“…In the univariate analysis, we considered the impact of several covariates such as age, gender, urbanization level, insurance fee level, HT, COPD, HL, DM, CS, asthma, EBV infection-related diseases, occupational types and alcoholism, which are associated with tumor development [ 26 – 30 ]. In addition, several studies have reported that active smoking and alcohol consumption are associated with increased NPC risk [ 31 , 32 ]. Nevertheless, the major limitations of the NHIRD is attributed to insufficient information on family history and lifestyle activities such as smoking and alcohol consumption.…”