Maher, R. and Lee, A.J. and Warnakulasuriya, K. and Lewis, J.A. and Johnson, N.W. (1994) Role of areca nut in the causation of oral submucous fibrosis - a case-control study in Pakistan. Journal of Oral Pathology & Medicine, 23 (2). pp. 65-69. ISSN 0904-2512.
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A case-control study on chewing and smoking habits and oral submucous fibrosis (OSF) was undertaken in Karachi in 1989/90. Cases were patients detected with fibrous bands and leathery mucosa and hospital-based controls were matched by age and sex. Information on habits was collected by personal interview of 157 cases and 157 controls. Despite overall female preponderance, a substantial number of young men were enlisted. The male/female risks were found to be similar. Immigrants from India to Pakistan (Mohajir) had a similar risk status to local Punjabis. No differences between risks were found when comparing the three age categories, 21, 21-40, 41-60 yr. Among the cases, an increased risk was observed for areca nut chewing. This habit when practised alone appeared to have the highest risk (RR 154), followed by pan with or without tobacco (RR 64, 32 respectively). Logistic regression and discriminant analysis showed that daily consumption rates appeared to be more important with respect to risk than lifetime duration of habit. Tobacco habits were more prevalent amongst those 15 cases who presented with concurrent carcinoma and OSF: We conclude that areca nut chewing has a causal relationship with OSF: additional tobacco insult may be necessary for subsequent carcinoma development.
|Uncontrolled keywords:||areca nut; case-control; epidemiology; mouth mucosa; oral cancer; precancer, oral; smokeless tobacco; submucous fibrosis, oral|
|Divisions:||Faculties > Science Technology and Medical Studies > Kent Institute of Medicine and Health Sciences (KIMHS)|
|Depositing User:||O.O. Odanye|
|Date Deposited:||07 Jul 2009 20:58|
|Last Modified:||17 Jul 2012 15:01|
|Resource URI:||http://kar.kent.ac.uk/id/eprint/19871 (The current URI for this page, for reference purposes)|
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