A significant increase in incidence rates for all subsites of oral can
cer in men and all but cancer of the salivary glands in women has occu
rred in New Zealand over the past 35 years. However, only male mortali
ty rates of cancers of the nasopharynx and pharynx (excluding the naso
pharynx) have significantly increased during this time period. Signifi
cant birth-cohort effects existed in the trends in incidence and morta
lity for cancers of the tongue, mouth, pharynx (excluding the nasophar
ynx), and nasopharynx among men. For cancers of the mouth and pharynx
(excluding the nasopharynx) an increased risk for men born 1912-1932 e
xisted, while an increased risk of cancer of the tongue occurred for m
en born 1922 onwards. For nasopharyngeal cancer, men born around 1912
and those born from about 1932 onwards were found to have an increased
risk. For women, no consistent trends by birth-cohort were found for
any oral subsite of cancer.