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Cancer of the large bowel in women in relation to alcohol consumption: a case-control study in Wisconsin (United States)

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Age-specific consumption of beer, wine, and liquor was ascertained by telephone interview from 779 women in Wisconsin (United States) with newly reported diagnosis of carcinoma of the colon and rectum. Population controls (n=2,315) interviewed for this case-control study were randomly selected from Wisconsin driver's license files and Health Care Financing Administration files. Overall, there was a modest indication that high levels of alcohol consumption (11 or more drinks per week) were associated with increased risk of large bowel cancer (adjusted odds ratio [OR]=1.47,95 percent confidence interval [CI]=1.0–2.22). In site-specific analyses, only rectal cancer demonstrated a significant linear trend (P=0.01) with increasing consumption. Significant beverage-specific effects were observed for liquor and colon cancer: the adjusted ORs for 1–2, 3–5, and 6+ drinks per week were 1.12, 1.68, 1.51, respectively (P trend = 0.01). Beer was associated significantly with rectal cancer: the adjusted ORs for 1–2, 3–5, 6–10, and 11+ drinks per week were 1.25, 1.25, 1.58, 2.42, respectively (P trend = 0.02). Wine consumption was associated inversely with these cancers. These relationships appeared to be consistent for recent, past, and total lifetime consumption, and were not attributable to differences in dietary habits.

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References

  1. US Department of Health and Human Services. Fifth Special Report to the U.S. Congress on Alcohol and Health. Washington, DC: Supt of Documents, USGPO, 1984; DHHS Pub. No. (ADM) 84–1291.

    Google Scholar 

  2. Longnecker MP, Orza MJ, Adams ME, Vioque J, Chalmers TC. A meta-analysis of alcoholic beverage consumption in relation to risk of colorectal cancer. Cancer Causes Control 1990; 1: 5–11.

    Google Scholar 

  3. International Agency for Research on Cancer. Alcohol Drinking. Lyon, France: IARC, 1988; IARC Monogr Eval Carcinog Risks Humans, Vol. 44: 1–416.

    Google Scholar 

  4. Frezza M, Padova CD, Pozzato G, Terpin M, Baron AE, Lieber G. High blood alcohol levels in women. N Engl J Med 1990; 322: 95–9.

    Google Scholar 

  5. Klatsky AL, Armstrong MA, Friedman LA. The relations of alcoholic beverage use to colon and rectal cancer. Am J Epidemiol 1988; 5: 1007–15.

    Google Scholar 

  6. Potter JD, McMichael AJ. Diet and cancer of the colon and rectum: A case-control study. JNCI 1986; 76: 557–69.

    Google Scholar 

  7. Williams RR, Horm JW. Association of cancer sites with tobacco and alcohol consumption and socioeconomic status of patients: Interview study from the Third National Cancer Survey. JNCI 1977; 58: 525–47.

    Google Scholar 

  8. Willett WC, Sampson L, Browne ML, et al. The use of a self-administered questionnaire to assess diet four years in the past. Am J Epidemiol 1988; 127: 188–99.

    Google Scholar 

  9. Cutrufelli R, Matthews RH. Composition of Foods: Beverages, Raw, Processed, Prepared. Washington DC: US Dept of Agriculture, 1986; USDA Human Nutrition Information Service Agriculture Handbook No. 8–14.

    Google Scholar 

  10. Breslow NE, Enstrom JE. Geographic correlations between cancer mortality rates and alcohol-tobacco consumption in the United States. JNCI 1974; 53: 631–9.

    Google Scholar 

  11. Dorfman A, Kimball AW, Friedman LA. Regression modeling of consumption or exposure variables classified by type. Am J Epidemiol 1985; 122: 1096–107.

    Google Scholar 

  12. Kune S, Kune GA, Watson LF. Case-control study of alcoholic beverages as etiological factors: The Melbourne Colorectal Cancer Study. Nutr Cancer 1987; 9: 43–56.

    Google Scholar 

  13. Kabat GC, Howson CP, Wydner EL. Beer consumption and rectal cancer. Int J Epidemiol 1985; 15: 494–501.

    Google Scholar 

  14. Graham S, Dayal H, Swanson M, Mittelman A, Wilkinson G. Diet in the epidemiology of cancer of the colon and rectum. JNCI 1978; 61: 709–14.

    Google Scholar 

  15. Tuyns AJ, Pequignot G, Ginoux M, Valla A. Cancers of the digestive tract, alcohol and tobacco. Int J Cancer 1982; 30: 9–11.

    Google Scholar 

  16. Wynder EL, Shigematsu T. Environmental factors of cancer of the colon and rectum. Cancer 1967; 20: 1520–61.

    Google Scholar 

  17. Miller AB, Howe GR, Jain M, Craib KJ, Harrison L. Food items and food groups as risk factors in a case-control study of diet and colorectal cancer. Int J Cancer 1983; 32: 155–61.

    Google Scholar 

  18. Riboli E, Cornee J, Macquart-Moulin G, Kaaks R, Cassagrande C, Guyader M. Cancer and polyp of the colorectum and lifetime consumption of beer and other alcoholic beverages. Am J Epidemiol 1991; 133: 157–66.

    Google Scholar 

  19. Wu AH, Paganini-Hill A, Ross RK, Henderson BE. Alcohol, physical activity and other risk factors for colorectal cancer: A prospective study. Br J Cancer 1987; 55: 687–94.

    Google Scholar 

  20. Hu J, Liu Y, Yu Y, Zhao T, Liu S, Wang Q. Diet and cancer of the colon and rectum. Int J Epidemiol 1991; 20: 362–7.

    Google Scholar 

  21. Freudenheim J, Graham S, Marshall J, Haughey B, Wilkinson G. Lifetime alcohol intake and risk of rectal cancer in western New York. Nutr Cancer 1990; 13: 101–9.

    Google Scholar 

  22. Bjelke E. Case-control study of cancer of the stomach, colon and rectum. Oncology 1970: Proceedings of the Tenth International Congress 1970; 5: 320–34.

    Google Scholar 

  23. Manoussos O, Day NE, Trichopoulos D, Gerovassolos F, Tzonou A, Polychronopoulou A. Diet and colorectal cancer: a case study in Greece. Int J Cancer 1983; 32: 1–5.

    Google Scholar 

  24. Martinez I, Torres R, Frias Z, Colon JR, Fernandez N, Factors associates with adenocarcinomas of the large bowel in Puerto Rico. Adv Med Onc Res Educ 1982; 3: 45–52.

    Google Scholar 

  25. Pickle LW, Greene MH, Ziegler RG, et al. Colorectal cancer in rural Nebraska. Cancer Res 1984; 44: 363–9.

    Google Scholar 

  26. Macquart-Moulin G, Riboli E, Cornee J, Charney B, Berthezene P, Day N. Case-control study of colorectal cancer and diet in Marseilles. Int J Cancer 1986; 38: 183–91.

    Google Scholar 

  27. LaVecchia C, Negri E, Decarli A. A case-control study of diet and colo-rectal cancer in northern Italy. Int J Cancer 1988; 41: 492–8.

    Google Scholar 

  28. Slattery ML, West DW, Robison LM, et al. Tobacco, alcohol, coffee and caffeine as risk factors in colon cancer in a low risk population. Epidemiol 1990; 1: 141–5.

    Google Scholar 

  29. Holden C. Alcoholism and the medical cost crunch, Science 1987; 235: 1132–3.

    Google Scholar 

  30. Kimball AW, Friedman LA. Alcohol consumption regression models for distinguishing between beverage type effects and beverage preference effects. Am J Epidemiol 1992; 135: 1279–86.

    Google Scholar 

  31. Dwyer JT, Gardner J, Halvorsen K. Memory of food intake in the distant past. Am J Epidemiol 1989; 130: 1033–46.

    Google Scholar 

  32. VanStaveren WA, West CE, Hoffmans MDAF, Box P, Kardinaal AFM. Comparison of contemporaneous and retrospective estimates of food consumption made by a dietary history method. Am J Epidemiol 1986; 123: 884–93.

    Google Scholar 

  33. Thompson FE, Lamphiear DE, Metzner HL, Hawthorne VM. Reproducibility of reports of frequency of food use in the Tecumseh diet methodology study. Am J Epidemiol 1987; 125: 658–71.

    Google Scholar 

  34. Simpura J, Poikolainen K. Accuracy of retrospective measurement of individual alcohol consumption in men; a reinterview after 18 years. J Stud Alcohol 1983; 44: 911–7.

    Google Scholar 

  35. Midanik L. Validity of self reported alcohol use: A literature review and assessment. Br J Addict 1988; 83: 1019–29.

    Google Scholar 

  36. Clark WB, Midanik L, eds. Alcohol use and alcohol problems among US adults: Results of the 1979 national survey. In: Alcohol Consumption and Related Problems, Alcohol and Health. Washington, DC: USGPO, 1982; DHHS Pub. (ADM) No. 82–1190.

  37. Longnecker MP, Newcomb PA, Mittendorf RM, et al. The reproducibility of alcohol consumption in the remote past in women from Massachusetts and Wisconsin. Epidemiol 1992; 3: 535–9.

    Google Scholar 

  38. Nestel PJ, Simons LA, Homma Y. Effects of ethanol on bile acid and cholesterol metabolism. Am J Clin Nutr 1976; 29: 1007–15.

    Google Scholar 

  39. Reickman ME, Judd JT, Longcope C, et al. Alcohol consumption and hormone levels in a controlled diet study of premenopausal women. Am J Epidemiol 1991; 134: 715.

    Google Scholar 

  40. McMichael AJ, Potter JP. Reproduction, endogenous sex hormones and colon cancer: A review and hypothesis. JNCI 1980; 65: 1201–7.

    Google Scholar 

  41. Swan PF, Coe AM, Mace R. Ethanol and dimethylnitrosamine metabolism and disposition in the rat. Possible relevance to the influence of ethanol on human cancer incidence. Carcinogenesis 1984; 5: 1337–43.

    Google Scholar 

  42. Seitz HK, Simanowski VA. Alcohol and carcinogenesis. Ann Rev Nutr 1988; 8: 99–119.

    Google Scholar 

  43. Choi BCK. N-Nitroso compounds and human cancer, a molecular epidemiologic approach. Am J Epidemiol 1985; 121: 737–43.

    Google Scholar 

  44. Schoental R. Relationships of fusarium mycotoxins to disorders and tumors associated with alcoholic drinks. Nutr Cancer 1980; 2: 88–92.

    Google Scholar 

  45. Simanowski UA, Seitz HK, Baier B, Krommerell B, Schmidt-Gayk H. Chronic ethanol consumption selectively stimulates rectal cell proliferation in the rat. Gut 1986; 27: 278–82.

    Google Scholar 

  46. Lieber CS, Garro A, Leo MA. Alcohol and cancer. Hepatology 1986; 6: 1005–19.

    Google Scholar 

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Authors are with the University of Wisconsin-Madison Comprehensive Cancer Canter, Madison, WI, USA. Address correspondence to Dr Newcomb, University of Wisconsin-Madison Comprehensive Cancer Center, 1300 University Avenue 4780, Madison, WI 53706, USA. Supported in part by the Alcoholic Beverage Medical Research Foundation and American Cancer Society Grant Number SIG-15. An earlier version of this paper was presented to the 24th Annual Meeting of the Society for Epidemiologic Research, Buffalo, New York, June 1991, and the 10th Anniversary of the Alcoholic Beverage Medical Research Foundation, Baltimore, MD, April 1992.

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Newcomb, P.A., Storer, B.E. & Marcus, P.M. Cancer of the large bowel in women in relation to alcohol consumption: a case-control study in Wisconsin (United States). Cancer Causes Control 4, 405–411 (1993). https://doi.org/10.1007/BF00050858

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