PURPOSE: We evaluated the association between left-handedness (LH) and
age, education, cigarette smoking, alcohol consumption, and disease s
tatus in a case-control study of 8801 hospitalized patients with cance
r and those with other conditions. METHODS: Subjects were interviewed
in person using a structured questionnaire that contained detailed sec
tions of lifestyle behaviors. RESULTS: The overall prevalences of LH w
ere 7.6% among men and 6.5% among women. Among both sexes LH declined
with increasing age (P < 0.05). After adjustment for age, the followin
g associations were observed. Men had a higher risk of LH than women.
The prevalence of LH was lower in ever-married subjects compared with
never-married subjects (odds ratio [OR] for men, 0.7; 95% confidence i
ntervals [CI], 0.5-0.9; for women, OR, 0.5; 95% CI, 0.3-0.9). Among me
n, die prevalence of LH was not associated with race, years of educati
on, smoking status, or levels of alcohol consumption. The risk of LH w
as elevated in men diagnosed with fractures as compared with all other
male patients (OR, 2.4; 95% CI, 1.3-6.7). Among women, LH was not ass
ociated with race, smoking, or hormonal and reproductive factors, but
LH was more common among female high-school and college graduates and
among self-reported alcoholics. The odds ratio of LH was significantly
lower in women with breast cancer (OR, 0.3; 95% CI, 0.1-0.7). CONCLUS
IONS: The increased risk of serious injuries in LH is not a result of
higher alcohol use. Handedness might be an important factor in the saf
e use of industrial equipment. (C) 1997 by Elsevier Science Inc.