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<title lang=en>The joint effect of asbestos exposure, tobacco smoking and alcohol drinking on laryngeal cancer risk: evidence from the French population-based case–control study, ICARE</title>
<creator>Menvielle, Gwenn</creator>
<creator>Fayossé, Aurore</creator>
<creator>Radoï, Loredana</creator>
<creator>Guida, Florence</creator>
<creator>Sanchez, Marie</creator>
<creator>Carton, Matthieu</creator>
<creator>Cyr, Diane</creator>
<creator>Schmaus, Annie</creator>
<creator>Cenée, Sylvie</creator>
<creator>Fevotte, Joelle</creator>
<creator>Delafosse, Patricia</creator>
<creator>Stücker, Isabelle</creator>
<creator>Luce, Danièle</creator>
<contributor>Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP) ; Université Pierre et Marie Curie - Paris 6 (UPMC) - Institut National de la Santé et de la Recherche Médicale (INSERM)</contributor>
<contributor>Institut de recherche, santé, environnement et travail [Rennes] (Irset) ; Université d'Angers (UA) - Université des Antilles et de la Guyane (UAG) - Université de Rennes 1 (UR1) - École des Hautes Études en Santé Publique [EHESP] (EHESP) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )</contributor>
<contributor>Centre de recherche en épidémiologie et santé des populations (CESP) ; Université de Versailles Saint-Quentin-en-Yvelines (UVSQ) - Université Paris-Sud - Paris 11 (UP11) - Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Paul Brousse - Institut National de la Santé et de la Recherche Médicale (INSERM)</contributor>
<contributor>Oral medicine and oral surgery department ; Université Paris Descartes - Paris 5 (UPD5)</contributor>
<contributor>UMS 011 ; Institut National de la Santé et de la Recherche Médicale - Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)</contributor>
<contributor>Epidémiologie environnementale des cancers ; Université Paris-Sud - Paris 11 (UP11) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Institut National de la Santé et de la Recherche Médicale (INSERM)</contributor>
<contributor>Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE) ; Université Claude Bernard Lyon 1 (UCBL) - Institut National de Recherche sur les Transports et leur Sécurité (INRETS) - Institut de Veille Sanitaire (INVS)</contributor>
<contributor>FRANCIM ; Réseau des registres français du cancer</contributor>
<description>International audience</description>
<source>Occupational and Environmental Medicine</source>
<identifier>hal-01269904</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01269904</identifier>
<source>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01269904</source>
<source>Occupational and Environmental Medicine, 2016, 73 (1), pp.28--33. 〈10.1136/oemed-2015-102954〉</source>
<identifier>DOI : 10.1136/oemed-2015-102954</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.1136/oemed-2015-102954</relation>
<identifier>PUBMED : 26403532</identifier>
<relation>info:eu-repo/semantics/altIdentifier/pmid/26403532</relation>
<language>en</language>
<subject>[SDV] Life Sciences [q-bio]</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>Objective The objective of the study was to investigate the joint effect of occupational exposure to asbestos, and tobacco and alcohol consumption, on the risk of laryngeal cancer among men. Methods We used data from a large population-based case–control study conducted in France. We estimated two-way and three-way interactions between asbestos exposure (never vs ever exposed), tobacco consumption ( extless20 vs ≥20 pack-years) and alcohol consumption ( extless5 vs ≥5 drinks per day). The interaction on an additive scale was assessed by estimating the relative excess risk due to interaction (RERI) and the attributable proportion due to interaction, and the interaction on a multiplicative scale was assessed by estimating the multiplicative interaction parameter (ψ). Multiplicative interactions were also assessed using fractional polynomials for alcohol drinking, tobacco smoking and asbestos exposure. Results When compared with light-to-moderate smokers and drinkers never exposed to asbestos, the increase in laryngeal cancer risk was smallest among light-to-moderate drinkers and smokers exposed to asbestos (OR=2.23 (1.08 to 4.60)), and highest among heavy smokers and drinkers ever exposed to asbestos (OR=69.39 (35.54 to 135.5)). We found an additive joint effect between asbestos exposure and alcohol consumption (RERI=4.75 (−4.29 to 11.12)), whereas we observed a more than additive joint effect between asbestos exposure and tobacco consumption (RERI=8.50 (0.71 to 23.81)), as well as between asbestos exposure, and tobacco and alcohol consumption (RERI=26.57 (11.52 to 67.88)). However, our results did not suggest any interaction on a multiplicative scale. Conclusions Our results suggest that asbestos exposure, in combination with tobacco and alcohol exposure, accounted for a substantial number of laryngeal cancer cases. Our findings therefore highlight the need for prevention in activities, such as construction work, where exposure to asbestos-containing materials remains</description>
<date>2016-01</date>
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