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Tobacco and Public Health - TCSC Indonesia

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412<br />

TOBACCO USE AND RISK OF ORAL CANCER<br />

Among females, while the numbers of smokers is small, the same trends as were seen<br />

among males are evident. An OR of 2.1 (95% CI 1.1–4.2) for male cigarette smokers<br />

was also reported from a case–control study in India by N<strong>and</strong>akumar et al. (1990). The<br />

ORs were 2.2 (95% CI 1.1–4.3) for those who smoked for more than 25 years, <strong>and</strong> 2.1<br />

(95% CI 1.0–4.4) for those who smoked more than 20 cigarettes per day. A small study<br />

from the United States by Kabat et al. (1989) also reported an alcohol-adjusted OR of<br />

2.0 (95% CI 1.0–4.0) for current smokers. Being an ex-smoker was not found to be<br />

associated with an increased risk in this study (OR = 1.0, 95% CI 0.5–2.1).<br />

Using the data from the northern Italy study, Talamini et al. (1990) further examined<br />

the role of tobacco in non-drinkers for oral <strong>and</strong> pharyngeal cancer. They found that,<br />

among non-drinkers, ex-smokers had a risk four times that of never smokers (OR = 4.1,<br />

95% CI 0.5–93.6). For current smokers, ORs for smokers of

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