Evidence map›Paper›PMID 33622804›Full record

ArticleJournal of epidemiology and community health2021

Occupational socioeconomic risk associations for head and neck cancer in Europe and South America: individual participant data analysis of pooled case-control studies within the INHANCE Consortium.

David I Conway, Jan Hovanec, Wolfgang Ahrens, Alastair Ross, Ivana Holcatova, Pagona Lagiou, Diego Serraino, Cristina Canova, Lorenzo Richiardi, Claire Healy and 23 more

Abstract read
In one paragraph

Article in Journal of epidemiology and community health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Machine Learning in Clinical Diagnosis of Head and Neck Cancer.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2025
    Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Occupational Etiology of Oropharyngeal Cancer: A Literature Review.International journal of environmental research and public health · 2023
    Review
  9. Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors.

David I ConwaySchool of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK David.Conway@glasgow.ac.uk.ORCID 0000-0001-7762-4063
Jan HovanecInstitute for Prevention and Occupational Medicine of the German Social Accident Insurance (IPA), Ruhr University Bochum, Bochum, Nordrhein-Westfalen, Germany.ORCID 0000-0003-1811-1465
Wolfgang AhrensLeibniz Institute for Prevention Research and Epidemiology, Bremen, Germany.ORCID 0000-0003-3777-570X
Alastair RossSchool of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.ORCID 0000-0003-2952-3182
Ivana HolcatovaInstitute of Hygiene and Epidemiology, Charles University First Faculty of Medicine, Praha, Czech Republic.ORCID 0000-0002-1366-0337
Pagona LagiouSchool of Medicine, National and Kapodistrian University of Athens, Athens, Attica, Greece.
Diego SerrainoOncology Reference Center, Aviano, Friuli-Venezia Giulia, Italy.ORCID 0000-0003-0565-8920
Cristina CanovaDepartment of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Padova, Veneto, Italy.ORCID 0000-0001-7027-7935
Lorenzo RichiardiDepartment of Medical Sciences, University of Turin, Torino, Piemonte, Italy.ORCID 0000-0003-0316-9402
Claire HealySchool of Dental Science, Trinity College Dublin, Dublin, Ireland.ORCID 0000-0001-7940-4611
Kristina KjaerheimCancer Registry of Norway, Oslo, Norway.ORCID 0000-0003-0691-3735
Gary J MacfarlaneEpidemiology Group, University of Aberdeen, Aberdeen, UK.ORCID 0000-0003-2322-3314
Peter ThomsonFaculty of Dentistry, University of Hong Kong, Hong Kong, Hong Kong.ORCID 0000-0002-2007-7975
Antonio AgudoUnit of Nutrition and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology, Hospitalet de Llobregat, Catalunya, Spain.ORCID 0000-0001-9900-5677
Ariana ZnaorInternational Agency for Research on Cancer, Lyon, Rhône-Alpes, France.ORCID 0000-0002-0518-8714
Paul BrennanInternational Agency for Research on Cancer, Lyon, Rhône-Alpes, France.
Danièle LuceUniversity of Rennes 1-Health Sciences Campus Villejean, Rennes, Bretagne, France.ORCID 0000-0002-1708-4584
Gwenn MenvielleSorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris, France.ORCID 0000-0002-3261-6366
Isabelle StuckerParis-Sud University, Saint-Aubin, Île-de-France, France.
Simone BenhamouGustave-Roussy Institute, Villejuif, Île-de-France, France.ORCID 0000-0001-5853-8047
Heribert RamrothInstitute of Public Health, University of Heidelberg, Heidelberg, Baden-Württemberg, Germany.ORCID 0000-0001-5958-1717
Paolo BoffettaThe Tisch Cancer Institute and Institute for Translational Epidemiology, Mount Sinai School of Medicine, New York, New York, USA.ORCID 0000-0002-3811-2791
Marta VilenskyInstitute of Oncology Angel H Roffo, University of Buenos Aires, Buenos Aires, Argentina.
Leticia FernandezNational Institute of Oncology and Radiobiology, La Habana, Cuba.
Maria Paula CuradoEpidemiology, AC Camargo Cancer Center International Research Center, Sao Paulo, Brazil.ORCID 0000-0001-8172-2483
Ana MenezesFederal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.ORCID 0000-0002-2996-9427
Alexander DaudtHospital de Clinicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.
Rosalina KoifmanFundacao Oswaldo Cruz, National School of Public Health, Rio de Janeiro, Brazil.ORCID 0000-0002-2746-7597
Victor Wunsch-FilhoUniversity of Sao Paulo, Sao Paulo, Brazil.
Amy Lee Yuan-ChinDivision of Public Health, Department of Family and Preventive Medicine and Huntsman Cancer Institute, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Mia HashibeDivision of Public Health, Department of Family and Preventive Medicine, Huntsman Cancer Institute, Salt Lake City, Utah, USA.
Thomas BehrensInstitute for Prevention and Occupational Medicine of the German Social Accident Insurance (IPA), Ruhr University Bochum, Bochum, Nordrhein-Westfalen, Germany.ORCID 0000-0002-4583-5234
Alex D McMahonSchool of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.ORCID 0000-0002-9425-7792

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
Pooled Analyses of SNPs and Risk of Head &Neck CancerR03DE016611 · NIDCR · INTERNATIONAL AGENCY FOR RES ON CANCER · PI HASHIBE, MIA · 2005 to 2006
$223k
International Head and Neck Cancer ConsortiumR03CA113157 · NCI · INTERNATIONAL AGENCY FOR RES ON CANCER · PI HASHIBE, MIA · 2004 to 2005
$118k
NCI NIH HHS R03 CA113157NIDCR NIH HHS R03 DE016611NIEHS NIH HHS P30 ES010126World Health Organization 001
6 · The paper itself

Abstract

backgroundThe association between socioeconomic disadvantage (low education and/or income) and head and neck cancer is well established, with smoking and alcohol consumption explaining up to three-quarters of the risk. We aimed to investigate the nature of and explanations for head and neck cancer risk associated with occupational socioeconomic prestige (a perceptual measure of psychosocial status), occupational socioeconomic position and manual-work experience, and to assess the potential explanatory role of occupational exposures.

methodsPooled analysis included 5818 patients with head and neck cancer (and 7326 control participants) from five studies in Europe and South America. Lifetime job histories were coded to: (1) occupational social prestige-Treiman's Standard International Occupational Prestige Scale (SIOPS); (2) occupational socioeconomic position-International Socio-Economic Index (ISEI); and (3) manual/non-manual jobs.

resultsFor the longest held job, adjusting for smoking, alcohol and nature of occupation, increased head and neck cancer risk estimates were observed for low SIOPS OR=1.88 (95% CI: 1.64 to 2.17), low ISEI OR=1.74 (95% CI: 1.51 to 1.99) and manual occupations OR=1.49 (95% CI: 1.35 to 1.64). Following mutual adjustment by socioeconomic exposures, risk associated with low SIOPS remained OR=1.59 (95% CI: 1.30 to 1.94).

conclusionsThese findings indicate that low occupational socioeconomic prestige, position and manual work are associated with head and neck cancer, and such risks are only partly explained by smoking, alcohol and occupational exposures. Perceptual occupational psychosocial status (SIOPS) appears to be the strongest socioeconomic factor, relative to socioeconomic position and manual/non-manual work.

Indexed as

Data AnalysisHead and Neck NeoplasmsCase-Control StudiesEuropeHumansRisk FactorsSocioeconomic FactorsSouth Americacancer epidemiologycancer: occupationalsocioeconomic

Identifiers

PMID33622804
PMCPMC8292575

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