Household inhalants exposure and nasopharyngeal carcinoma risk: a large-scale case-control study in Guangdong, China. Issue 1 (December 2015)

• Record Type: Journal Article
• Authors: He, Yong-Qiao; Xue, Wen-Qiong; Shen, Guo-Ping; Tang, Ling-Ling; Zeng, Yi-Xin; Jia, Wei-Hua
• Is Part Of: BMC cancer. Volume 15:Issue 1(2015)
• Page Start: 1
• Page End: 8
• Publication Date: 2015-12
• Subjects: Incense burning -- Mosquito coil -- Cooking fumes -- Wood fuel using -- NPC risk; Cancer -- Periodicals; 616.994005
• DOI: 10.1186/s12885-015-2035-x
• Languages: English
• ISSNs: 1471-2407

Abstract

Abstract Background Epidemiological studies show that cigarette smoking increase the risk of nasopharyngeal carcinoma (NPC), however, whether other common, potentially adverse household inhalants increase NPC risk remains uncertain. Methods We conducted a large case-control study to explore the effects of household inhalants, such as incense, mosquito coil, cooking fumes, and wood combustion, on NPC risk. We recruited 1, 845 cases and 2, 275 controls from Guangdong province, a high-risk area for NPC in China, to obtain the demographic data and relevant exposure information through face-to-face interviews. Results We found that incense burning was associated with NPC risk by comparing frequent incense use with never using incense [OR and 95 % confidence interval (CI) = 1.73, (1.43, 2.09)]. Wood fuel use was also associated with NPC risk compared with non-wood fire use [OR and 95 % CI = 1.95, (1.65, 2.31)]. More intriguingly, we observed a significant addictive interaction between frequent incense burning and heavy cigarette smoking on NPC risk [synergistic index (SI) = 1.67; 95 % CI: 1.01, 2.76]. We also found a significant joint effect between wood fuel use and NPC family history for NPC risk (SI = 1.77; 95 % CI: 1.06, 2.96). However, neither mosquito oil nor cooking fumes were associated with NPC risk. Conclusions Our study shows that incense smoke is not only the potential independent risk factor but also co-contributes with cigarette smoking to NPC risk. Moreover, wood combustion is another potential environmental risk factor and exerts a joint effect with NPC family history on NPC.