Subscribe to RSS
DOI: 10.4103/ijmpo.ijmpo_99_20
Addictions Causing Head-and-Neck Cancers
Financial support and sponsorship Nil.Abstract
Background
Head-and-neck cancers pose a serious economic burden, with most countries investing significant resources to reduce the incidence, primarily focusing on understanding addictive etiologies. The traditional literature focused on tobacco and alcohol use, with few studies on contemporary factors such as e-cigarette, waterpipe smoking, and human papillomavirus. This article attempts to collate and present an update on the globally identified etiologic factors.
Aims
The aim of this study was to identify and review the addictive etiologic factors causing head-and-neck cancers.
Methods
An electronic search was performed on Medline, Embase, and Google Scholar to identify the etiologies causing head-and-neck cancers and narrowed down on those driven by addiction. Further, we identified their constituents, mechanism of action, and the risks attributable to various forms of products.
Results
Substances identified included smoked and chewed tobacco, alcohol, mate, marijuana, areca nut and betel quid, and viruses. An alarming majority of youth are now utilizing these substances. Furthermore, migrant movements have led to the spread of traditional practices across the regions, especially from the Asian subcontinent.
Conclusion
Ironically, despite modern advances and technology, we still see that a large proportion of population succumb to these cancers, emphasizing the need for more effective and targeted policies to combat this menace at the grassroots level.
Keywords
Addictions - alcohol - areca nut - betel quid - head-and-neck cancer - marijuana - tobacco - virusPublication History
Received: 17 March 2020
Accepted: 29 June 2020
Article published online:
17 May 2021
© 2020. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C. GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11. Lyon, France: International Agency for Research on Cancer; 2013 http://globocan.iarc.fr et al. Available from: [Last accessed on 2018 Mar 20]
- 2 Sankaranarayanan R, Ramadas K, Amarasinghe H, Subramanian S, Johnson N. Oral Cancer: Prevention, Early Detection, and Treatment. In: Gelband H, Jha P, Sankaranarayanan R, Horton S. editors Cancer: Disease Control Priorities. 3. 3rd ed. Washington (DC): The International Bank for Reconstruction and Development/The World Bank; 2015
- 3 Blot WJ, McLaughlin JK, Winn DM, Austin DF, Greenberg RS, Preston-Martin S. et al. Smoking and drinking in relation to oral and pharyngeal cancer. Cancer Res 1988; 48: 3282-7
- 4 Weiderpass E. Lifestyle and cancer risk. J Prev Med Public Health 2010; 43: 459-71
- 5 Mackay J, Eriksen MP. World Health Organization. The Tobacco Atlas. Geneva: World Health Organization; 2002
- 6 Schraufnagel DE, Blasi F, Drummond MB, Lam DC, Latif E, Rosen MJ. et al. Electronic cigarettes. A position statement of the forum of international respiratory societies. Am J Respir Crit Care Med 2014; 190: 611-8
- 7 Kandel DB, Yamaguchi K, Chen K. Stages of progression in drug involvement from adolescence to adulthood: Further evidence for the gateway theory. J Stud Alcohol 1992; 53: 447-57
- 8 U.S. Department of Health and Human Services. E-Cigarette Use among Youth and Young Adults: A Report of the Surgeon General-Executive Summary. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2016
- 9 Warner KE. The economics of tobacco: Myths and realities. Tob Control 2000; 9: 78-89
- 10 Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin 2005; 55: 74-108
- 11 Maier H, Dietz A, Gewelke U, Heller WD, Weidauer H. Tobacco and alcohol and the risk of head and neck cancer. Clin Investig 1992; 70: 320-7
- 12 Le Houezec J. Role of nicotine pharmacokinetics in nicotine addiction and nicotine replacement therapy: A review. Int J Tuberc Lung Dis 2003; 7: 811-9
- 13 IARC. Tobacco Smoke and Involuntary Smoking. IARC Monogr EvalCarcinog Risks Hum 2004; 83: 1-1438
- 14 IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Smokeless Tobacco and Some Tobacco-specific N-Nitrosamines. Lyon (FR): International Agency for Research on Cancer; 2007 https://www.ncbi.nlm.nih.gov/books/NBK326497/ IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, No. 89 Available from: [Last accessed 2019 Jul 26]
- 15 Cullen JW, Blot W, Henningfield J, Boyd G, Mecklenburg R, Massey MM. Health consequences of using smokeless tobacco: Summary of the Advisory Committee's report to the Surgeon General. Public Health Rep 1986; 101: 355-73
- 16 Abbe R. Cancer of the mouth; the case against tobacco. New York Med. J 1915; 102: 1-2
- 17 Sadri G, Mahjub H. Tobacco smoking and oral cancer: A meta-analysis. J Res Health Sci 2007; 7: 18-23
- 18 Benowitz NL, Herrera B, Jacob 3rd P. Mentholated cigarette smoking inhibits nicotine metabolism. J Pharmacol Exp Ther 2004; 310: 1208-15
- 19 Lubin JH, Purdue M, Kelsey K, Zhang ZF, Winn D, Wei Q. et al. Total exposure and exposure rate effects for alcohol and smoking and risk of head and neck cancer: A pooled analysis of case-control studies. Am J Epidemiol 2009; 170: 937-47
- 20 Parkin DM, Pisani P, Ferlay J. Estimates of the worldwide incidence of 25 major cancers in 1990. Int J Cancer 1999; 80: 827-41
- 21 Wyss A, Hashibe M, Chuang SC, Lee YC, Zhang ZF, Yu GP. et al. Cigarette, cigar, and pipe smoking and the risk of head and neck cancers: Pooled analysis in the International Head and Neck Cancer Epidemiology Consortium. Am J Epidemiol 2013; 178: 679-90
- 22 Rahman M, Sakamoto J, Fukui T. Bidi smoking and oral cancer: A meta-analysis. Int J Cancer 2003; 106: 600-4
- 23 Maziak W, Taleb ZB, Bahelah R, Islam F, Jaber R, Auf R. The global epidemiology of waterpipe smoking. Tob Control 2015; 24: i3-12 et al. Suppl 1
- 24 Mamtani R, Cheema S, Sheikh J, Al Mulla A, Lowenfels A, Maisonneuve P. Cancer risk in waterpipe smokers: A meta-analysis. Int J Public Health 2017; 62: 73-83
- 25 Kheirallah KA, Alsulaiman JW, Mohammad HA, Alzyoud S, Veeranki SP, Ward KD. Waterpipe tobacco smoking among Arab youth; a cross-country study. Ethn Dis 2016; 26: 107-12
- 26 Pindborg JJ, Mehta FS, Gupta PC, Daftary DK, Smith CJ. Reverse smoking in Andhra Pradesh, India: A study of palatal lesions among 10,169 villagers. Br J Cancer 1971; 25: 10-20
- 27 Volesky KD, Maki A, Scherf C, Watson LM, Cassol E, Villeneuve PJ. Characteristics of e-cigarette users and their perceptions of the benefits, harms and risks of e-cigarette use: Survey results from a convenience sample in Ottawa, Canada. Health Promot Chronic Dis Prev Can 2016; 36: 130-8
- 28 Farsalinos K. Electronic cigarettes: An aid in smoking cessation, or a new health hazard?. Ther Adv Respir Dis 2018; 12: 1-20
- 29 Dyer O. India bans e-cigarettes by executive order. BMJ 2019; 366: l5649
- 30 WHO Fact Sheets. WHO Report on the Global Tobacco Epidemic. 2017 http://www.who.int/news-room/fact-sheets/detail/tobacco Available from: [Last accessed on 2018 May 10]
- 31 Taylor R, Najafi F, Dobson A. Meta-analysis of studies of passive smoking and lung cancer: Effects of study type and continent. Int J Epidemiol 2007; 36: 1048-59
- 32 Lee YC, Boffetta P, Sturgis EM, Wei Q, Zhang ZF, Muscat J. et al. Involuntary smoking and head and neck cancer risk: Pooled analysis in the international head and neck cancer epidemiology consortium. Cancer Epidemiol Biomarkers Prevention 2008; 17: 1974-81
- 33 Ueta I, Saito Y, Teraoka K, Miura T, Jinno K. Determination of volatile organic compounds for a systematic evaluation of third-hand smoking. Anal Sci 2010; 26: 569-74
- 34 Siddiqi K, Shah S, Abbas SM, Vidyasagaran A, Jawad M, Dogar O. et al. Global burden of disease due to smokeless tobacco consumption in adults: Analysis of data from 113 countries. BMC Med 2015; 13: 194
- 35 Awan KH, Patil S. Association of smokeless tobacco with oral cancer Evidence from the South Asian studies: A systematic review. J Coll Physicians Surg Pak 2016; 26: 775-80
- 36 Sinha DN, Abdulkader RS, Gupta PC. Smokeless tobacco-associated cancers: A systematic review and meta-analysis of Indian studies. Int J Cancer 2016; 138: 1368-79
- 37 Bakdash A. Shammah (Smokeless Tobacco) and Public Health Asian Pac. J Cancer Prev 2017; 18: 1183-90
- 38 Khan Z, Suliankatchi RA, Heise TL, Dreger S. Naswar (Smokeless Tobacco) use and the risk of oral cancer in Pakistan: A systematic review with meta-analysis. Nicotine Tob Res 2019; 21: 32-40
- 39 Bhisey RA, Ramchandani AG, D'Souza AV, Borges AM, Notani PN. Long-term carcinogenicity of pan masala in Swiss mice. Int J Cancer 1999; 83: 679-84
- 40 Kumar S. Indian state bans tobacco based chewing products. BMJ 2002; 325: 184
- 41 Idris AM, Ibrahim SO, Vasstrand EN, Johannessen AC, Lillehaug JR, Magnusson B. et al. The Swedish snus and the Sudanese toombak: Are they different?. Oral Oncol 1998; 34: 558-66
- 42 Stepanov I, Jensen J, Hatsukami D, Hecht SS. New and traditional smokeless tobacco: Comparison of toxicant and carcinogen levels. Nicotine Tob Res 2008; 10: 1773-82
- 43 Rouatbi S, Mezghenni S, Ayachi M, Benzarti M. Women smoking in the Tunisian center: Socio demographic characteristics and effects on functional respiratory parameters. Tunis Med 2015; 93: 287-93
- 44 Granero R, Sánchez M. Changes in tobacco use and related factors in Junior High School students, Lara State, Venezuela, 2000-2003. Cad Saude Publica 2006; 22: 1893-9
- 45 Renner CC, Patten CA, Enoch C, Petraitis J, Offord KP, Angstman S. et al. Focus groups of Y-K Delta Alaska Natives: Attitudes toward tobacco use and tobacco dependence interventions. Preventive Med 2003; 38: 421-31
- 46 Ugen S. Bhutan: The world's most advanced tobacco control nation?. Tob Control 2003; 12: 431-3
- 47 Goldstein BY, Chang SC, Hashibe M, Vecchia CL, Zhang ZF. Alcohol consumption and cancer of the oral cavity and pharynx from 1988 to 2009: An update. Eur J Cancer Prev 2010; 19: 431-65
- 48 World Health Organization. Global Status Report on Alcohol and Health. World Health Organization; 2014: 115 http://www.who.int/substance_abuse/publications/global_alcohol_report/msb_gsr_2014_1.pdf?ua=1 Available from: (link is external). [Last accessed 2018 May 08]
- 49 Sacks JJ, Gonzales KR, Bouchery EE, Tomedi LE, Brewer RD. 2010 national and state costs of excessive alcohol consumption. Am J Prev Med 2015; 49: e73-9
- 50 Zhang Y, Wang R, Miao L, Zhu L, Jiang H, Yuan H. Different levels in alcohol and tobacco consumption in head and neck cancer patients from 1957 to 2013. Wei Q-Y, ed. PLoS One 2015; 10: e0124045
- 51 Dasanayake AP, Silverman AJ, Warnakulasuriya S. Maté drinking and oral and oro-pharyngeal cancer: A systematic review and meta-analysis. Oral Oncol 2010; 46: 82-6
- 52 Stefani ED, Moore M, Aune D, Deneo-Pellegrini H, Ronco AL, Boffetta P. et al. Maté consumption and risk of cancer: A multi-site case-control study in Uruguay. Asian Pac J Cancer Prev 2011; 12: 1089-93
- 53 Loria D, Barrios E, Zanetti R. Cancer and yerba mate consumption: A review of possible associations. Rev Panam Salud Publica 2009; 25: 530-9
- 54 Sherman MP, Aeberhard EE, Wong VZ, Simmons MS, Roth MD, Tashkin DP. Effects of smoking marijuana, tobacco or cocaine alone or in combination on DNA damage in human alveolar macrophages. Life Sci 1995; 56: 2201-7
- 55 de Carvalho MF, Dourado MR, Fernandes IB, Araújo CT, Mesquita AT, Ramos-Jorge ML. Head and neck cancer among marijuana users: A meta-analysis of matched case-control studies. Arch Oral Biol 2015; 60: 1750-5
- 56 Lu CT, Yen YY, Ho CS, Ko YC, Tsai CC, Hsieh CC. et al. A case-control study of oral cancer in Changhua County, Taiwan. J Oral Pathol Med 1996; 25: 245-8
- 57 IARC. Monographs on the Evaluation of Carcinogenic Risks to Humans. Vol. 85. Betel-quid and Areca-nut Chewing and Some Areca-nut Related Nitrosamines. Lyon: IARC; 2004
- 58 Balaram P, Sridhar H, Rajkumar T, Vaccarella S, Herrero R, Nandakumar A. et al. Oral cancer in Southern India: The influence of smoking, drinking, paan-chewing and oral hygiene. Int J Cancer 2002; 98: 440-5
- 59 Furniss CS, McClean MD, Smith JF, Bryan J, Applebaum KM, Nelson HH. et al. Human papillomavirus 6 seropositivity is associated with risk of head and neck squamous cell carcinoma, independent of tobacco and alcohol use. Ann Oncol 2009; 20: 534-41
- 60 Kuo RC, Lin CY, Kuo MY. Prognostic role of c-Jun activation in patients with areca quid chewing-related oral squamous cell carcinomas in Taiwan. J Formos Med Assoc 2006; 105: 229-34
- 61 Chaturvedi AK. Epidemiology and clinical aspects of HPV in head and neck cancers. Head Neck Pathol 2012; 6 Suppl 1: S16-24
- 62 Murthy V, Calcuttawala A, Chadha K, d'Cruz A, Krishnamurthy A, Mallick I. et al. Human papillomavirus in head and neck cancer in India: Current status and consensus recommendations. South Asian J Cancer 2017; 6: 93-8
- 63 Chancellor JA, Ioannides SJ, Elwood JM. Oral and oropharyngeal cancer and the role of sexual behaviour: A systematic review. Community Dent Oral Epidemiol 2017; 45: 20-34
- 64 Wenger LD, Malone RE, George A, Bero LA. Cigar magazines: Using tobacco to sell a lifestyle. Tob Control 2001; 10: 279-84
- 65 Bedi R. Betel-quid and tobacco chewing among the United Kingdom's Bangladeshi community. Br J Cancer Suppl 1996; 29: S73-7
- 66 Al-Maweri SA, Tarakji B, Alsalhani AB, Al-Shamiri HM, Alaizari NA, Altamimi MA. et al. Oral cancer awareness of the general public in Saudi Arabia. Asian Pac J Cancer Prev 2015; 16: 3377-81
- 67 Soneji S, Sargent J, Tanski S. Multiple tobacco product use among US adolescents and young adults. Tob Control 2016; 25: 174-80
- 68 Jovanovic A, Schulten EA, Kostense PJ, Snow GB, van der Waal I. Tobacco and alcohol related to the anatomical site of oral squamous cell carcinoma. J Oral Pathol Med 1993; 22: 459-62
- 69 Lad N, Patil D, Pilankar A, Kadam R. Advocacy with police department for effective implementation of tobacco control polices. Tobacco Induced Dis 2018; 16: 63