Contribution of Behavioral Risk Factors and Obesity to Socioeconomic Differences in Colorectal Cancer Incidence

Doubeni, Chyke A.; Major, Jacqueline M.; Laiyemo, Adeyinka O.; Schootman, Mario; Zauber, Ann G.; Hollenbeck, Albert R.; Sinha, Rashmi; Allison, Jeroan J.

doi:10.1093/jnci/djs346

Cited by 178 publications

(142 citation statements)

References 40 publications

(42 reference statements)

Supporting

Mentioning

132

Contrasting

Unclassified

Order By: Relevance

“…Although smoking was reported as a risk factor for colorectal cancers in several studies (16,18,40), this study showed no significant relationship between smoking and colorectal cancers. Some limitations such as under-reporting of smoking use, different smoking pattern in different region and also small sample size in this study are considered as explanations for this matter.…”

Section: Discussioncontrasting

confidence: 89%

“…Previous studies have verified the association between some risk factors such as obesity (16) inactivity (16) low socioeconomic status (16,17), smoking (18), some nutritional habits such as carbohydrates, fats, red meat and low fiber use (19,20) with colorectal cancer. Also the effects of alcohol consumption on colorectal cancer have been confirmed by some studies, while other studies have rejected this effect (21).…”

Section: Introductionmentioning

confidence: 96%

See 1 more Smart Citation

Opium Use and Risk of Lower Gastrointestinal Cancers: Population-Based Case-Control Study in South of Iran

Lankarani¹,

Khosravizadegan²,

Naghibzadeh‐Tahami³

et al. 2017

Int J Cancer Manag

View full text Add to dashboard Cite

Background: Colorectal cancers, including colon, rectum and anus, are relatively prevalent in Iran. Use of opium and its derivatives is also considerably prevalent in some areas in Iran. Objectives: The aim of this study was to assess the association between use of opium and its derivatives, and incidence of lower gastrointestinal (LGI) cancers. Methods: This study was a matched case-control study in Shiraz (south of Iran). Cases were the new colorectal cancers from cancer registry center of Shiraz University of Medical Sciences and controls were selected from healthy volunteers of cases' neighbors matched for age and gender (2 controls per 1 case). Data related to consumption of opium and its derivatives, smoking, alcohol use and diet status were collected through a structured questionnaire. The conditional logistic regression models were used to assess all associations. Results: 160 cases and 320 controls participated in the present study with non-response rate less than 9 %. Opium use was associated with increased risk of colorectal cancer (adjusted OR = 4.4; 95% CI: 2.2 -8.8). Also, a dose-response association was observed between cumulative consumption of opium and the colorectal cancer incidence (OR = 3.8; 95% CI: 1.5 -9.1), and (OR = 4.6; 95% CI: 1.7 -12.0) for low and high use, respectively. Also, the significant dose-response association was observed for low (OR = 3.4; 95% CI: 1.2 -9.2) and high (OR = 7.7; 95% CI: 1.5 -38.6) opium use with presence of colon cancer. Conclusions:The results of this study showed that opium use can be an important risk factor for colorectal cancer in Iran.

show abstract

Section: Discussioncontrasting

confidence: 89%

Section: Introductionmentioning

confidence: 96%

Opium Use and Risk of Lower Gastrointestinal Cancers: Population-Based Case-Control Study in South of Iran

Lankarani¹,

Khosravizadegan²,

Naghibzadeh‐Tahami³

et al. 2017

Int J Cancer Manag

View full text Add to dashboard Cite

show abstract

“…CRC was more common in higher SEP groups in 21 countries in 1997, which was consistent with our findings with a correlation coefficient of 0.69-0.71. Higher CRC incidence among high SEP group recommended a higher prevalence of risk factor such as smoking in this group in Tehran but in 2012 the overall incidence of CRC after controlling for other risk factors was significantly higher among low educational level or low-SEP groups where prevalence of adverse health behaviors along with BMI explained 36% of the association of local SEP with risk of colorectal cancer (Doubeni et al, 2012a;2012b). Evidence indicates a upward slope between CRC incidence and socioeconomic deprivation in recent decade which SEP pattern in CRC has changed direction (Kee et al, 1996;Pollock and Vickers, 1997;Oliphant et al, 2011).…”

Section: Correlation Of Cancer Incidence With Probable Risk Facmentioning

confidence: 99%

Correlation of Cancer Incidence with Diet, Smoking and Socio-Economic Position Across 22 Districts of Tehran in 2008

Rohani-Rasaf

Abdollahi²,

Jazayeri³

et al. 2013

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

Background: Variation in cancer incidence in geographical locations is due to different lifestyles and risk factors. Diet and socio-economic position (SEP) have been identified as important for the etiology of cancer but patterns are changing and inconsistent. The aim of this study was to investigate correlations of the incidence of common cancers with food groups, total energy, smoking, and SEP. Materials and Methods: In an ecological study, disaggregated cancer data through the National Cancer Registry in Iran (2008) and dietary intake, smoking habits and SEP obtained through a population based survey within the Urban Health Equity Assessment (Urban-HEART) project were correlated across 22 districts of Tehran. Results: Consumption of fruit, meat and dairy products adjusted for energy were positively correlated with bladder, colorectal, prostate and breast and total cancers in men and women, while these cancers were adversely correlated with bread and fat intake. Also prostate, breast, colorectal, bladder and ovarian cancers had a positive correlation with SEP; there was no correlation between SEP and skin cancer in both genders and stomach cancer in men. Conclusions: The incidence of cancer was higher in some regions of Tehran which appeared to be mainly determined by SEP rather than dietary intake. Further individual data are required to investigate reasons of cancer clustering.

show abstract

“…CRC is associated with several lifestyle factors, including alcohol consumption, smoking, diabetes and obesity. [37][38][39][40] Recent Hispanic immigrants are less likely to smoke and consume excessive alcohol and are more likely to have healthy dietary habits than US-born Hispanics. 41 However, as Hispanics become more acculturated they become less likely to maintain many aspects of a healthy lifestyle which may offset any improvement from increased screening.…”

Section: Rates Among Hispanics Did Not Decline Until 2008 (Table 2)mentioning

confidence: 99%

Colorectal Cancer Trends in California and the Need for Greater Screening of Hispanic Men

Martinsen

Morris

Pinheiro

et al. 2016

American Journal of Preventive Medicine

View full text Add to dashboard Cite

show abstract

Contribution of Behavioral Risk Factors and Obesity to Socioeconomic Differences in Colorectal Cancer Incidence

Abstract: A substantial proportion of the socioeconomic disparity in risk of new-onset colorectal cancer, and particularly of right colon cancers, may be attributable to the higher prevalence of adverse health behaviors in low-SES populations.

Cited by 178 publications

References 40 publications

Opium Use and Risk of Lower Gastrointestinal Cancers: Population-Based Case-Control Study in South of Iran

Opium Use and Risk of Lower Gastrointestinal Cancers: Population-Based Case-Control Study in South of Iran

Correlation of Cancer Incidence with Diet, Smoking and Socio-Economic Position Across 22 Districts of Tehran in 2008

Colorectal Cancer Trends in California and the Need for Greater Screening of Hispanic Men

Contact Info

Product

Resources

About