Differences in tea drinking habits are likely to vary by populations could
contribute to the inconsistencies found between studies comparing tea consu
mption and cancer risk. A population-based case-control study was used to e
valuate how usual tea consumption patterns of an older population (n = 450)
varied with history of squamous cell carcinoma (SCC) of the skin. A detail
ed tea questionnaire was developed to assess specific tea preparation metho
ds and patterns of drinking. In this southwestern United States population,
black tea was the predominant variety of tea consumed. We found no associa
tion between the broad definition of any tea consumption and skin SCC, Howe
ver, the adjusted odds ratios (ORs) for hot and iced black tea intake were
0.63 [95% confidence interval (CI), 0.36-1.10] and 1.02 (95% CI, 0.64-1.63)
, respectively. Controls were more likely to report usually drinking strong
hot tea (OR, 0.74; 95% CI, 0.53-1.03) with increased brewing time (P for t
rend = 0.03). Adjusting for brewing time, the association between skin SCC
and hot black tea consumption suggests a significantly lower risk in consum
ers of hot tea compared to nonconsumers (OR, 0.33; 95% CI, 0.12- 0.87). Thi
s is one of the first studies to explore the relation between different typ
es of tea consumption and occurrence of human cancers. Our results show tha
t tea concentration (strength), brewing time, and beverage temperature have
major influences on the potential protective effects of hot black tea in r
elation to skin SCC, Further studies with increased sample sizes are needed
to evaluate the interrelationships between preparation techniques, tea typ
e, and other life-style factors.