Introduction: Studies have reported alcohol consumption and genetic variants as major contributing factors for esophageal squamous cell carcinoma (ESCC). However, the complicated interactions between alcohol and genetic factors involved in alcohol metabolism have not been well elucidated with respect to augmented risk of ESCC. Alcohol Intake, ALDH2, ADH, and ESCC Risk 715 a Rs671 genotype AA is not included because of insufficient samples size.bProportion of drinkers in controls among different genotypes: of the controls with rs671 genotype GG, 458 were never-drinkers and 545 (54.3%) were drinkers, and of the controls with rs671 genotype AG, 426 were never-drinkers and 132 (23.7%) were drinkers.ALDH2, aldehyde dehydrogenase 2 family member gene; CI, confidence interval; aOR, adjusted OR.