Is opium use associated with an increased risk of lung cancer? A case-control study.


Journal

BMC cancer
ISSN: 1471-2407
Titre abrégé: BMC Cancer
Pays: England
ID NLM: 100967800

Informations de publication

Date de publication:
26 Aug 2020
Historique:
received: 21 09 2019
accepted: 12 08 2020
entrez: 27 8 2020
pubmed: 28 8 2020
medline: 7 4 2021
Statut: epublish

Résumé

In recent years, lung cancer (LC) incidence has increased in Iran. The use of opium and its derivatives (O&D) has increased as well. This study aimed to investigate the association between the use of O&D and LC incidence. In this case-control study conducted in Kerman, Iran; 140 patients with lung cancer and 280 healthy controls matched by age, sex, and place of residence were included. Data, including O&D use, cigarette smoking, alcohol use, and diet, were collected using a structured questionnaire. The relation between the use of O&D and LC was evaluated using conditional logistic regression adjusted for tobacco smoking, education, daily intake of fruit, vegetables, red meat, and hydrogenated fats. Opium ever-use was associated with an increased risk of LC (Adjusted Odds Ratio (AOR) =5.95, 95% CI: 1.87-18.92). Participants were divided into low and high use groups based on the median of opium use in the control group. A significant dose-response relation was observed between the amount of daily O&D use and LC; and the relation was stronger in high users (AOR The results of this study show that opium use is probably a dose related risk factor for lung cancer.

Sections du résumé

BACKGROUND BACKGROUND
In recent years, lung cancer (LC) incidence has increased in Iran. The use of opium and its derivatives (O&D) has increased as well. This study aimed to investigate the association between the use of O&D and LC incidence.
METHODS METHODS
In this case-control study conducted in Kerman, Iran; 140 patients with lung cancer and 280 healthy controls matched by age, sex, and place of residence were included. Data, including O&D use, cigarette smoking, alcohol use, and diet, were collected using a structured questionnaire. The relation between the use of O&D and LC was evaluated using conditional logistic regression adjusted for tobacco smoking, education, daily intake of fruit, vegetables, red meat, and hydrogenated fats.
RESULTS RESULTS
Opium ever-use was associated with an increased risk of LC (Adjusted Odds Ratio (AOR) =5.95, 95% CI: 1.87-18.92). Participants were divided into low and high use groups based on the median of opium use in the control group. A significant dose-response relation was observed between the amount of daily O&D use and LC; and the relation was stronger in high users (AOR
CONCLUSION CONCLUSIONS
The results of this study show that opium use is probably a dose related risk factor for lung cancer.

Identifiants

pubmed: 32842991
doi: 10.1186/s12885-020-07296-0
pii: 10.1186/s12885-020-07296-0
pmc: PMC7448970
doi:

Substances chimiques

Opium 8008-60-4

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

807

Subventions

Organisme : Kerman University of Medical Sciences
ID : 95000555

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Auteurs

Ahmad Naghibzadeh-Tahami (A)

Physiology Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Maryam Marzban (M)

The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran.

Vahid Yazdi-Feyzabadi (V)

Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Shahryar Dabiri (S)

Pathology and Stem Cell Research Center, Department of Pathology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.

Shokrollah Mohseni (S)

Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

Reza Abbasi Rayeni (R)

Endocrinology and Metabolism Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran.

Mitra Samareh Fekri (M)

Cardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran.

Mohammad Hasan Larizadeh (MH)

Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.

Behnaz Karimpour (B)

Social Determinants of Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Narges Khanjani (N)

Environmental Health Engineering Research Center, Kerman University of Medical Sciences, Kerman, Iran. n_khanjani@kmu.ac.ir.
Monash Centre for Occupational & Environmental Health, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia. n_khanjani@kmu.ac.ir.
Department of Epidemiology and Biostatistics, Faculty of Public Health, Kerman Medical University (KMU), Haft Bagh Alavi Highway, Kerman, 76169-11317, Iran. n_khanjani@kmu.ac.ir.

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Classifications MeSH