There are very few large scale studies that have examined the associat
ion of prostate cancer with alcohol and other beverages. This relation
ship was examined in a case-control study conducted in 3 geographical
areas of Canada [Metropolitan Toronto (Ontario), Montreal (Quebec), an
d Vancouver (British Columbia)] with 617 incident cases and 637 popula
tion controls. Complete history of beverage intake was assessed by a p
ersonal interview with reference to a I-year period prior to diagnosis
or interview. In age- and energy-adjusted models for all centers comb
ined, the odds ratio (OR) for the highest quintile of total alcohol in
take was 0.89. For alcoholic beverages separately, it was 0.68 for the
highest tertile of beer, 1.12 for wine and 0.86 for liquor. The decre
asing trend war significant for beer intake. The results were only sig
nificant for British Columbia out of all the 3 centers studied. Wherea
s coffee and cola intake was not associated with prostate cancer, a de
crease in risk was observed with tea intake of more than 500 g per day
(OR 0.70). Our results do not support a positive association between
total alcohol, coffee and prostate cancer. (C) 1998 Wiley-Liss, Inc.