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Cited by 63Energy and Environment ImpactsIndoor Air Quality and Microbial ExposureHead and Neck Cancer Studies

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Indoor air pollution from solid fuels and risk of upper aerodigestive tract cancers in Central and Eastern Europe

Sapkota, A., Zaridze, D., Szeszenia-Dabrowska, N., Mates, D., Fabiánová, E., Rudnai, P., Janout, V., Holcatova, I., Brennan, P., Boffetta, P., Hashibe, M.·2013·Environmental Research
DOI 10.1016/j.envres.2012.09.008
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Abstract

Background Indoor air pollution from solid fuels is a potentially important risk factor for cancer, yet data on cancers from organs other than the lung are scarce. We investigated if indoor air pollution from coal and wood are risk factors for additional cancers, particularly that of the upper aerodigestive tract (oral cavity, larynx, pharynx and esophagus) in the high-risk areas of central and eastern Europe. Methods We used data from multi-center hospital-based case-control study of 1065 histologically confirmed upper aerodigestive tract cancer cases and 1346 controls. Standardized questionnaires were used to collect information on residential fuel use for cooking and heating. Using unconditional logistic regression, we calculated odds ratios (ORs) and 95% confidence intervals (95% CIs) for upper aerodigestive tract cancer risk after adjusting for potential confounders. Results Lifelong wood use was associated with pharyngeal and esophageal (OR 4.05, 95% CI: 1.30-12.68 and OR 2.71, 95% CI: 1.21-6.10, respectively). We observed an exposure-response relationship between duration of wood use and risk of pharyngeal cancer among those who had never used coal (P(trend)=0.04), ruling out the possibility of residual confounding by coal. Similarly, we observed an increased risk of laryngeal cancers and head & neck cancers among those who always used coal, with a noted exposure-response relationship (P(trend)<0.01). Conclusions Our results suggest a possible role of indoor air pollution from solid fuel use in head and neck carcinogenesis in the high risk area of central and eastern Europe.

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  • Other health outcomes associated with household air pollution, for which evidence is less robust, include pharyngeal and laryngeal cancer, otitis media, asthma, tuberculosis, neonatal mortality and nutritional deficit.

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Metadata

Authors
Sapkota, A., Zaridze, D., Szeszenia-Dabrowska, N., Mates, D., Fabiánová, E., Rudnai, P., Janout, V., Holcatova, I., Brennan, P., Boffetta, P., & Hashibe, M.
Affiliations
  • University of Maryland, College Park (US)
  • Russian Cancer Research Center NN Blokhin (RU)
  • Public Health Authority of the Slovak Republic (SK)
  • Orszagos Kornyezetegeszsegugyi Intezet (HU)
  • Palacký University Olomouc (CZ)
  • Centre international de recherche sur le cancer (FR)
  • International Prevention Research Institute (FR)
  • University of Utah (US)
Corresponding author
Sapkota, A.
ORCID
Venue
Environmental Research
Publisher
Elsevier BV
Published
2013-01
Volume
120
Pages
90-95
ISSN
0013-9351 (ISSN-L)
DOI
10.1016/j.envres.2012.09.008
OpenAlex
W2146056057
Cited by
63
References
1
Citations by year
2026: 6 · 2025: 8 · 2024: 5 · 2023: 5 · 2022: 7 · 2021: 4 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 5 · 2016: 3 · 2015: 4 · 2014: 1 · 2013: 3
FWCI
2.10
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Environmental Research (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
  • Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion)
Topics
  • Physical Sciences › Environmental Science › Pollution › Energy and Environment Impacts
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
  • Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
Keywords
indoor air pollution, solid fuels, wood smoke, coal combustion, upper aerodigestive tract cancer, pharyngeal cancer, esophageal cancer, laryngeal cancer, head and neck cancer, oral cancer, exposure-response relationship, Central and Eastern Europe
MeSH terms
Aged, Air Pollution, Carcinoma, Squamous Cell, Coal, Europe, Eastern, Female, Fires, Head and Neck Neoplasms, Humans, Male, Middle Aged, Wood, Case-Control Studies

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