© 2004 by Oxford University Press
© 2004 Oxford University Press
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Alcohol Consumption and the Risk of Bladder Cancer in the Framingham Heart Study
Affiliations of authors: Preventive Medicine and Epidemiology Section (LD, LBC, RCE) and General Internal Medicine Section (BEK), Evans Department of Medicine, Boston University School of Medicine, Boston, MA; Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, MD (AS); Department of Mathematics, Boston University, Boston (RBDA)
Correspondence to: Luc Djoussé, MD, DSc, MPH, Evans Department of Medicine, Preventive Medicine and Epidemiology Section, Boston University School of Medicine, Rm. B-612, 715 Albany St., Boston, MA 02118 (e-mail: ldjousse{at}bu.edu)
The association between alcohol consumption and bladder cancer is controversial. We used data from 10 125 participants in the Framingham Heart Study to assess the association between total and beverage-specific alcohol consumption and the risk of bladder cancer. For each case of bladder cancer, up to five control subjects were selected and matched on major confounders using a risk set method. We used conditional logistic regression to assess the risk of bladder cancer according to categories of alcohol consumption. During a mean follow-up of 27.3 ± 10.1 years, there were 126 incident cases of bladder cancer. There was no statistically significant association between alcohol consumption and risk of bladder cancer (Ptrend = .3). In beverage-specific analyses, beer consumption was associated with a reduced risk of bladder cancer (Ptrend = .03), whereas wine (Ptrend = .7) and spirit (Ptrend = .2) consumption were not. Our data suggest that total and beverage-specific alcohol consumption are not associated with an increased risk of bladder cancer.
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