Mortality from cancer of the head and neck, lung and esophagus in eastern Austria between 1960 and 1989

In eastern Austria, mortality from cancer of the mouth and pharynx, larynx, esophagus and lung between 1960 and 1989 developed differently by site and gender. In males, a decrease in lung cancer contrasted with an increase in mouth/pharynx cancer, while rates for cancer of the larynx and esophagus c...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 1994-08, Vol.251 (1), p.52-56
Main Authors: SWOBODA, H, FRIEDL, H.-P
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Austria - epidemiology
Biological and medical sciences
Cohort Effect
Cohort Studies
Esophageal Neoplasms - mortality
Female
Head and Neck Neoplasms - mortality
Humans
Laryngeal Neoplasms - mortality
Lung Neoplasms - mortality
Male
Medical sciences
Middle Aged
Mouth Neoplasms - mortality
Otorhinolaryngology. Stomatology
Pharyngeal Neoplasms - mortality
Risk Factors
Sex Factors
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:In eastern Austria, mortality from cancer of the mouth and pharynx, larynx, esophagus and lung between 1960 and 1989 developed differently by site and gender. In males, a decrease in lung cancer contrasted with an increase in mouth/pharynx cancer, while rates for cancer of the larynx and esophagus changed only slightly. At all sites, similar double-wave shaped cohort effects were discernible, with a period of decreasing risk separating two periods of increasing risks. The extents of these cohort effects, especially in the later rise of mouth/pharynx neoplasms, shaped the respective mortality curves. In females, lung cancer was found to increase over the whole period, while mouth/pharynx cancer increased during the last decade with risks increasing from cohort to cohort. Larynx rates became somewhat greater during the last two decades. Esophageal cancer demonstrated a steady decrease. For tobacco-related cancers, deglutitional sites were affected in a growing proportion. The combined topical effects of tobacco and alcohol suggest an increasing influence of the co-factor alcohol upon the occurrence of upper aerodigestive cancers in eastern Austria.
ISSN:0937-4477
1434-4726
DOI:10.1007/BF00175958