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India needs a resilient cancer program.

Zarin I Pilakkadavath1, Arathi P Rao2, K Rajasekharan Nayar3

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Higher multiparity is linked to increased cervical cancer rates in India, while changing childbearing ages contribute to rising breast cancer. Prevention and screening are crucial for India

Keywords:
Breast cancerCOVID-19Indiacancercervical cancermultiparitypandemicresilient health systemscreeningsocial determinants

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Area of Science:

  • Oncology
  • Epidemiology
  • Public Health

Background:

  • Analysis of trends in breast and cervical cancer incidence in India.
  • Correlation with sociodemographic and behavioral factors.

Purpose of the Study:

  • To investigate the relationship between sociodemographic and behavioral indicators and the incidence of breast and cervical cancer in India.
  • To identify key factors influencing cancer trends for targeted interventions.

Main Methods:

  • Utilized Indian cancer registry data for incidence trends.
  • Examined National Family Health Survey and Global Adult Tobacco Survey data for relevant indicators.
  • Analyzed indicators including multiparity, age at childbearing, overweight/obesity, and HIV prevalence.

Main Results:

  • Northeast India showed higher cervical cancer rates associated with higher multiparity (around 40%).
  • Major metros and Delhi had higher breast cancer rates with lower multiparity (11-25%).
  • Higher incidence of breast cancer correlated with increased overweight/obesity (23.3-31%).

Conclusions:

  • Increasing breast cancer rates in urban areas linked to shifts in childbearing age.
  • Persistent high multiparity contributes to elevated cervical cancer rates, particularly in underserved northeastern states.
  • India requires enhanced cancer control programs focusing on screening and prevention.