Marijuana Smoking and the Risk of Head and Neck Cancer: Pooled Analysis in the INHANCE Consortium
Background: Marijuana contains carcinogens similar to tobacco smoke and has been suggested by relatively small studies to increase the risk of head and neck cancer (HNC). Because tobacco is a major risk factor for HNC, large studies with substantial numbers of never tobacco users could help to clari...
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creator | BERTHILLER, Julien LEE, Yuan-Chin Amy CHU CHEN SCHWARTZ, Stephen M ELUF NETO, José WÜNSCH FILHO, Victor KOIFMAN, Sergio CURADO, Maria Paula MATOS, Elena FEMANDEZ, Leticia MENEZES, Ana DAUDT, Alexander W BOFFETTA, Paolo FERRO, Gilles BRENNAN, Paul HASHIBE, Mia QINGYI WEI STURGIS, Erich M GREENLAND, Sander MORGENSTERN, Hal ZHANG, Zuo-Feng LAZARUS, Philip MUSCAT, Joshua |
description | Background: Marijuana contains carcinogens similar to tobacco smoke and has been suggested by relatively small studies to
increase the risk of head and neck cancer (HNC). Because tobacco is a major risk factor for HNC, large studies with substantial
numbers of never tobacco users could help to clarify whether marijuana smoking is independently associated with HNC risk.
Methods: We pooled self-reported interview data on marijuana smoking and known HNC risk factors on 4,029 HNC cases and 5,015
controls from five case-control studies within the INHANCE Consortium. Subanalyses were conducted among never tobacco users
(493 cases and 1,813 controls) and among individuals who did not consume alcohol or smoke tobacco (237 cases and 887 controls).
Results: The risk of HNC was not elevated by ever marijuana smoking [odds ratio (OR), 0.88; 95% confidence intervals (95%
CI), 0.67-1.16], and there was no increasing risk associated with increasing frequency, duration, or cumulative consumption
of marijuana smoking. An increased risk of HNC associated with marijuana use was not detected among never tobacco users (OR,
0.93; 95% CI, 0.63-1.37; three studies) nor among individuals who did not drink alcohol and smoke tobacco (OR, 1.06; 95% CI,
0.47-2.38; two studies).
Conclusion: Our results are consistent with the notion that infrequent marijuana smoking does not confer a risk of these malignancies.
Nonetheless, because the prevalence of frequent marijuana smoking was low in most of the contributing studies, we could not
rule out a moderately increased risk, particularly among subgroups without exposure to tobacco and alcohol. (Cancer Epidemiol
Biomarkers Prev 2009;18(5):1544–51) |
doi_str_mv | 10.1158/1055-9965.EPI-08-0845 |
format | Article |
fullrecord | <record><control><sourceid>pubmed_cross</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3046921</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>19423532</sourcerecordid><originalsourceid>FETCH-LOGICAL-c472t-97bd5fa5c92e91ff35c924bc5157ef23e2caccccc709123137532e3406477bed3</originalsourceid><addsrcrecordid>eNpVkF1r2zAUhsVYWbtuP2FDN4PeuNXXsaxdDILJlkCbln1cC0WWYzWOXKRko_9-cpJ2qxDoID3vOeJB6AMll5RCdUUJQKFUCZfTu3lBqrwFvEJnFHhVSAnwOtdPzCl6m9I9IUQqgDfolCrBOHB2hsyNif5-Z4LBPzbD2ocVNqHB287h7z6t8dDimTPN_nLh7BrXJlgXP-O7YehdgyfB9I_JJ-zDPjRfzCaLeorrIaQhbv1u8w6dtKZP7v3xPEe_vk5_1rPi-vbbvJ5cF1ZIti2UXDbQGrCKOUXblo-VWFqgIF3LuGPW2HFJoijjlMv8f8cFKYWUS9fwc_Tl0Pdht9y4xrqwjabXD9FvTHzUg_H65UvwnV4NvzUnolSM5gZwaGDjkFJ07XOWEj0616NPPfrU2bkmlR6d59zH_wf_Sx0lZ-DTETDJmr6NWaFPzxyjZSlBqcxdHLjOr7o_Pjpt97KjS85E22laadAUhOB_AcPpmJg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Marijuana Smoking and the Risk of Head and Neck Cancer: Pooled Analysis in the INHANCE Consortium</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>American Association for Cancer Research</source><creator>BERTHILLER, Julien ; LEE, Yuan-Chin Amy ; CHU CHEN ; SCHWARTZ, Stephen M ; ELUF NETO, José ; WÜNSCH FILHO, Victor ; KOIFMAN, Sergio ; CURADO, Maria Paula ; MATOS, Elena ; FEMANDEZ, Leticia ; MENEZES, Ana ; DAUDT, Alexander W ; BOFFETTA, Paolo ; FERRO, Gilles ; BRENNAN, Paul ; HASHIBE, Mia ; QINGYI WEI ; STURGIS, Erich M ; GREENLAND, Sander ; MORGENSTERN, Hal ; ZHANG, Zuo-Feng ; LAZARUS, Philip ; MUSCAT, Joshua</creator><creatorcontrib>BERTHILLER, Julien ; LEE, Yuan-Chin Amy ; CHU CHEN ; SCHWARTZ, Stephen M ; ELUF NETO, José ; WÜNSCH FILHO, Victor ; KOIFMAN, Sergio ; CURADO, Maria Paula ; MATOS, Elena ; FEMANDEZ, Leticia ; MENEZES, Ana ; DAUDT, Alexander W ; BOFFETTA, Paolo ; FERRO, Gilles ; BRENNAN, Paul ; HASHIBE, Mia ; QINGYI WEI ; STURGIS, Erich M ; GREENLAND, Sander ; MORGENSTERN, Hal ; ZHANG, Zuo-Feng ; LAZARUS, Philip ; MUSCAT, Joshua</creatorcontrib><description>Background: Marijuana contains carcinogens similar to tobacco smoke and has been suggested by relatively small studies to
increase the risk of head and neck cancer (HNC). Because tobacco is a major risk factor for HNC, large studies with substantial
numbers of never tobacco users could help to clarify whether marijuana smoking is independently associated with HNC risk.
Methods: We pooled self-reported interview data on marijuana smoking and known HNC risk factors on 4,029 HNC cases and 5,015
controls from five case-control studies within the INHANCE Consortium. Subanalyses were conducted among never tobacco users
(493 cases and 1,813 controls) and among individuals who did not consume alcohol or smoke tobacco (237 cases and 887 controls).
Results: The risk of HNC was not elevated by ever marijuana smoking [odds ratio (OR), 0.88; 95% confidence intervals (95%
CI), 0.67-1.16], and there was no increasing risk associated with increasing frequency, duration, or cumulative consumption
of marijuana smoking. An increased risk of HNC associated with marijuana use was not detected among never tobacco users (OR,
0.93; 95% CI, 0.63-1.37; three studies) nor among individuals who did not drink alcohol and smoke tobacco (OR, 1.06; 95% CI,
0.47-2.38; two studies).
Conclusion: Our results are consistent with the notion that infrequent marijuana smoking does not confer a risk of these malignancies.
Nonetheless, because the prevalence of frequent marijuana smoking was low in most of the contributing studies, we could not
rule out a moderately increased risk, particularly among subgroups without exposure to tobacco and alcohol. (Cancer Epidemiol
Biomarkers Prev 2009;18(5):1544–51)</description><identifier>ISSN: 1055-9965</identifier><identifier>EISSN: 1538-7755</identifier><identifier>DOI: 10.1158/1055-9965.EPI-08-0845</identifier><identifier>PMID: 19423532</identifier><identifier>CODEN: CEBPE4</identifier><language>eng</language><publisher>Philadelphia, PA: American Association for Cancer Research</publisher><subject>Adult ; Biological and medical sciences ; Case-Control Studies ; Chi-Square Distribution ; Female ; head and neck cancer ; Head and Neck Neoplasms - epidemiology ; Humans ; Interviews as Topic ; Latin America - epidemiology ; Logistic Models ; Male ; marijuana ; Marijuana Smoking - adverse effects ; Marijuana Smoking - epidemiology ; Medical sciences ; Middle Aged ; pooled analysis ; Risk Factors ; Smoking - adverse effects ; Smoking - epidemiology ; Tobacco, tobacco smoking ; Toxicology ; Tumors ; United States - epidemiology</subject><ispartof>Cancer epidemiology, biomarkers & prevention, 2009-05, Vol.18 (5), p.1544-1551</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c472t-97bd5fa5c92e91ff35c924bc5157ef23e2caccccc709123137532e3406477bed3</citedby><cites>FETCH-LOGICAL-c472t-97bd5fa5c92e91ff35c924bc5157ef23e2caccccc709123137532e3406477bed3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,781,785,886,3357,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21667599$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19423532$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BERTHILLER, Julien</creatorcontrib><creatorcontrib>LEE, Yuan-Chin Amy</creatorcontrib><creatorcontrib>CHU CHEN</creatorcontrib><creatorcontrib>SCHWARTZ, Stephen M</creatorcontrib><creatorcontrib>ELUF NETO, José</creatorcontrib><creatorcontrib>WÜNSCH FILHO, Victor</creatorcontrib><creatorcontrib>KOIFMAN, Sergio</creatorcontrib><creatorcontrib>CURADO, Maria Paula</creatorcontrib><creatorcontrib>MATOS, Elena</creatorcontrib><creatorcontrib>FEMANDEZ, Leticia</creatorcontrib><creatorcontrib>MENEZES, Ana</creatorcontrib><creatorcontrib>DAUDT, Alexander W</creatorcontrib><creatorcontrib>BOFFETTA, Paolo</creatorcontrib><creatorcontrib>FERRO, Gilles</creatorcontrib><creatorcontrib>BRENNAN, Paul</creatorcontrib><creatorcontrib>HASHIBE, Mia</creatorcontrib><creatorcontrib>QINGYI WEI</creatorcontrib><creatorcontrib>STURGIS, Erich M</creatorcontrib><creatorcontrib>GREENLAND, Sander</creatorcontrib><creatorcontrib>MORGENSTERN, Hal</creatorcontrib><creatorcontrib>ZHANG, Zuo-Feng</creatorcontrib><creatorcontrib>LAZARUS, Philip</creatorcontrib><creatorcontrib>MUSCAT, Joshua</creatorcontrib><title>Marijuana Smoking and the Risk of Head and Neck Cancer: Pooled Analysis in the INHANCE Consortium</title><title>Cancer epidemiology, biomarkers & prevention</title><addtitle>Cancer Epidemiol Biomarkers Prev</addtitle><description>Background: Marijuana contains carcinogens similar to tobacco smoke and has been suggested by relatively small studies to
increase the risk of head and neck cancer (HNC). Because tobacco is a major risk factor for HNC, large studies with substantial
numbers of never tobacco users could help to clarify whether marijuana smoking is independently associated with HNC risk.
Methods: We pooled self-reported interview data on marijuana smoking and known HNC risk factors on 4,029 HNC cases and 5,015
controls from five case-control studies within the INHANCE Consortium. Subanalyses were conducted among never tobacco users
(493 cases and 1,813 controls) and among individuals who did not consume alcohol or smoke tobacco (237 cases and 887 controls).
Results: The risk of HNC was not elevated by ever marijuana smoking [odds ratio (OR), 0.88; 95% confidence intervals (95%
CI), 0.67-1.16], and there was no increasing risk associated with increasing frequency, duration, or cumulative consumption
of marijuana smoking. An increased risk of HNC associated with marijuana use was not detected among never tobacco users (OR,
0.93; 95% CI, 0.63-1.37; three studies) nor among individuals who did not drink alcohol and smoke tobacco (OR, 1.06; 95% CI,
0.47-2.38; two studies).
Conclusion: Our results are consistent with the notion that infrequent marijuana smoking does not confer a risk of these malignancies.
Nonetheless, because the prevalence of frequent marijuana smoking was low in most of the contributing studies, we could not
rule out a moderately increased risk, particularly among subgroups without exposure to tobacco and alcohol. (Cancer Epidemiol
Biomarkers Prev 2009;18(5):1544–51)</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Chi-Square Distribution</subject><subject>Female</subject><subject>head and neck cancer</subject><subject>Head and Neck Neoplasms - epidemiology</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Latin America - epidemiology</subject><subject>Logistic Models</subject><subject>Male</subject><subject>marijuana</subject><subject>Marijuana Smoking - adverse effects</subject><subject>Marijuana Smoking - epidemiology</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>pooled analysis</subject><subject>Risk Factors</subject><subject>Smoking - adverse effects</subject><subject>Smoking - epidemiology</subject><subject>Tobacco, tobacco smoking</subject><subject>Toxicology</subject><subject>Tumors</subject><subject>United States - epidemiology</subject><issn>1055-9965</issn><issn>1538-7755</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkF1r2zAUhsVYWbtuP2FDN4PeuNXXsaxdDILJlkCbln1cC0WWYzWOXKRko_9-cpJ2qxDoID3vOeJB6AMll5RCdUUJQKFUCZfTu3lBqrwFvEJnFHhVSAnwOtdPzCl6m9I9IUQqgDfolCrBOHB2hsyNif5-Z4LBPzbD2ocVNqHB287h7z6t8dDimTPN_nLh7BrXJlgXP-O7YehdgyfB9I_JJ-zDPjRfzCaLeorrIaQhbv1u8w6dtKZP7v3xPEe_vk5_1rPi-vbbvJ5cF1ZIti2UXDbQGrCKOUXblo-VWFqgIF3LuGPW2HFJoijjlMv8f8cFKYWUS9fwc_Tl0Pdht9y4xrqwjabXD9FvTHzUg_H65UvwnV4NvzUnolSM5gZwaGDjkFJ07XOWEj0616NPPfrU2bkmlR6d59zH_wf_Sx0lZ-DTETDJmr6NWaFPzxyjZSlBqcxdHLjOr7o_Pjpt97KjS85E22laadAUhOB_AcPpmJg</recordid><startdate>20090501</startdate><enddate>20090501</enddate><creator>BERTHILLER, Julien</creator><creator>LEE, Yuan-Chin Amy</creator><creator>CHU CHEN</creator><creator>SCHWARTZ, Stephen M</creator><creator>ELUF NETO, José</creator><creator>WÜNSCH FILHO, Victor</creator><creator>KOIFMAN, Sergio</creator><creator>CURADO, Maria Paula</creator><creator>MATOS, Elena</creator><creator>FEMANDEZ, Leticia</creator><creator>MENEZES, Ana</creator><creator>DAUDT, Alexander W</creator><creator>BOFFETTA, Paolo</creator><creator>FERRO, Gilles</creator><creator>BRENNAN, Paul</creator><creator>HASHIBE, Mia</creator><creator>QINGYI WEI</creator><creator>STURGIS, Erich M</creator><creator>GREENLAND, Sander</creator><creator>MORGENSTERN, Hal</creator><creator>ZHANG, Zuo-Feng</creator><creator>LAZARUS, Philip</creator><creator>MUSCAT, Joshua</creator><general>American Association for Cancer Research</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20090501</creationdate><title>Marijuana Smoking and the Risk of Head and Neck Cancer: Pooled Analysis in the INHANCE Consortium</title><author>BERTHILLER, Julien ; LEE, Yuan-Chin Amy ; CHU CHEN ; SCHWARTZ, Stephen M ; ELUF NETO, José ; WÜNSCH FILHO, Victor ; KOIFMAN, Sergio ; CURADO, Maria Paula ; MATOS, Elena ; FEMANDEZ, Leticia ; MENEZES, Ana ; DAUDT, Alexander W ; BOFFETTA, Paolo ; FERRO, Gilles ; BRENNAN, Paul ; HASHIBE, Mia ; QINGYI WEI ; STURGIS, Erich M ; GREENLAND, Sander ; MORGENSTERN, Hal ; ZHANG, Zuo-Feng ; LAZARUS, Philip ; MUSCAT, Joshua</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c472t-97bd5fa5c92e91ff35c924bc5157ef23e2caccccc709123137532e3406477bed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Chi-Square Distribution</topic><topic>Female</topic><topic>head and neck cancer</topic><topic>Head and Neck Neoplasms - epidemiology</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Latin America - epidemiology</topic><topic>Logistic Models</topic><topic>Male</topic><topic>marijuana</topic><topic>Marijuana Smoking - adverse effects</topic><topic>Marijuana Smoking - epidemiology</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>pooled analysis</topic><topic>Risk Factors</topic><topic>Smoking - adverse effects</topic><topic>Smoking - epidemiology</topic><topic>Tobacco, tobacco smoking</topic><topic>Toxicology</topic><topic>Tumors</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BERTHILLER, Julien</creatorcontrib><creatorcontrib>LEE, Yuan-Chin Amy</creatorcontrib><creatorcontrib>CHU CHEN</creatorcontrib><creatorcontrib>SCHWARTZ, Stephen M</creatorcontrib><creatorcontrib>ELUF NETO, José</creatorcontrib><creatorcontrib>WÜNSCH FILHO, Victor</creatorcontrib><creatorcontrib>KOIFMAN, Sergio</creatorcontrib><creatorcontrib>CURADO, Maria Paula</creatorcontrib><creatorcontrib>MATOS, Elena</creatorcontrib><creatorcontrib>FEMANDEZ, Leticia</creatorcontrib><creatorcontrib>MENEZES, Ana</creatorcontrib><creatorcontrib>DAUDT, Alexander W</creatorcontrib><creatorcontrib>BOFFETTA, Paolo</creatorcontrib><creatorcontrib>FERRO, Gilles</creatorcontrib><creatorcontrib>BRENNAN, Paul</creatorcontrib><creatorcontrib>HASHIBE, Mia</creatorcontrib><creatorcontrib>QINGYI WEI</creatorcontrib><creatorcontrib>STURGIS, Erich M</creatorcontrib><creatorcontrib>GREENLAND, Sander</creatorcontrib><creatorcontrib>MORGENSTERN, Hal</creatorcontrib><creatorcontrib>ZHANG, Zuo-Feng</creatorcontrib><creatorcontrib>LAZARUS, Philip</creatorcontrib><creatorcontrib>MUSCAT, Joshua</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer epidemiology, biomarkers & prevention</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BERTHILLER, Julien</au><au>LEE, Yuan-Chin Amy</au><au>CHU CHEN</au><au>SCHWARTZ, Stephen M</au><au>ELUF NETO, José</au><au>WÜNSCH FILHO, Victor</au><au>KOIFMAN, Sergio</au><au>CURADO, Maria Paula</au><au>MATOS, Elena</au><au>FEMANDEZ, Leticia</au><au>MENEZES, Ana</au><au>DAUDT, Alexander W</au><au>BOFFETTA, Paolo</au><au>FERRO, Gilles</au><au>BRENNAN, Paul</au><au>HASHIBE, Mia</au><au>QINGYI WEI</au><au>STURGIS, Erich M</au><au>GREENLAND, Sander</au><au>MORGENSTERN, Hal</au><au>ZHANG, Zuo-Feng</au><au>LAZARUS, Philip</au><au>MUSCAT, Joshua</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Marijuana Smoking and the Risk of Head and Neck Cancer: Pooled Analysis in the INHANCE Consortium</atitle><jtitle>Cancer epidemiology, biomarkers & prevention</jtitle><addtitle>Cancer Epidemiol Biomarkers Prev</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>18</volume><issue>5</issue><spage>1544</spage><epage>1551</epage><pages>1544-1551</pages><issn>1055-9965</issn><eissn>1538-7755</eissn><coden>CEBPE4</coden><abstract>Background: Marijuana contains carcinogens similar to tobacco smoke and has been suggested by relatively small studies to
increase the risk of head and neck cancer (HNC). Because tobacco is a major risk factor for HNC, large studies with substantial
numbers of never tobacco users could help to clarify whether marijuana smoking is independently associated with HNC risk.
Methods: We pooled self-reported interview data on marijuana smoking and known HNC risk factors on 4,029 HNC cases and 5,015
controls from five case-control studies within the INHANCE Consortium. Subanalyses were conducted among never tobacco users
(493 cases and 1,813 controls) and among individuals who did not consume alcohol or smoke tobacco (237 cases and 887 controls).
Results: The risk of HNC was not elevated by ever marijuana smoking [odds ratio (OR), 0.88; 95% confidence intervals (95%
CI), 0.67-1.16], and there was no increasing risk associated with increasing frequency, duration, or cumulative consumption
of marijuana smoking. An increased risk of HNC associated with marijuana use was not detected among never tobacco users (OR,
0.93; 95% CI, 0.63-1.37; three studies) nor among individuals who did not drink alcohol and smoke tobacco (OR, 1.06; 95% CI,
0.47-2.38; two studies).
Conclusion: Our results are consistent with the notion that infrequent marijuana smoking does not confer a risk of these malignancies.
Nonetheless, because the prevalence of frequent marijuana smoking was low in most of the contributing studies, we could not
rule out a moderately increased risk, particularly among subgroups without exposure to tobacco and alcohol. (Cancer Epidemiol
Biomarkers Prev 2009;18(5):1544–51)</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>19423532</pmid><doi>10.1158/1055-9965.EPI-08-0845</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; American Association for Cancer Research |
subjects | Adult Biological and medical sciences Case-Control Studies Chi-Square Distribution Female head and neck cancer Head and Neck Neoplasms - epidemiology Humans Interviews as Topic Latin America - epidemiology Logistic Models Male marijuana Marijuana Smoking - adverse effects Marijuana Smoking - epidemiology Medical sciences Middle Aged pooled analysis Risk Factors Smoking - adverse effects Smoking - epidemiology Tobacco, tobacco smoking Toxicology Tumors United States - epidemiology |
title | Marijuana Smoking and the Risk of Head and Neck Cancer: Pooled Analysis in the INHANCE Consortium |
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