Young patients with cancer related to modifiable behaviors in the United States: What can we learn from them?

Authors

null

John Chan

Palo Alto Medical Foundation, Palo Alto, CA

John Chan , Michelle Ann P. Caesar , Chloe Chan , Michael Richardson , Daniel Stuart Kapp , Alex Andrea Francoeur , Cheng-I Liao

Organizations

Palo Alto Medical Foundation, Palo Alto, CA, California Pacific Medical Center Research Institute, San Francisco, CA, Palo Alto Medical Foundation, San Francisco, CA, University of California, Los Angeles, Los Angeles, CA, Stanford University, School of Medicine, Stanford, CA, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan

Research Funding

Other Foundation
Fisher Foundation and Denise Cobb Hale

Background: We proposed to examine trends in modifiable behaviorally related cancers among younger men and women in the United States. Methods: Alcohol-associated cancers, HPV-associated, obesity-associated, physical inactivity-associated, and tobacco-associated were defined using ICD-O-3 site codes. From 2001 and 2017, registry data were obtained from the United States Cancer Statistics database. SEER*Stat 8.3.8 and Joinpoint regression program 4.8.0.1 were used to calculate the trends of associated cancers expressed per 100,000. Results: Of the young women (ages 20-49 years) the incidence of cancers in 2017 associated with alcohol, smoking and obesity were 89/100,000, 43/100,000 and 64/100,000 respectively. Based on analysis of trends of women from 2001 to 2017, obesity, physical inactivity and alcohol related cancers increased with an annual percent change (APC 2.31%, 1.67%, 0.46%, p < 0.001). Using a projection model, in Hispanic women, obesity related cancers will become the highest incidence cancers by 2035, surpassing alcohol and physical inactivity. Of the young men (ages 20-49 years) the incidence of cancers in 2017 associated with alcohol, obesity, and tobacco were 23/100,000, 36/100,000 and 44/100,000 respectively. On trends analysis, obesity, physical inactivity, and alcohol related cancers have increased (APC 2.0%, 1.65%, 0.17%, p < 0.001, p < 0.001, p = 0.044), whereas tobacco-related cancers are decreasing with an APC of -0.44% (p < 0.001). When examining different regions, the highest APC for obesity and physical inactivity related cancers was 2.43% in the Midwest (p < 0.001). Using a prediction model, obesity is predicted to surpass alcohol and physical inactivity related cancers for men 20-49 years old by 2035. Conclusions: In women, most modifiable factors associated with cancer are increasing except in HPV related cancers. In men, these rates of cancer are increasing except in tobacco related cancers. However, rates of obesity related cancers are on the rise in Hispanic women and younger men in southern U.S. regions. Obesity is projected to become the major modifiable factor for many associated cancers.

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Abstract Details

Meeting

2021 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Prevention, Risk Reduction, and Hereditary Cancer

Track

Prevention, Risk Reduction, and Genetics

Sub Track

Cancer Prevention

Citation

J Clin Oncol 39, 2021 (suppl 15; abstr 10560)

DOI

10.1200/JCO.2021.39.15_suppl.10560

Abstract #

10560

Poster Bd #

Online Only

Abstract Disclosures

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