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JNCI Journal of the National Cancer Institute 1988 80(20):1620-1625; doi:10.1093/jnci/80.20.1620
© 1988 by Oxford University Press
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Journal of the National Cancer Institute, Vol. 80, No. 20, 1620-1625, December 21, 1988
© 1988 Oxford University Press

Environmental Factors and High Risk of Esophageal Cancer Among Men in Coastal South Carolina

Linda Morris Brown*, William J. Blot, Stanley H. Schuman, Vara M. Smith, Abby G. Ershow, Richard D. Marks, Joseph F. Fraumeni, Jr.

Epidemiology and Biostatistics Program, Division of Cancer Etiology, National Cancer Institute Bethesda, MD
Medical University of South Carolina Charleston, SC

*Correspondence to: Linda Morris Brown, Executive Plaza North, Rm 415, National Institutes of Health, Bethesda, MD 20892.

A case-control study involving interviews of 207 men with esophageal cancer and 422 control subjects or their next of kin was conducted to identify reasons for the unusually high rates of esophageal cancer among men in coastal South Carolina. Tobacco and alcohol, including moonshine, were identified as the major determinants of esophageal cancer risk. Increased risk was also associated with low intake of fresh fruits but not with drinking of local herbal teas. The findings suggest that efforts aimed at reducing tobacco and alcohol use will help to lower the elevated rates of esophageal cancer in coastal South Carolina.



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