Dietary vitamins A and C and lung cancer risk in Louisiana

The authors describe the results of a hospital-based incident case-control study of lung cancer conducted in a high-risk region of southern Louisiana from January 1979 through April 1982. Dietary intake of carotene, retinol, and vitamin C was estimated from food frequency questionnaires administered to 1253 cases and 1274 controls. An inverse association was found between level of carotene intake and lung cancer risk, and this protective effect was specific for squamous and small cell carcinoma (odds ratio [OR] = 0.84, 95% confidence interval: 0.64-1.09, high intake). A stronger protective effect for these tumors was associated with dietary vitamin C intake (OR = 0.65, 0.50-0.87, high intake). A significant inverse gradient in risk with retinol intake was limited to adenocarcinoma (OR = 0.64, 0.44-0.94, high intake) and more pronounced among blacks.