十分之一的恶性固体瘤归因于超重和饮酒:基于人口的队列研究
Karri Seppä1, Sanna Heikkinen1, Heidi Ryynänen1
1Finnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research, Helsinki, Finland.
概括
吸烟和体重过重是芬兰的主要癌症风险因素. 公共卫生措施对于减少癌症负担至关重要,特别是对于女性来说,体重和酒精的结合是显著的贡献者.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 在瘤学瘤学.
背景情况:
- 十分之四的癌症与关键风险因素有关.
- 估计可修改癌症风险的人口归因分数 (PAF) 是至关重要的.
研究的目的:
- 在芬兰估计基于队列的人口归因分数 (PAFs).
- 识别和量化可修改的癌症风险因素的影响.
主要方法:
- 分析了8项涉及253,953名受试者和29,802例恶性固体瘤的健康研究.
- 贝叶斯的多变量回归模型与多重风险因子效应.
- 对吸烟,体重,酒精,体力活动,平等和教育的PAF估计,考虑竞争性死亡率.
主要成果:
- 所有癌症和暴露的PAF组合在男性中为34%,在女性中为24%.
- 吸烟占男性癌症的23%,女性癌症的8%.
- 体重过重和酒精加在一起,在男性中贡献了10%,在女性中贡献了9%.
结论:
- 吸烟是芬兰男女癌症的主要危险因素.
- 体重过重和酒精消费的总和超过了女性吸烟的影响.
- 增加公共卫生对健康体重的关注对于降低癌症负担至关重要.
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