | 33.3 | 1 | 1 | 119 | 12.1 | 354 | 31.8 | 1 | 1 | |||
Cigarettes Only | 801 | 60 | 490 | 35.6 | 5.62 | 2.87 | 2.19, 3.75 | 250 | 71.6 | 104 | 39.4 | 26.9 | 14.4 | 5.88, 35.5 | 551 | 55.9 | 386 | 34.9 | 4.30 | 2.29 | 1.72, 3.04 |
Cigars and/or Pipes | 33 | 2.5 | 58 | 4.2 | 2.08 | 1.64 | 0.94, 2.83 | 3 | 0.9 | 6 | 2.3 | 4.52 | 5.57 | 0.82, 37.9 | 30 | 3.0 | 52 | 4.7 | 1.79 | 1.38 | 0.78, 2.46 |
Cigarettes and Cigars and/or Pipes | 361 | 27 | 362 | 26.3 | 3.48 | 1.75 | 1.27, 2.39 | 83 | 23.8 | 57 | 21.6 | 15.5 | 9.87 | 3.73, 26.0 | 278 | 28.2 | 305 | 27.4 | 2.75 | 1.37 | 0.98, 1.92 |
Smokeless Tobacco | 13 | 1.0 | 25 | 1.8 | 1.73 | 0.9 | 0.38, 2.07 | 5 | 1.4 | 9 | 3.4 | 8.59 | 2.52 | 0.41, 15.7 | 8 | 0.8 | 16 | 1.4 | 1.23 | 0.86 | 0.33, 2.28 |
Likelihood Ratio Test: χ2 = 22.3 df=4, P <0.001 |
CI: Confidence Interval df: degrees of freedom; OR: odds ratio
All models exclude missing data. Crude models adjusted for matching factors and their interactions. Adjusted models include matching factors, their interactions, and education, fruit and vegetable consumption and total alcohol consumption; Cigarette models also adjusted for other tobacco use; Other tobacco ever models adjusted for duration of cigarette smoking and use of other forms of tobacco.