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Table 3 Environment, lifestyle and habits associated with different esophageal lesions

From: Risk factors for esophageal squamous cell carcinoma and its histological precursor lesions in China: a multicenter cross-sectional study

Environment, lifestyle and habits

HGIN/ESCC

LGIN

Esophagitis

OR

(95% CI)

P value

Adjusted OR a

(95% CI)

P value

OR

(95% CI)

P value

Adjusted OR a

(95% CI)

P value

OR

(95% CI)

P value

Adjusted OR a

(95% CI)

P value

Smoking

 Not smoke

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

 Former/current smoke

1.97 (1.62–2.41)

< 0.001

1.46 (1.14–1.89)

0.003

1.28 (1.15–1.43)

< 0.001

1.04 (0.91–1.19)

0.574

1.25 (1.16–1.33)

< 0.001

1.09 (1.00–1.19)

0.048

Occupation (Farmer versus Non-farmer)

1.35 (1.07–1.72)

0.014

1.22 (0.97–1.57)

0.098

1.29 (1.15–1.45)

< 0.001

1.20 (1.07–1.35)

0.002

1.24 (1.15–1.33)

< 0.001

1.21 (1.12–1.30)

< 0.001

Pesticide exposure

1.46 (1.13–1.87)

0.003

1.44 (1.11–1.84)

0.005

1.23 (1.08–1.40)

< 0.001

1.20 (1.05–1.37)

0.007

1.04 (0.95–1.13)

0.435

–

–

Refrigerator use, length of time

 No refrigerator

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

 1-10 years

0.57 (0.43–0.78)

< 0.001

0.76 (0.57–1.04)

0.074

0.74 (0.63–0.87)

< 0.001

0.88 (0.75–1.04)

0.135

0.66 (0.60–0.74)

< 0.001

0.73 (0.66–0.81)

< 0.001

 11-20 years

0.52 (0.36–0.76)

0.001

0.71 (0.49–1.05)

0.087

0.64 (0.52–0.78)

< 0.001

0.78 (0.64–0.95)

0.015

0.61 (0.54–0.69)

< 0.001

0.67 (0.59–0.77)

< 0.001

 > 20 years

0.44 (0.11–1.21)

0.170

0.55 (0.13–1.52)

0.319

0.60 (0.33–1.01)

0.070

0.69 (0.37–1.16)

0.189

0.48 (0.32–0.69)

< 0.001

0.50 (0.33–0.71)

< 0.001

Alcohol

 Not drink

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

 Former/current drink

2.15 (1.68–2.75)

< 0.001

1.60 (1.23–2.09)

0.001

1.54 (1.34–1.76)

< 0.001

1.30 (1.12–1.51)

< 0.001

1.22 (1.10–1.34)

< 0.001

1.05 (0.95–1.17)

0.331

Tea drinking frequency

 Not drink

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

 Former/current drink

1.35 (1.11–1.65)

0.003

1.32 (1.08–1.61)

0.007

1.43 (1.30–1.57)

< 0.001

1.34 (1.26–1.54)

< 0.001

0.78 (0.73–0.83)

< 0.001

0.76 (0.70–0.81)

< 0.001

Water source (Well water and surface water)

1.64 (1.35–1.98)

< 0.001

1.55 (1.28–1.89)

< 0.001

1.25 (1.13–1.37)

< 0.001

1.19 (1.08–1.32)

< 0.001

1.59 (1.50–1.69)

< 0.001

1.61 (1.51–1.71)

< 0.001

Tea temperature b

 Warm tea

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

 Hot/burning hot tea

1.34 (0.91–1.99)

0.144

1.34 (0.90–1.99)

0.151

1.11 (0.92–1.33)

0.277

1.10 (0.92–1.33)

0.300

1.10 (0.95–1.27)

0.202

1.12 (0.97–1.29)

0.137

Drink improved water

0.74 (0.49–1.08)

0.137

0.79 (0.52–1.15)

0.251

0.56 (0.44–0.69)

< 0.001

0.58 (0.46–0.72)

< 0.001

0.72 (0.64–0.82)

< 0.001

0.73 (0.64–0.83)

< 0.001

Diet taste

 Light diet

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

 Salty diet

1.40 (1.09–1.81)

0.009

1.36 (1.07–1.77)

0.016

1.60 (1.41–1.83)

< 0.001

1.57 (1.38–1.80)

< 0.001

1.59 (1.47–1.74)

< 0.001

1.57 (1.45–1.71)

< 0.001

Livestock meat

0.90 (0.71–1.18)

0.440

–

–

1.00 (0.88–1.14)

0.988

–

–

0.83 (0.76–0.89)

< 0.001

0.88 (0.81–0.95)

0.001

Poultry meat

0.77 (0.63–0.95)

0.014

0.89 (0.72–1.10)

0.290

0.66 (0.59–0.73)

< 0.001

0.73 (0.66–0.81)

< 0.001

0.59 (0.56–0.64)

< 0.001

0.62 (0.58–0.67)

< 0.001

Seafood

0.99 (0.77–1.27)

0.967

–

–

1.08 (0.95–1.21)

0.220

–

–

0.86 (0.80–0.94)

< 0.001

0.89 (0.82–0.97)

0.007

Fruits

0.78 (0.73–0.83)

< 0.001

0.84 (0.69–1.02)

0.085

0.79 (0.71–0.87)

< 0.001

0.89 (0.80–0.98)

0.015

0.70 (0.58–0.85)

< 0.001

0.83 (0.78–0.88)

< 0.001

Spring onion

/ginger/garlic

0.78 (0.64–0.95)

0.014

0.85 (0.70–1.04)

0.116

0.88 (0.80–0.97)

0.009

0.93 (0.85–1.03)

0.188

0.68 (0.64–0.72)

< 0.001

0.69 (0.65–0.74)

< 0.001

Nut

0.93 (0.72–1.18)

0.537

–

–

0.83 (0.73–0.94)

0.003

0.89 (0.78–1.01)

0.067

0.74 (0.68–0.80)

< 0.001

0.77 (0.71–0.84)

< 0.001

Milk

0.99 (0.76–1.27)

0.937

–

–

0.81 (0.71–0.93)

0.003

0.82 (0.71–0.94)

0.004

0.99 (0.91–1.07)

0.828

–

–

Vitamins

0.72 (0.26–1.56)

0.464

–

–

0.43 (0.24–0.72)

0.003

0.49 (0.27–0.82)

0.012

0.64 (0.47–0.85)

0.003

0.68 (0.50–0.90)

0.010

Leftovers

1.46 (1.38–1.55)

< 0.001

1.16 (0.96–1.41)

0.125

1.07 (0.98–1.18)

0.150

1.08 (0.98–1.19)

0.108

1.16 (0.96–1.40)

0.119

1.49 (1.40–1.58)

< 0.001

Physical exercise

0.94 (0.71–1.23)

0.675

–

–

0.85 (0.74–0.98)

0.023

0.89 (0.77–1.03)

0.119

0.67 (0.61–0.74)

< 0.001

0.69 (0.62–0.76)

< 0.001

Housework

 No

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

1.00 (reference)

–

 < 8 h/week

0.97 (0.71–1.34)

0.859

1.11 (0.81–1.52)

0.531

0.86 (0.73–1.01)

0.057

0.92 (0.78–1.08)

0.317

0.59 (0.54–0.65)

< 0.001

0.61 (0.56–0.68)

< 0.001

 8-14 h/week

0.78 (0.57–1.08)

0.123

0.97 (0.70–1.34)

0.845

0.79 (0.67–0.93)

0.004

0.88 (0.75–1.05)

0.147

0.54 (0.49–0.59)

< 0.001

0.57 (0.52–0.63)

< 0.001

 15-21 h/week

0.80 (0.56–1.15)

0.217

0.95 (0.66–1.38)

0.796

0.78 (0.65–0.93)

0.006

0.84 (0.70–1.01)

0.066

0.56 (0.50–0.62)

< 0.001

0.58 (0.52–0.65)

< 0.001

 ≥ 22 h/week

0.65 (0.44–0.96)

0.029

0.79 (0.53–1.18)

0.249

0.98 (0.83–1.17)

0.843

1.06 (0.88–1.27)

0.542

0.61 (0.55–0.68)

< 0.001

0.63 (0.56–0.71)

< 0.001

Snore

1.11 (0.92–1.34)

0.273

–

–

1.07 (0.97–1.17)

0.172

1.04 (0.95–1.15)

0.414

1.11 (1.04–1.18)

0.001

1.09 (1.02–1.15)

0.009

  1. Source: WHO tumor histological classification 2000
  2. BMI body mass index (kg/m2), LGIN low-grade intraepithelial neoplasia, HGIN high-grade intraepithelial neoplasia, ESCC esophageal squamous cell carcinoma
  3. aadjusted for age, gender, education, BMI and income
  4. bOnly part of the data with tea drinking temperature was analyzed, not all