The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.
Snuff Dipping and Oral Cancer among Women in the Southern United States
Abstract
A case-control study in North Carolina involving 255 women with oral and pharyngeal cancer and 502 controls revealed that the exceptionally high mortality from this cancer among white women in the South is primarily related to chronic use of snuff. The relative risk associated with snuff dipping among white nonsmokers was 4.2 (95 per cent confidence limits, 2.6 to 6.7), and among chronic users the risk approached 50-fold for cancers of the gum and buccal mucosa--tissues that come in direct contact with the tobacco powder. In the absence of snuff dipping, oral and pharyngeal cancer resulted mainly from the combined effects of cigarette smoking and alcohol consumption. The carcinogenic hazard of oral snuff is of special concern in view of the recent upswing in consumption of smokeless tobacco in the United States.
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Cites
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THE ESTIMATION AND SIGNIFICANCE OF THE LOGARITHM OF A RATIO OF FREQUENCIES
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The effect of joint exposure to alcohol and tobacco on risk of cancer of the mouth and pharynx
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Cited by
Smoking: Health Effects and Control
Fielding, J. E. (1985) · New England Journal of Medicine · doi:10.1056/nejm198508223130807 · Cited by 458
Oral health risks of tobacco use and effects of cessation
Warnakulasuriya, S., Dietrich, T., Bornstein, M. M., Peidró, E. C., Preshaw, P. M., Walter, C., Wennström, J. L., & Bergström, J. (2010) · International Dental Journal · doi:10.1016/s0020-6539(20)34036-3 · Cited by 393
Health effects associated with smokeless tobacco: a systematic review
Critchley, J. A. (2003) · Thorax · doi:10.1136/thorax.58.5.435 · Cited by 340
Current topics in the epidemiology of oral cavity and oropharyngeal cancers
Gillison, M. L. (2007) · Head & Neck · doi:10.1002/hed.20573 · Cited by 305
A long‐term follow‐up study on the natural course of snus‐induced lesions among Swedish snus users
Roosaar, A., Johansson, A. L. V., Sandborgh‐Englund, G., Nyrén, O., & Axéll, T. (2006) · International Journal of Cancer · doi:10.1002/ijc.21841 · Cited by 40
Metadata
- Authors
- Winn, D. M., Blot, W. J., Shy, C. M., Pickle, L. W., Toledo, A., & Fraumeni, J. F.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1981-03-26
- Volume
- 304
- Issue
- 13
- Pages
- 745-749
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2006906049
- Cited by
- 566
- References
- 10
- FWCI
- 28.67
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Snuff Dipping and Oral Cancer among Women in the Southern United States. https://app.cochat.ai/papers/10.1056/nejm198103263041301
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- Winn, D. M., Blot, W. J., Shy, C. M., Pickle, L. W., Toledo, A., & Fraumeni, J. F. (1981). Snuff Dipping and Oral Cancer among Women in the Southern United States. New England Journal of Medicine. https://doi.org/10.1056/nejm198103263041301
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.