title: Mortality from cancer of the head and neck, lung and esophagus in eastern Austria between 1960 and 1989.
abstract: 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.
authors.affiliation: Department of Otorhinolaryngology, University of Vienna, Austria.
authors.forename: H
authors.initials: H
authors.lastname: Swoboda
authors.forename: H P
authors.initials: HP
authors.lastname: Friedl
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001317:Austria / Q000453:epidemiology; D015988:Cohort Effect; D015331:Cohort Studies; D004938:Esophageal Neoplasms / Q000401:mortality*; D005260:Female; D006258:Head and Neck Neoplasms / Q000401:mortality*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality; D008175:Lung Neoplasms / Q000401:mortality*; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000401:mortality; D010610:Pharyngeal Neoplasms / Q000401:mortality; D012307:Risk Factors; D012737:Sex Factors