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Discovering the causes of cancer and the means of prevention

Digestive Health – Medicine Use Questionnaire

The following questionnaire segment contains questions that have been used as part of DCEG or other epidemiologic studies. This segment has not necessarily been reviewed or analyzed by the Technical Evaluation Committee. Please view it as a starting point that can be adapted or improved upon as appropriate. Learn more about DCEG Questionnaire Development Resources.

Questionnaire Topic: 

Use of Prescription, non-Prescription Medicines 

Study Title: 

Study of Digestive Health (Esophagus) 


esophageal cancer 

Principal Investigator(s): 

W.H. Chow 

Type of Questionnaire: 


Last Year of Data Collection: 


Short/Long Form: 

Long Form 


Vaughan TL, Farrow DC, Hansten PD, et al. Risk of esophageal and gastric adenocarcinomas in relation to use of calcium channel blockers, asthma drugs, and other medications that promote gastroesophageal reflux. Cancer Epidemiol Biomarkers 1998;7:749-756. 

Download Digestive-Health_Prescript_non-Prescript_Medicine_Use_questionnaire (Word, 46 KB)

Back to Prescriptions, Hormones, Immunizations

Learn more about DCEG Questionnaire Development Resources