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Incidence, Risk Factors, and Temporal Trends of Tongue Cancer: A Population-Based Study
Junjie Huang1,2, Wing Sze Pang1, Claire Chenwen Zhong1
1The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong SAR, China.
Tongue cancer incidence varies globally, with South-Central Asia bearing the highest burden. Lifestyle factors like smoking and alcohol contribute to higher rates in males, emphasizing the need for intervention.
Area of Science:
- Oncology
- Epidemiology
- Public Health
Background:
- Tongue cancer is the most common intraoral malignancy worldwide.
- Understanding its global burden, risk factors, and incidence trends is crucial for public health strategies.
Purpose of the Study:
- To investigate the global burden and epidemiological trends of tongue cancer.
- To identify key risk factors associated with tongue cancer incidence.
- To analyze demographic and geographic variations in tongue cancer rates.
Main Methods:
- Utilized data from Global Cancer Observatory, Cancer Incidence in Five Continents Plus, and Global Burden of Disease.
- Employed linear regression to analyze the association between incidence and risk factors.
- Assessed temporal trends using Average Annual Percentage Change (AAPC) with 95% confidence intervals.
Main Results:
- Identified 151,338 global tongue cancer cases with an age-standardized rate (ASR) of 1.7/100,000.
- Highest ASRs were in South-Central Asia (3.4), Northern America (2.3), and Northern Europe (2.1).
- Incidence correlated significantly with smoking, alcohol consumption, and dietary factors; males showed higher ASRs (2.6) than females (0.86).
Conclusions:
- Significant geographical disparities in tongue cancer burden exist, notably highest in South-Central Asia.
- Higher male incidence is linked to smoking and alcohol use, underscoring the importance of lifestyle modifications.
- Global incidence shows an increasing trend, with few exceptions like the Philippines.
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