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Factors Affecting Cancer Mortality in Young Adults: Findings from a Prospective Cohort Study
Ngoan T Le1,2, Yen T-H Pham3,4, Linh T Le5
1Institute of Research and Development, Duy Tan University, Da Nang 550000, Vietnam.
Cancers
|November 27, 2024
Summary
Cancer deaths are rising in young adults, especially in Vietnam. Family history, smoking, and alcohol increase risk, while coffee may protect against cancer deaths in this demographic.
Area of Science:
- Epidemiology
- Oncology
- Public Health
Background:
- Cancer incidence is increasing in adults aged 15-49.
- Risk factors for cancer mortality in young adults are not well understood, particularly in LMICs.
Purpose of the Study:
- To identify risk factors for cancer-related deaths in young adults in Northern Vietnam.
- To analyze the association between lifestyle factors and cancer mortality in a Vietnamese cohort.
Main Methods:
- Analysis of data from the Hanoi Prospective Cohort Study (39,401 participants, 2007-2019).
- Cox proportional hazard regression model used to calculate hazard ratios (HR) and 95% confidence intervals (95% CIs).
Main Results:
- Family history of cancer (HR=7.34), alcohol consumption (HR=1.82), and smoking (HR=2.22) are significant risk factors for cancer death in young adults.
- Coffee consumption (HR=0.49) showed a protective effect.
- Young males exhibit higher risks from smoking and alcohol compared to older adults.
Conclusions:
- The young Vietnamese population is vulnerable to cancer-related mortality.
- Cancer mortality in women is projected to increase rapidly in the future.
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