Global and Regional Burden and Trend of Neoplasms Attributable to Alcohol Consumption in the Past 3 Decades.

IF 4.2 3区 医学 Q1 SUBSTANCE ABUSE Journal of Addiction Medicine Pub Date : 2024-07-01 Epub Date: 2024-02-24 DOI:10.1097/ADM.0000000000001288
Hui-Wen Song, Jin-Hua Ge, Bi-Xia Xie, Mei-Ting Jiang, Jin-Shui Pan
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Abstract

Objectives: To provide valuable insights for targeted cancer screening among high-risk patients, we analyzed the global and regional burden of neoplasms resulting from alcohol consumption between 1990 and 2019.

Methods: The information used in this study was collected from the Global Burden of Disease 2019 dataset. Initially, the database was used to extract details of mortality rates, disability-adjusted life years (DALYs), and the number of individuals affected by alcohol-related neoplasms (ARNs). Subsequently, the data were compared by cancer type, sex, age, region, and sociodemographic index. Furthermore, the study involved the calculation and comparison of estimated annual percentage changes in age-standardized DALYs rates (ASDRs) and mortality rates.

Results: The impact of alcohol on the burden of cancer varied by type of cancer, sex, age, and geographical location. Notably, males exhibited significantly higher ASDRs compared with females. Specifically, in 2019, alcohol emerged as the primary contributor to the number of DALYs associated with esophageal cancer, followed by liver cancer and colorectal cancer in men. Patients aged 50+ years exhibited a heightened rate of DALYs associated with ARNs. From 1990 to 2019, ASDRs among individuals with ARNs did not exhibit a decline in low-middle and low sociodemographic index regions.

Conclusions: Alcohol consumption represents a significant risk factor for the burden of cancer, particularly within the realm of digestive system malignancies. Consequently, targeted cancer screening efforts should be directed toward the population that engages in alcohol drinking, with a particular focus on men aged 50 years and older, residing in economically disadvantaged areas.

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过去三十年全球和地区因饮酒导致的肿瘤负担和趋势。
目的为了给高危患者的针对性癌症筛查提供有价值的见解,我们分析了 1990 年至 2019 年间全球和地区因饮酒导致的肿瘤负担:本研究使用的信息来自 2019 年全球疾病负担数据集。首先,利用该数据库提取了死亡率、残疾调整生命年(DALYs)和受酒精相关肿瘤(ARNs)影响的人数等详细信息。随后,按癌症类型、性别、年龄、地区和社会人口指数对数据进行了比较。此外,研究还包括计算和比较年龄标准化残疾调整寿命年数(ASDRs)和死亡率的估计年度百分比变化:结果:酒精对癌症负担的影响因癌症类型、性别、年龄和地理位置而异。值得注意的是,男性的ASDRs明显高于女性。具体而言,在2019年,酒精是造成食道癌相关残疾调整寿命年数的主要因素,其次是肝癌和男性结肠直肠癌。50 岁以上患者与急性淋巴细胞白血病相关的残疾调整寿命年数增加。从1990年到2019年,在中低社会人口指数地区和低社会人口指数地区,ARN患者的ASDR并没有下降:结论:饮酒是造成癌症负担的一个重要风险因素,尤其是在消化系统恶性肿瘤领域。因此,应针对饮酒人群开展有针对性的癌症筛查工作,重点关注居住在经济落后地区的 50 岁及以上男性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Addiction Medicine
Journal of Addiction Medicine 医学-药物滥用
CiteScore
6.10
自引率
9.10%
发文量
260
审稿时长
>12 weeks
期刊介绍: The mission of Journal of Addiction Medicine, the official peer-reviewed journal of the American Society of Addiction Medicine, is to promote excellence in the practice of addiction medicine and in clinical research as well as to support Addiction Medicine as a mainstream medical sub-specialty. Under the guidance of an esteemed Editorial Board, peer-reviewed articles published in the Journal focus on developments in addiction medicine as well as on treatment innovations and ethical, economic, forensic, and social topics including: •addiction and substance use in pregnancy •adolescent addiction and at-risk use •the drug-exposed neonate •pharmacology •all psychoactive substances relevant to addiction, including alcohol, nicotine, caffeine, marijuana, opioids, stimulants and other prescription and illicit substances •diagnosis •neuroimaging techniques •treatment of special populations •treatment, early intervention and prevention of alcohol and drug use disorders •methodological issues in addiction research •pain and addiction, prescription drug use disorder •co-occurring addiction, medical and psychiatric disorders •pathological gambling disorder, sexual and other behavioral addictions •pathophysiology of addiction •behavioral and pharmacological treatments •issues in graduate medical education •recovery •health services delivery •ethical, legal and liability issues in addiction medicine practice •drug testing •self- and mutual-help.
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