Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Life-Style Habits in a High-Risk Area for Upper Gastrointestinal Cancers: a Population-Based Study from Shanxi, China

  • Cheng, Yi-Kun (Beijing New Oriental Foreign Language School at Yangzhou) ;
  • Yao, Shang-Man (School of Humanities and Social Sciences, Shanxi Medical University) ;
  • Xu, Yi-Ran (The High School Affiliated to Renmin University of China) ;
  • Niu, Run-Gui (Ningyang Hospice, Shanxi Cancer Hospital)
  • Published : 2016.09.01
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Abstract

Background: Cancer is a burden on humanity and ranks as a leading cause of morbidity and mortality in China. Shanxi province has its unique cancer patterns and the burden is increasing. In this study, we aimed to assess the pattern of dietary habits and life-style in Shanxi, a high-risk area for upper gastrointestinal cancers in China and further evaluate the trends in cancer incidence and mortality based on registered data. Materials and Methods: Data on lifestyle, diet, physical activity were obtained from the household health survey at Zhongyang from 2013 to 2015. Cancer diagnoses were reported to Shanxi Center for Disease Control and Prevention (SCDCP). Population-based cancer incidence data and mortality data of 2012 were collected from the SCDCP. All incidence and death rates were expressed per 100,000 populations. Univariate analysis was performed using the Chi-squared test or Fisher's exact test. Results: Overall, deficiencies in fresh fruits and vegetable food, and intake of hot food, salted food, or pickled food are serious problems in Shanxi, especially in rural areas. Upper gastrointestinal cancers were the most commonly diagnosed cancers, and the incidence in rural areas is higher than those in urban areas. Cervical cancer is the most common cancer for females. Moreover, the agespecific incidence exhibited an increased trend before 40 years old. Consistent with the previous literature, our epidemiological investigation results suggest that lifestyle, nutrition deficient, and infections were major risk factors for upper gastrointestinal cancers or cervical cancer in Shanxi. Facing a serious situation, we further explored defensible recommendations for the general public in order to promote changes in environments that support healthful eating and physical activity habits, to reduce cancer risk. Conclusions: Our results present the current cancer trends in Shanxi and its related etiologic risk factors and provide a theoretical basis to guide public health efforts to prevent and control cancers in the province.

Keywords

Acknowledgement

Supported by : Foundation of Jiacheng Li

References

  1. Chen W, Zheng R, Baade PD, et al (2016). Cancer statistics in China, 2015. CA Cancer J Clin, 66, 115-32. https://doi.org/10.3322/caac.21338
  2. Chen W, Zheng R, Zeng H, Zhang S, He J (2015). Annual report on status of cancer in China, 2011. Chin J Cancer Res, 27, 2-12.
  3. Chen W, Zheng R, Zhang S, et al (2014). Report of cancer incidence and mortality in China, 2010. Ann Transl Med, 2, 61.
  4. Chen XZ, Schottker B, Castro FA, et al (2016). Association of helicobacter pylori infection and chronic atrophic gastritis with risk of colonic, pancreatic and gastric cancer: A tenyear follow-up of the ESTHER cohort study. Oncotarget, 6.
  5. Fock KM, Talley N, Moayyedi P, et al (2008). Asia-Pacific consensus guidelines on gastric cancer prevention. J Gastroenterol Hepatol, 23, 351e65.
  6. Ford AC, Forman D, Hunt RH, Yuan Y, Moayyedi P (2014). Helicobacter pylori eradication therapy to prevent gastric cancer in healthy asymptomatic infected individuals: systematic review and meta-analysis of randomised controlled trials. BMJ, 348, 3174. https://doi.org/10.1136/bmj.g3174
  7. Hamidi EN, Hajeb P, Selamat J, Abdull Razis AF (2016). Polycyclic aromatic hydrocarbons (PAHs). and their bioaccessibility in meat: a tool for assessing human cancer risk. Asian Pac J Cancer Prev, 17, 15-23. https://doi.org/10.7314/APJCP.2016.17.1.15
  8. Hoeijmakers, J.H. (2001). Genome maintenance mechanisms for preventing cancer. Nature, 411, 366-74. https://doi.org/10.1038/35077232
  9. Islami F, Fedirko V, Tramacere I, et al (2011). Alcohol drinking and esophageal squamous cell carcinoma with focus on light-drinkers and never-smokers: a systematic review and meta-analysis. Int J Cancer, 129, 2473-84. https://doi.org/10.1002/ijc.25885
  10. Lertkhachonsuk AA, Yip CH, Khuhaprema T, et al (2013). Cancer prevention in Asia: resourcestratified guidelines from the Asian Oncology Summit 2013. Lancet Oncol, 14, 497-507. https://doi.org/10.1016/S1470-2045(13)70350-4
  11. Li J, Kang LN, Li B, Pang Y, Huang R, Qiao YL (2015). Effect of a group educational intervention on rural Chinese women's knowledge and attitudes about human papillomavirus (HPV). and HPV vaccines. BMC Cancer, 15, 691. https://doi.org/10.1186/s12885-015-1682-2
  12. Linet MS, Yin SN, Gilbert ES, et al (2015). National Cancer Institute Benzene Study Group: A retrospective cohort study of cause-specific mortality and incidence of hematopoietic malignancies in Chinese benzene-exposed workers. Int J Cancer, 137, 2184-97. https://doi.org/10.1002/ijc.29591
  13. Lippi G, Mattiuzzi C, Cervellin G. (2016). Meat consumption and cancer risk: a critical review of published meta-analyses. Crit Rev Oncol Hematol, 97, 1-14. https://doi.org/10.1016/j.critrevonc.2015.11.008
  14. National Cancer Center, Disease Prevention and Control Bureau, Ministry of Health. Chinese Cancer Registry Annual Report 2012. Beijing, China: Ministry of Health; 2012.
  15. Obeidat NA, Ayub HS, Amarin R, et al (2016). Smoking cessation support among oncology practitioners in a regional cancer center in the middle east-improving a critical service for cancer care. Oncologist. 21, 503-5. https://doi.org/10.1634/theoncologist.2015-0305
  16. Park S, Bae J, Nam BH, Yoo KY. (2008). Aetiology of cancer in Asia. Asian Pac J Cancer Prev, 9, 371-80.
  17. Pourhoseingholi MA, Vahedi M, Baghestani AR (2015). Burden of gastrointestinal cancer in Asia; an overview. Gastroenterol Hepatol Bed Bench, 8, 19-27.
  18. Ravegnini G, Sammarini G, Hrelia P, Angelini S. (2015). Key Genetic and Epigenetic Mechanisms in Chemical Carcinogenesis. Toxicol Sci, 148, 2-13. https://doi.org/10.1093/toxsci/kfv165
  19. Shi JF, Canfell K, Lew JB, et al (2011). Evaluation of primary HPV-DNA testing in relation to visual inspection methods for cervical cancer screening in rural China: an epidemiologic and cost-effectiveness modelling study. BMC Cancer, 11, 239. https://doi.org/10.1186/1471-2407-11-239
  20. Shi Y, Li T, Wang Y, Zhou L, Qin Q, et al (2015). Household physical activity and cancer risk: a systematic review and dose-response meta-analysis of epidemiological studies. Sci Rep, 5, 14901. https://doi.org/10.1038/srep14901
  21. Siegel RL, Miller KD, Jemal A. (2015). Cancer statistics, 2015. CA Cancer J Clin, 65, 5-29. https://doi.org/10.3322/caac.21254
  22. Singh S, Edakkanambeth Varayil J, Devanna S, Murad MH, Iyer PG. (2014). Physical activity is associated with reduced risk of gastric cancer: a systematic review and meta-analysis. Cancer Prev Res (Phila), 7, 12-22. https://doi.org/10.1158/1940-6207.CAPR-13-0282
  23. Wang B, He M, Chao A, et al (2015). Cervical cancer screening among adult women in China, 2010. Oncologist, 20, 627-34. https://doi.org/10.1634/theoncologist.2014-0303
  24. Wang SR, Malik S, Tan IB, et al (2016). Technical validation of a next-generation sequencing assay for detecting actionable mutations in patients with gastrointestinal cancer. J Mol Diagn. 18, 416-24 https://doi.org/10.1016/j.jmoldx.2016.01.006
  25. Wang YH, Yeh SD, Wu MM, et al (2013). Comparing the joint effect of arsenic exposure, cigarette smoking and risk genotypes of vascular endothelial growth factor on upper urinary tract urothelial carcinoma and bladder cancer. J Hazard Mater, 262, 1139-46. https://doi.org/10.1016/j.jhazmat.2012.08.056
  26. Wang YT, Gou YW, Jin WW, Xiao M, Fang HY (2016). Association between alcohol intake and the risk of pancreatic cancer: a dose-response meta-analysis of cohort studies. BMC Cancer. 16, 212. https://doi.org/10.1186/s12885-016-2241-1
  27. Warren Andersen S, Blot WJ, Shu XO, et al (2016). Adherence to cancer prevention guidelines and cancer risk in low-income and African American populations. Cancer Epidemiol Biomarkers Prev, 25, 846-53. https://doi.org/10.1158/1055-9965.EPI-15-1186
  28. Wen-Li Zhang, Yan Wang, Cun-Zhi Han. (2015). Characteristic trend analysis of cancer patients hospitalized in Shanxi tumor hospital for the first time during 2001 and 2010. Asian Pac J Cancer Prev, 16, 3673-6. https://doi.org/10.7314/APJCP.2015.16.9.3673
  29. Wu CY, Kuo KN, Wu MS, et al (2009). Early Helicobacter pylori eradication decreases risk of gastric cancer in patients with peptic ulcer disease. Gastroenterol, 137, 1641-8.e1-2. https://doi.org/10.1053/j.gastro.2009.07.060
  30. Wu CY, Wu MS, Kuo KN, et al (2010). Effective reduction of gastric cancer risk with regular use of nonsteroidal antiinflammatory drugs in Helicobacter pylori-infected patients. J Clin Oncol, 28, 2952-7. https://doi.org/10.1200/JCO.2009.26.0695