A public health nurse is participating in a community health fair that is focused on health promotion and illness prevention. Which of the following older adults most likely faces the highest risk of developing oral cancer?

A woman who is morbidly obese and has a longstanding diagnosis of systemic lupus erythematosus (SLE).

A woman who describes herself as a "proud breast cancer survivor for over 10 years."

A man who states that he enjoys good health, with the exception of "heartburn after nearly every meal."

A man who describes himself as always having been a "heavy smoker and a heavy drinker."