Global, Regional, and National Disease Burden and Prediction Analysis of Colorectal Cancer Attributable to Tobacco, Alcohol, and Obesity From 1990 to 2030

  • 0Department of Health, Inspection and Quarantine, School of Public Health, University of South China, Hengyang, China.

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Summary

This summary is machine-generated.

Global colorectal cancer deaths linked to smoking, alcohol, and obesity are rising, particularly in early-onset cases. Public health strategies focusing on cessation, moderation, and screening are crucial for prevention.

Area Of Science

  • Epidemiology
  • Public Health
  • Cancer Research

Background

  • Colorectal cancer (CRC) is a leading cause of global cancer incidence and mortality.
  • Smoking, alcohol use, and high body mass index (BMI) are significant modifiable risk factors for CRC.
  • The differential impact of these risk factors across demographics remains poorly understood.

Purpose Of The Study

  • To analyze the relationship between the Socio-Demographic Index (SDI) and age-standardized mortality/morbidity rates for CRC.
  • To investigate gender, SDI, and age-group trends in smoking, alcohol use, and high BMI related to CRC over 30 years.
  • To predict future CRC mortality trends attributed to these risk factors using the Bayesian age-period-cohort (BAPC) model.

Main Methods

  • Utilized Global Burden of Disease (GBD) study 2019 data.
  • Employed restrictive cubic splines (RCS) and quantile regression for SDI-ASMR/ASDR analysis.
  • Applied the Bayesian age-period-cohort (BAPC) model for mortality trend prediction.

Main Results

  • In 2019, smoking, alcohol, and obesity contributed to 142,931, 52,495, and 85,882 CRC deaths, respectively.
  • These factors collectively accounted for approximately one-third of all CRC deaths.
  • An increasing trend in early-onset CRC mortality associated with these risk factors was observed.

Conclusions

  • Public health interventions should prioritize health education, smoking cessation, alcohol moderation, and CRC screening.
  • Implementing these strategies is vital for reducing global CRC mortality rates.
  • Findings offer guidance for targeted CRC prevention policies across diverse regions, genders, and age groups worldwide.

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