Impact of oral hygiene on head and neck cancer risk in a Chinese population

被引：13

作者：

Kawakita, Daisuke ^{[1
,2
,3
]}

Lee, Yuan-Chin Amy ^{[1
]}

Li, Qian ^{[4
]}

Chen, Yuji ^{[1
]}

Chen, Chien-Jen ^{[5
,6
]}

Hsu, Wan-Lun ^{[5
]}

Lou, Pei-Jen ^{[7
]}

Zhu, Cairong ^{[8
]}

Pan, Jian ^{[9
]}

Shen, Hongbing ^{[10
]}

Ma, Hongxia ^{[10
]}

Cai, Lin ^{[11
]}

He, Baochang ^{[11
]}

Wang, Yu ^{[12
,13
]}

Zhou, Xiaoyan ^{[14
]}

Ji, Qinghai ^{[12
,13
]}

Zhou, Baosen ^{[15
]}

Wu, Wei ^{[15
]}

Ma, Jie ^{[16
]}

Boffetta, Paolo ^{[17
,18
]}

Zhang, Zuo-Feng ^{[19
,20
]}

Dai, Min ^{[21
,22
]}

Hashibe, Mia ^{[1
]}

机构：

[1] Univ Utah, Sch Med, Dept Family & Prevent Med, Huntsman Canc Inst,Div Public Hlth, 2000 Circle Hope, Salt Lake City, UT 84108 USA

[2] Nagoya City Univ, Grad Sch Med Sci, Dept Otorhinolaryngol Head & Neck Surg, Nagoya, Aichi, Japan

[3] Aichi Canc Ctr, Res Inst, Div Mol Med, Nagoya, Aichi, Japan

[4] Icahn Sch Med Mt Sinai, Dept Prevent Med, New York, NY 10029 USA

[5] Acad Sinica, Genom Res Ctr, Taipei, Taiwan

[6] Natl Taiwan Univ, Grad Inst Epidemiol & Prevent Med, Taipei, Taiwan

[7] Natl Taiwan Univ Hosp, Dept Otolaryngol, Taipei, Taiwan

[8] Sichuan Univ, West China Ctr Med Sci, Dept Epidemiol & Biostat, Chengdu, Sichuan, Peoples R China

[9] Sichuan Univ, West China Ctr Med Sci, Dept Oral Surg, Chengdu, Sichuan, Peoples R China

[10] Nanjing Med Univ, Sch Publ Hlth, Collaborat Innovat Ctr Canc Personalized Med, Dept Epidemiol & Biostat,Jiangsu Key Lab Canc Bio, Nanjing, Jiangsu, Peoples R China

[11] Fujian Med Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Fuzhou, Fujian, Peoples R China

[12] Fudan Univ, Shanghai Canc Ctr, Dept Head & Neck Surg, Shanghai, Peoples R China

[13] Fudan Univ, Shanghai Med Coll, Dept Oncol, Shanghai, Peoples R China

[14] Fudan Univ, Dept Oncol, Shanghai Canc Ctr, Dept Pathol,Shanghai Med Coll, Shanghai, Peoples R China

[15] China Med Univ, Sch Publ Hlth, Dept Epidemiol, Shenyang, Liaoning, Peoples R China

[16] Henan Canc Hosp, Dept Head & Neck Oncol, Zhengzhou, Henan, Peoples R China

[17] Mt Sinai Sch Med, Inst Translat Epidemiol, New York, NY USA

[18] Mt Sinai Sch Med, Tisch Canc Inst, New York, NY USA

[19] Univ Calif Los Angeles, Dept Epidemiol, Fielding Sch Publ Hlth, Los Angeles, CA USA

[20] Univ Calif Los Angeles, Fielding Sch Publ Hlth, Ctr Environm Gen, Los Angeles, CA USA

[21] Canc Inst & Hosp, Natl Off Canc Prevent & Control, Beijing, Peoples R China

[22] Chinese Acad Med Sci, Beijing, Peoples R China

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2017年 / 39卷 / 12期

基金：

美国国家卫生研究院;

关键词：

Chinese; dental care; head and neck cancer; oral hygiene; risk; SQUAMOUS-CELL CARCINOMA; AERODIGESTIVE TRACT CANCER; INTERNATIONAL HEAD; TOOTH LOSS; EPIDEMIOLOGY; ASSOCIATION; DENTITION; ALCOHOL; SMOKING; CONSORTIUM;

D O I：

10.1002/hed.24929

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background: Although the impact of oral hygiene on head and neck cancer risk has been investigated, few studies have been conducted among the Asian population. Methods: We conducted a multicenter case-control study to investigate this potential association. We performed unconditional multiple logistic regression models adjusted by potential confounders. Results: We observed an inverse association of frequency of dental visits with head and neck cancer risk, with an adjusted odds ratio (OR) of 3.70 (95% CI 2.51-5.45) for never dental visits compared with >= 1 time/year (P-trend <.001). We also observed a positive association between the number of missing teeth and head and neck cancer risk, with an adjusted OR for >= 5 missing teeth compared with <5 missing teeth of 1.49 (95% CI 1.08-2.04). Combining multiple oral hygiene indicators, poor oral hygiene scores increased head and neck cancer risk. Conclusion: Poor oral hygiene may increase head and neck cancer risk in the Chinese population. Therefore, improving oral hygiene may contribute to reducing the head and neck cancer risk in the Chinese population.

引用

页码：2549 / 2557

页数：9

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