Cited by 109Head and Neck Cancer StudiesOral Health Pathology and TreatmentEsophageal Cancer Research and Treatment

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Cannabis, tobacco and domestic fumes intake are associated with nasopharyngeal carcinoma in North Africa

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Feng, B-J, Khyatti, M, Ben-Ayoub, W, Dahmoul, S, Ayad, M, Maachi, F, Bedadra, W, Abdoun, M, Mesli, S, Bakkali, H, Jalbout, M, Hamdi-Cherif, M, Boualga, K, Bouaouina, N, Chouchane, L, Benider, A, Ben-Ayed, F, Goldgar, D E, Corbex, M·2009·British Journal of Cancer

DOI 10.1038/sj.bjc.6605281PMC PMC2768108

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Abstract

BACKGROUND: The lifestyle risk factors for nasopharyngeal carcinoma (NPC) in North Africa are not known. METHODS: From 2002 to 2005, we interviewed 636 patients and 615 controls from Algeria, Morocco and Tunisia, frequency-matched by centre, age, sex, and childhood household type (urban/rural). Conditional logistic regression was used to evaluate the association of lifestyles with NPC risk, controlling for socioeconomic status and dietary risk factors. RESULTS: Cigarette smoking and snuff (tobacco powder with additives) intake were significantly associated with differentiated NPC but not with undifferentiated carcinoma (UCNT), which is the major histological type of NPC in these populations. As demonstrated by a stratified permutation test and by conditional logistic regression, marijuana smoking significantly elevated NPC risk independently of cigarette smoking, suggesting dissimilar carcinogenic mechanisms between cannabis and tobacco. Domestic cooking fumes intake by using kanoun (compact charcoal oven) during childhood increased NPC risk, whereas exposure during adulthood had less effect. Neither alcohol nor shisha (water pipe) was associated with risk. CONCLUSION: Tobacco, cannabis and domestic cooking fumes intake are risk factors for NPC in western North Africa.

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Authors: Feng, B.-J., Khyatti, M., Ben-Ayoub, W., Dahmoul, S., Ayad, M., Maachi, F., Bedadra, W., Abdoun, M., Mesli, S., Bakkali, H., Jalbout, M., Hamdi-Cherif, M., Boualga, K., Bouaouina, N., Chouchane, L., Benider, A., Ben-Ayed, F., Goldgar, D. E., & Corbex, M.
Affiliations: Centre international de recherche sur le cancer (FR)
Institut Pasteur du Maroc (MA)
Hôpital Farhat Hached (TN)
Association Tunisienne Contre le Cancer (TN)
Centre Hospito Universitaire de Sétif (DZ)
Institut National d'Oncologie (MA)
Holy Spirit University of Kaslik (LB)
University of Monastir (TN)
Centre Hospitalier Universitaire Ibn Rochd (MA)
University of Utah (US)
International Network for Cancer Treatment and Research (BE)
Corresponding author: Feng, B-J
ORCID: Khyatti, M
Maachi, F
Abdoun, M
Mesli, S
Chouchane, L
Goldgar, D E
Corbex, M
Venue: British Journal of Cancer
Publisher: Springer Science and Business Media LLC
Published: 2009-09-01
Volume: 101
Issue: 7
Pages: 1207-1212
ISSN: 0007-0920 (ISSN-L)
1532-1827
DOI: 10.1038/sj.bjc.6605281
PMC: PMC2768108
OpenAlex: W1964846501
Cited by: 109
References: 29
Citations by year: 2026: 1 · 2025: 6 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 11 · 2020: 6 · 2019: 10 · 2018: 6 · 2017: 6 · 2016: 8 · 2015: 12 · 2014: 4 · 2013: 13 · 2012: 7
FWCI: 6.07
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-sa
www.springer.com/tdm (unspecified)
Locations: British Journal of Cancer (publishedVersion, cc-by-nc-sa)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
HAL (submittedVersion)
Minerva Access (University of Melbourne) (submittedVersion, cc-by)
Topics: Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
Health Sciences › Dentistry › General Dentistry › Oral Health Pathology and Treatment
Health Sciences › Medicine › Surgery › Esophageal Cancer Research and Treatment
Keywords: nasopharyngeal carcinoma, cannabis smoking, cannabis, tobacco, snuff, cigarette smoking, children's exposure, undifferentiated nasopharyngeal carcinoma, hookah, alcohol, lifestyle risk factors, North Africa
MeSH terms: Cooking, Female, Humans, Male, Marijuana Smoking, Nasopharyngeal Neoplasms, Risk Factors, Smoke, Smoking, Tobacco, Smokeless, Multivariate Analysis, Case-Control Studies, Air Pollution, Indoor

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Cannabis, tobacco and domestic fumes intake are associated with nasopharyngeal carcinoma in North Africa

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