Which individual has the most risk factors for developing head and neck cancer?
1. A Chinese American who drinks one alcoholic beverage every day and has smoked half a pack of cigarettes daily for the past 20 years
2. An African American who drinks and smokes a cigar when on the town with friends for their monthly get-together
3. An Italian American who has had a liver transplant in the past 6 months
4. A Japanese American who has a poor diet consisting of mostly rice and meat
A Chinese American who drinks one alcoholic beverage every day and has smoked half a pack of cigarettes daily for the past 20 years
Rationale: The risk for cancer is correlated with the length and amount of tobacco smoked or chewed, and rises even higher when tobacco use is combined with alcohol use. Individuals who are from an Asian heritage also have an increased risk of nasopharyngeal cancer, especially if they have a history of eating salt-preserved fish. The other cultural heritages have no known link to developing head and neck cancer, and the individual's lifestyles place them at lower risk.
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