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. 2017 Sep 7;125(9):097005. doi: 10.1289/EHP1065

Table 1.

Selected characteristics of cutaneous squamous cell carcinoma (SCC) cases and matched controls from the New Hampshire Skin Cancer Study, July 2007–July 2009 (n=949) [n(%)ormedian±SD unless otherwise indicated].

Characteristic SCC cases Controls No ricea Any ricea <1μg/L water Asb 1μg/L water Asb
Total no. 487 462 224 725 699 242
Gender            
 Male 293 (60.2) 269 (58.2) 147 (65.6) 415 (57.2)* 409 (58.5) 152 (62.8)
 Female 194 (39.8) 193 (41.8) 77 (34.4) 310 (42.8) 290 (41.5) 90 (37.2)
Reference age (years)            
 25–40 4 (0.8) 3 (0.6) 1 (0.4) 6 (0.8)* 5 (0.7) 2 (0.8)
 41–50 20 (4.1) 20 (4.3) 4 (1.8) 36 (5.0) 30 (4.3) 9 (3.7)
 51–60 107 (22.0) 121 (26.2) 47 (21.0) 181 (25.0) 160 (22.9) 66 (27.3)
 61–67 164 (33.7) 137 (29.7) 65 (29.0) 236 (32.6) 225 (32.2) 74 (30.6)
 68–70 66 (13.6) 75 (16.2) 39 (17.4) 102 (14.1) 100 (14.3) 40 (16.5)
>71 126 (25.9) 126 (27.3) 68 (30.4) 164 (22.6) 179 (25.6) 51 (21.1)
Education            
 High school 114 (23.4) 178 (38.5)*** 97 (43.3) 195 (26.9)*** 224 (32.0) 67 (27.7)
 College 199 (40.9) 170 (36.8) 82 (36.6) 287 (39.6) 270 (38.6) 95 (39.3)
 Graduate or professional 173 (35.5) 114 (24.7) 45 (20.1) 242 (33.4) 204 (29.2) 80 (33.1)
Cigarette smokingc            
 Never smoked 215 (44.1) 174 (37.7) 84 (37.5) 305 (42.1) 292 (41.8) 94 (38.8)
 Former smoker 215 (44.1) 223 (48.3) 103 (46.0) 335 (46.2) 321 (45.9) 113 (46.7)
 Current smoker 57 (11.7) 65 (14.1) 37 (16.5) 85 (11.7) 86 (12.3) 35 (14.5)
Body mass index at 18 y old (kg/m2)            
 Underweight <18.5 49 (10.1) 52 (11.3) 18 (8.0) 83 (11.4) 71 (10.2) 29 (12.0)
 Normal 18.5–24.9 348 (71.5) 332 (71.9) 152 (67.9) 528 (72.8) 501 (71.7) 173 (71.5)
 Overweight 25.0–29.9 77 (15.8) 62 (13.4) 44 (19.6) 95 (13.1) 104 (14.9) 35 (14.5)
 Obese >30.0 13 (2.7) 15 (3.2) 10 (4.5) 18 (2.5) 23 (3.3) 5 (2.1)
Caloric intake (kcal/d)d            
 Quartile 1: 1,412 96 (19.7) 116 (25.1) 76 (33.9) 136 (18.8)*** 153 (21.9) 55 (22.7)
 Quartile 2: 1,412–1,831 133 (27.3) 115 (24.9) 70 (31.2) 178 (24.6) 189 (27.0) 59 (24.4)
 Quartile 3: 1,831–2,328 126 (25.9) 115 (24.9) 44 (19.6) 197 (27.2) 179 (25.6) 59 (24.4)
 Quartile 4: >2,328 132 (27.1) 116 (25.1) 34 (15.2) 214 (29.5) 178 (25.5) 69 (28.5)
Water Arsenic (μg/L)b 0.33±13.7 0.30±9.0 0.33±6.8 0.31±12.8 0.21±0.22 3.82±21.44
Urinary Arsenobetaine (μg/L)e 7.55±136.9 5.30±87.5* 6.51±119.2 6.67±115.1 6.90±131.4 6.04±51.8
SCC body sitef            
 Head or neck 241 (49.5) 53 (23.7) 188 (27.7) 178 (25.5) 60 (24.8)
 Limbs and trunk 246 (50.5) 45 (20.1) 201 (25.9) 177 (25.3) 69 (28.5)
Skin reaction to initial sun exposureg            
 Tan 36 (7.4) 95 (20.6)*** 31 (13.8) 100 (13.8) 85 (12.2) 45 (18.6)
 Mild burn then tan 242 (49.7) 230 (49.8) 109 (48.7) 363 (50.1) 349 (49.9) 120 (49.6)
 Burn then peel 173 (35.5) 108 (23.4) 67 (29.9) 214 (29.5) 216 (30.9) 61 (25.2)
 Blister 33 (6.8) 29 (6.3) 16 (7.1) 46 (6.3) 47 (6.7) 15 (6.2)
No. of blistering sunburns            
 None 237 (48.7) 255 (55.2)*** 116 (51.8) 376 (51.9) 366 (52.4) 125 (51.7)
 1 63 (12.9) 60 (13.0) 30 (13.4) 93 (12.8) 93 (13.3) 28 (11.6)
 2 27 (5.5) 16 (3.5) 16 (7.1) 27 (3.7) 32 (4.6) 11 (4.5)
3 118 (24.2) 58 (12.6) 37 (16.5) 139 (19.2) 124 (17.7) 50 (20.7)
Tanning lamp use            
 Yes 151 (31.0) 112 (24.2)* 46 (20.5) 217 (29.9)** 193 (27.6) 67 (27.7)
 No 336 (69.0) 350 (75.8) 178 (79.5) 508 (70.1) 506 (72.4) 175 (72.3)
Skin colorh            
 Light 437 (89.7) 353 (76.4)*** 193 (86.2) 597 (82.3) 586 (83.8) 200 (82.6)
 Medium 50 (10.3) 108 (23.4) 31 (13.8) 127 (17.5) 113 (16.2) 42 (17.4)

Note: Numbers may not sum to the overall total due to missing data. They were excluded from complete-case analyses. p -Values obtained from χ2, Fisher’s exact, or Wilcoxon rank sum test (as appropriate) comparing sociodemographic and skin cancer risk factors between SCC cases and controls.

a

Rice consumption derived from the Harvard Food Frequency Questionnaire section on “Breads, Cereals, Starches” using items “Brown rice” and “White rice.”

b

Eight study participants were missing water arsenic concentrations.

c

Cigarette smoking status at 1 y prior to the reference or diagnosis date.

d

Caloric intake quartiles determined from the control subject distribution.

e

Seventy-six study participants were missing urinary arsenobetaine concentrations.

f

Among SCC cases only. Numbers will not sum to the overall total due to lack of inclusion of controls.

g

Sun sensitivity was defined as the reaction to 1 h of sun exposure the first time in the summer.

h

Self-reported coloring. Natural skin color on areas never exposed to the sun.

*

p<0.05;

**

p<0.01;

***

p<0.001.