Browse > Article
http://dx.doi.org/10.7314/APJCP.2014.15.3.1111

Modeling of Influential Predictors of Gastric Cancer Incidence Rates in Golestan Province, North Iran  

Behnampour, Nasser (Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University)
Hajizadeh, Ebrahim (Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University)
Zayeri, Farid (Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Sciences)
Semnani, Shahriar (Gastroenterology and Hepatology Research Center, Golestan University of Medical Sciences)
Publication Information
Asian Pacific Journal of Cancer Prevention / v.15, no.3, 2014 , pp. 1111-1117 More about this Journal
Abstract
Golestan province has a reputation for relatively high incidence rates of gastric cancer in Iran. Along with dietary, lifestyle and environmental influential factors, soil selenium and high levels of pesticide used may exert influence in this region. The present study was designed for modeling the influential predictors on incidence of gastric cancer in Golestan. All registered cases of gastric cancer from March 2009 to March 2010 (49 females and 107 males) were investigated. Data were gathered by both check list and researcher made questionnaire (demographic, clinical and lifestyle characteristics) and analysed using logistic regression. Mean (${\pm}SD$) age at diagnosis was $62.9{\pm}13.8$ years. CIR and ASR of gastric cancer showed 9.16 and 13.9 per 100,000 people, respectively. Based on univariate logistic regression, a history of smoking (OR= 2.076), unwashed hands after defecation (OR= 2.612), history of cancer in relatives (OR= 2.473), history of gastric cancer in first-degree relatives (OR= 2.278), numbers of gastric cancers in first-degree relatives (OR= 2.078), history of X-ray and dye exposure (OR= 2.395), history of CT scan encounter (OR= 2.915), improper food habits (OR= 3.320), specific eating behavior (OR= 0.740), consumption of probable high risk foods (OR= 2.942), charred flesh (OR= 1.945), and animal fat (OR= 2.716) were confirmed as a risk factors. Changes in lifestyle may be expected to increase gastric cancer incidence dramatically in the near future. Therefore, appropriate educational interventions should be designed and implemented by competent authorities.
Keywords
Incidence rate; predictors; logistic regression gastric cancer; Golestan, Iran;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Leitzmann M, Koebnick C, Freedman N, et al (2009). Physical activity and esophageal and gastric car-cinoma in a large prospective study. Am J PrevMed, 36, 112-9.   DOI   ScienceOn
2 Konstansa L, Aleksandar N, Natasa R (2009). Dietary Intake Of Fat And Risk Of Gastric Cancer. Acta Fac Med Naiss, 1, 33-6.
3 La Vecchia C, Negri E, Gentile A, Franceschi S (1992). Family History and the Risk of Stomach and Colorectal cancer. Cancer, 70, 50-5.   DOI
4 Lee Y, Derakhshan M (2013). Environmental and lifestyle risk factors of gastric cancer. Arch Iran Med, 16, 358-65.
5 Lim S, Canavarro C, Zaw M, et al (2013). Irregular meal timing is associated with helicobacter pylori infection and gastritis. ISRN Nutrition, 714970.
6 Linet M, Slovis T, Miller D, et al (2012). Cancer Risks Associated With External Radiation Fromn Diagnostic Imaging Procedures. CA: Cancer J Clin, 62, 75-100.   DOI
7 Malekzadeh R, Derakhshan M, Malekzadeh Z (2009). Gastric cancer in Iran: epidemiology and risk factors. Arch Iran Med, 12, 576-83.
8 Mastrangelo g, Fadda E, Marzia V (1996). Polycyclic aromatic hydrocarbons and cancer in man. Environ Health Perspect, 104, 1166-70.   DOI
9 Michael F (2009). Physical Activity and Esophageal and Gastric Carcinoma in a Large Prospective Study. J Prev Med, 36, 112-9.   DOI   ScienceOn
10 Mohebbi M, Wolfe R, Jolley D, et al (2012). The spatial distribution of esophageal and gastric cancer in Caspian region of Iran: An ecological analysis of diet and socio-economic influences. Int J Health Geogr, 10, 1-13.
11 Mousavi S, Gouya M, Ramazani R, et al (2009). Cancer incidence and mortality in Iran. Ann Oncol, 20, 556-63.
12 Hakamia R, Etemadiab A, Kamangarac F, et al (2013). Cooking methods and esophageal squamous cell carcinoma in high-risk areas of Iran. Nutr Cancer, ?? 1-6.
13 GLOBOCAN (2008) Cancer Fact Sheet. Globocan, Globocan 2008 (IARC), Section of Cancer Information.
14 Heidari H (2003). Farmer Field Schools slash pesticide use and exposure in Iran. Pesticides News. Journal of Pesticide Action Network UK 12.
15 Gong Y, Yang Y, Zhang X, et al (2012). ABO blood type, diabetes and risk of gastrointestinal cancer in northern China. World J Gastroenterol, 18, 563-9.   DOI   ScienceOn
16 Gonz'alez C, Pera G, Agudo A, et al (2003). Smoking and the risk of gastric cancer in the European Prospective Investigation Into Cancer and Nutrition (EPIC). Int J Cancer, 107, 629-34.   DOI   ScienceOn
17 Hansson L, Nyren O, Hsing A, et al (1996). The risk of stomach cancer in patients with gastric or duodenal ulcer disease. N Engl J Med, 335, 242-9.   DOI   ScienceOn
18 Jedrychowski W, Popiela T, Steindorf K, et al (2001). Nutrient intake patterns in gastric and colorectal cancers. Int J Occup Med Environ Health, 14, 391-5.
19 Jemal A, Bray F, Center M, et al (2011). Global cancer statistics. CA: A Cancer J Clin, 61,69-90.   DOI
20 Kelley J, Duggan J (2003). Gastric cancer epidemiology and risk factors. J Clin Epidemiol, 56, 1-9.   DOI   ScienceOn
21 kim H, Chang W, Kim M, et al (2002). Dietary factors and gastric cancer in korea: a case-control study. Int J Cancer, 97, 531-5.   DOI   ScienceOn
22 Komolafe A, Ojo O, Olasode B (2008). Gastric malignancies and associated pre-malignant lesions in a teaching hospital in South West Nigeria. African J Biotechnol, 7, 2104-11.
23 Duell Travier N, Lujan-Barroso L, Clavel-Chapelon F, et al (2011). Alcohol consumption and gastric cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. Am J Clin Nutr, 94, 1266-75.   DOI   ScienceOn
24 Everatt Tamosiunas A, Kuzmickiene I, Virviciute D, et al (2011). Alcohol consumption and risk of gastric cancer: a cohort study of men in Kaunas, Lithuania, with up to 30 years follow-up. BMC Cancer, 12, 475.
25 Dikshit R, Mathur G, Mhatre S, Yeole B (2011). Epidemiological review of gastric cancer in India. Indian J Med Paediatr Oncol, 32, 3-11.   DOI   ScienceOn
26 Dong H, Jin X, Li H, et al (2012). High c-Radiation Sensitivity Is Associated with Increased Gastric Cancer Risk in a Chinese Han Population: A Case-Control Analysis. PLoS ONE, 7, 43625.   DOI
27 Eckardt A (2010). Cancer Surveillance in Achalasia: Better Late Than Never? Am J Gastroenterol, 105, 2150-2.   DOI   ScienceOn
28 Farouk Aly H (2012). Dietary habits and relation to cancer disease in different population. iMedPub J, 1, 1-26.
29 Foschi R, Lucenteforte E, Bosetti C, et al (2008). Family history of cancer and gastric cancer risk. Int J Cancer, 123, 1429-32.   DOI   ScienceOn
30 Gao C, Takezaki T, Ding J, et al (1999). Protective Effect of Allium Vegetables against Both Esophageal and Stomach Cancer: A Simultaneous Case-referent Study of a High-epidemic Area in Jiangsu Province, China. Jpn J Cancer Res, 90, 614-621.   DOI
31 Giordano A, Cito L (2012). Advances in gastric cancer prevention. World J Clin Oncol, 9, 128-36.
32 Bertuccio P, Edefonti V, Bravi F, et al (2009). Nutrient dietary patterns and gastric cancer risk in Italy. Cancer Epidemiol Biomarkers Prev, 18, 2882-6.   DOI   ScienceOn
33 American Cancer Society. Cancer Facts & Figures (2013). Atlanta: American Cancer Society.
34 Campbell P, Sloan M, Kreiger N (2008). Dietary patterns and risk of incident gastric adenocarcinoma. Am J Epidemiol, 295-304.
35 Anand P, Kunnumakara A, Sundaram C, et al (2008). Cancer is a preventable disease that requires major lifestyle changes. Pharm Res, 25, 2097-116.   DOI   ScienceOn
36 Bastos J, Lunet N, Peleteiro B, et al (2010). Dietary patterns and gastric cancer in a Portuguese urban population. Int J Cancer, 433-41.
37 Cai L, Zheng Z, Zhang Z (2003). Risk factors for the gastric cardia cancer: a case-control study in Fujian Province. World J Gastroentero, 19, 214-8.
38 Cancer Collaborative Group (2001). Gastric cancer and Helicobacter pylori: a combined analysis of 12 case control studies nested within prospective cohorts. Gut, 49, 347-53.   DOI   ScienceOn
39 Chen H, Ward M, Graubard B, et al (2002). Dietary patterns and adenocarcinoma of the esophagus and distal stomach. Am J Clin Nutr, 75, 137-44.
40 Compare D, Rocco A, Nardone G (2010). Risk factors in gastric cancer. Eur Rev Med Pharmacol Sci, 14, 302-8.
41 D'Elia L, Rossi G, Ippolito R, et al (2012). Habitual salt intake and risk of gastric cancer: A meta-analysis of prospective studies. Clin Nutr, 31, 489-98.   DOI   ScienceOn
42 De Gonzalez A, Darby S (2004). Risk of cancer from diagnostic X-rays: estimates for the UK and 14 other countries. Lancet, 363, 345-51.   DOI   ScienceOn
43 Yassibas E, Arslan P, Yalcin S (2012). Evaluation of Dietary and Life-Style Habits of Patients with Gastric Cancer: A Case-Control Study in Turkey. Asian Pac J Cancer Prev, 13, 2291-7.   과학기술학회마을   DOI   ScienceOn
44 Zendehdel K, Nyren O, Edberg A, Allum W (2011). Risk of esophageal adenocarcinoma in achalasia patients, a retrospective cohort study in Sweden. Am J Gastroenterol, 106, 57-61.   DOI   ScienceOn
45 Yi Y, Luo R, Zhou T, et al (1998). Diet and gastric cancer: a case-control study in Fujian Province, China. WJG, 4, 516-8.
46 Yu M, Zheng Xia P, Takahashi H, et al (2010). Comparison in pathological behaviours & prognosis of gastric cancers from general hospitals between China & Japan. Indian J Med Res, 132, 295-302.
47 Zanghieri G, Gregorio C, Sacchetti C, et al (1990). Familial occurrence of gastric cancer in the 2-year experience of a population-based registry. Cancer, 66, 2047-51.   DOI
48 Van den Brandt P, Botterweck A, Goldbohm R (2003). Salt intake, cured meat consumption, refrigerator use and stomach cancer incidence: a prospective cohort studyq (Netherlands). Cancer Causes Control, 14, 427-38.   DOI   ScienceOn
49 Sugimura T, Nagao M, Wakabayashi K (2000). How we should deal with unavoidable exposure of man to environmental mutagens: cooked food mutagen discovery, facts and lessons for cancer prevention. Mutat Res, 447, 15-25.   DOI   ScienceOn
50 Sun C, Chang Y, Cui L, et al (2013). A Population-based Casecontrol Study on Risk Factors for Gastric Cardia Cancer in Rural Areas of Linzhou. Asian Pac J Cancer Prev, 14, 2897-901.   DOI   ScienceOn
51 Thomas R, Davies N (2007). Lifestyle during and after cancer treatment. Clin Oncol, 19, 616-27.   DOI   ScienceOn
52 Tredaniel J, Boffetta P, Buiatti E, et al (1997). Tobacco smoking and gastric cancer: Review and meta-analysis. Int J Cancer, 72, 565-73.   DOI
53 Wen X, Song F (2010). Salt Taste Sensitivity, Physical Activity and Gastric Cancer. Asian Pac J Cancer Prev, 11, 1473-8.
54 Vigen C, Bernstein L, Wu A (2006). Occupational physical activity and risk of adenocarcinomas of the esophagus and stomach. Int J Cancer, 118, 1004-9.   DOI   ScienceOn
55 Wang X, Yan H, Terry P, et al (2012). Interaction between Dietary Factors and Helicobacter Pylori Infection in Noncardia Gastric Cancer: A Population-Based Case-Control Study in China. J Am Coll Nutr, 31, 375-84.   DOI
56 Wannamethee S, Shaper A, Walker M (2001). Physical activity and risk of cancer in middle-aged men. Br J Cancer, 85, 1311-6.   DOI   ScienceOn
57 Wu Y, Fan Y, Jiang Y, et al (2013). Analysis of risk factors associated with precancerous lesion of gastric cancer in patients from eastern China: A comparative study. J Can Res Ther, 9, 205-9.   DOI
58 Shin C, Kim N, Yang H, et al (2010). Stomach cancer risk in gastric cancer relatives: interaction between Helicobacter pylori infection and family history of gastric cancer for the risk of stomach cancer. J Clin Gastroenterol, 44, 34-9.   DOI   ScienceOn
59 Semnani S, Roshandel G, Keshtkar A, et al (2010). Relationship between Soil Selenium level and esophageal cancer: An ecological study in Golestan province of Iran. J Gorgan University of Med Sci, 12, 51-6.
60 Shimada A (1986). Regional differences in gastric cancer mortality and eating habits of people. Gan No Rinsho, 32, 692-8.
61 Shinmura K, Kohno T, Takahashi M, et al (1999). Familial gastric cancer: clinicopathological characteristics, RER phenotype and germline p53 and E-cadherin mutations. Carcinogenesis, 20, 1127-31.   DOI   ScienceOn
62 Strumylaite L, Zickute J, Dudzevicius J, et al (2006). Salt-preserved foods and risk of gastric cancer. Medicina (Kaunas), 42, 164-70.
63 Sierpinska T, Golebiewska M, Dlugosz J, et al (2007). Connection between masticatory efficiency and pathomorphologyic change in gastric mucosa. Quintessence Int, 38, 31-7.
64 Sjodahl K, Jia C, Vatten L, et al (2008). Body Mass and Physical Activity and Risk of Gastric Cancer in a Population-Based Cohort Study in Norway. Cancer Epidemiol Biomarkers Prev, 17, 135-40.   DOI   ScienceOn
65 Sonnenberg A (2010). Differences in the birth-cohort patterns of gastric cancer and peptic ulcer. Gut, 59, 736-43.   DOI   ScienceOn
66 Phukan R, Chetia C, Ali M, Mahanta J (2001). Role of Dietary Habits in the Development of Esophageal Cancer in Assam, the North-Eastern Region of India. Nutr Cancer, 39, 204-9.   DOI   ScienceOn
67 Moy K, Fan Y, Wang R, et al (2010). Alcohol and Tobacco Use in Relation to Gastric Cancer: A Prospective Study of Men in Shanghai, China. Biomarkers Prev, 19, 2287-97.   DOI
68 Ngoan L, Mizoue T, Fujino Y, et al (2002). Dietary factors and stomach cancer mortality. Br J Cancer, 87, 37-42.   DOI   ScienceOn
69 Pakseresht M, Forman D, Malekzadeh R, et al (2011). Dietary habits and gastric cancer risk in north-west Iran. Cancer Causes Control, 22, 725-36.   DOI
70 Polk D, Peek R (2010). Helicobacter pylori: gastric cancer and beyond. Nat Rev Cancer, 10, 403-14.   DOI   ScienceOn
71 Purcaro G, Navas J, Guardiola F, et al (2006). Polycyclic aromatic hydrocarbons in frying oils and snacks. J Food Prot, 69, 199-204.
72 Aghaei A, Ahmadi-Jouibari T, Baiki O, et al (2013). Estimation of the gastric cancer incidence in Tehran by two-source capture-recapture. Asian Pac J Cancer Prev, 14, 673-7.   과학기술학회마을   DOI   ScienceOn
73 Stevens J, Maier C (2008). Acrolein: Sources, metabolism, and biomolecular interactions relevant to human health and disease. Mol Nutr Food Res, 52, 7-25.   DOI   ScienceOn
74 Rao D, Ganesh B, Dinshaw K, et al (2002). A case-control study of stomach cancer in Mumbai, India. Int J Cancer, 99, 727-31.   DOI   ScienceOn
75 Safaee A, Moghimi-Dehkordi B, Fatemi S, et al (2011). Family history of cancer and risk of gastric cancer in Iran. Asian Pac J Cancer Prev, 12, 3117-20.
76 Jarl J, Heckley G, Brummer J, Gerdtham U (2013). Time characteristics of the effect of alcohol cessation on the risk of stomach cancer-a meta-analysis. BMC Public Health 600.
77 De Stefani E, Correa P, Boffetta P, et al (2004). Dietary patterns and risk of gastric cancer: a case-control study in Uruguay. Gastric Cancer, 7, 211-20.   DOI   ScienceOn
78 Saghier A, Kabanja J, Afreen S, et al (2013). Gastric Cancer: Environmental Risk Factors, Treatment and Prevention. J Carcinogene Mutagene.