Prevalence and coprevalence of modifiable risk factors for upper digestive tract cancer among residents aged 40–69 years in Yangzhong city, China: a cross-sectional study

Objectives To describe the prevalence of modifiable risk factors for upper digestive tract cancer (UDTC) and its coprevalence, and investigate relevant influencing factors of modifiable UDTC risk factors coprevalence among residents aged 40–69 years in Yangzhong city, China.Design Cross-sectional st...

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Main Authors: Ru Chen, Xi Wang, Xiang Feng, Qin Zhou, Zhao-Lai Hua, Ai-Wu Shi, Tong-Qiu Song, Dong-Fu Qian, Gui-Qi Wang, Wen-Qiang Wei, Jin-Yi Zhou, Jie-Jun Wang, Gang Shao
Format: Article
Language:English
Published: BMJ Publishing Group 2021-04-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/4/e042006.full
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author Ru Chen
Xi Wang
Xiang Feng
Qin Zhou
Zhao-Lai Hua
Ai-Wu Shi
Tong-Qiu Song
Dong-Fu Qian
Gui-Qi Wang
Wen-Qiang Wei
Jin-Yi Zhou
Jie-Jun Wang
Gang Shao
author_facet Ru Chen
Xi Wang
Xiang Feng
Qin Zhou
Zhao-Lai Hua
Ai-Wu Shi
Tong-Qiu Song
Dong-Fu Qian
Gui-Qi Wang
Wen-Qiang Wei
Jin-Yi Zhou
Jie-Jun Wang
Gang Shao
author_sort Ru Chen
collection DOAJ
description Objectives To describe the prevalence of modifiable risk factors for upper digestive tract cancer (UDTC) and its coprevalence, and investigate relevant influencing factors of modifiable UDTC risk factors coprevalence among residents aged 40–69 years in Yangzhong city, China.Design Cross-sectional study.Participants A total of 21 175 participants aged 40–69 years were enrolled in the study. 1962 subjects were excluded due to missing age, marital status or some other selected information. Eventually, 19 213 participants were available for the present analysis.Main outcomes measures Prevalence and coprevalence of eight modifiable UDTC risk factors (overweight or obesity, current smoking, excessive alcohol consumption, insufficient vegetables intake, insufficient fruit intake and the consumption of pickled, fried and hot food) were analysed.Results The prevalence of overweight/obesity, current smoking, excessive alcohol consumption, insufficient vegetables intake, insufficient fruit intake and the consumption of pickled, fried and hot food in this study was 45.3%, 24.1%, 16.2%, 66.1%, 94.5%, 68.1%, 36.0% and 88.4%, respectively. Nearly all (99.9%) participants showed one or more UDTC risk factors, 98.6% of the participants showed at least two risk factors, 92.2% of the participants had at least three risk factors and 69.7% of the participants had four or more risk factors. Multivariate logistic regression analysis revealed that men, younger age, single, higher education, higher annual family income and smaller household size were more likely to present modifiable UDTC risk factors coprevalence.Conclusions The prevalence and coprevalence of modifiable UDTC risk factors are high among participants in Yangzhong city. Extra attention must be paid to these groups who are susceptible to risk factors coprevalence during screening progress. Relative departments also need to make significant public health programmes that aim to decrease modifiable UDTC risk factors coprevalence among residents aged 40–69 years from high-risk areas of UDTC.
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spelling doaj-art-50ed38be6f0341fb98d36aded8d4cc0b2024-11-21T19:20:08ZengBMJ Publishing GroupBMJ Open2044-60552021-04-0111410.1136/bmjopen-2020-042006Prevalence and coprevalence of modifiable risk factors for upper digestive tract cancer among residents aged 40–69 years in Yangzhong city, China: a cross-sectional studyRu Chen0Xi Wang1Xiang Feng2Qin Zhou3Zhao-Lai Hua4Ai-Wu Shi5Tong-Qiu Song6Dong-Fu Qian7Gui-Qi Wang8Wen-Qiang Wei9Jin-Yi Zhou10Jie-Jun Wang11Gang Shao12National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Cancer Registry Office, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China3 Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, Guangdong, ChinaInstitute of Tumour Prevention and Control, People`s Hospital of Yangzhong, Yangzhong, Jiangsu, China2 Department of Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, United StatesInstitute of tumour prevention and control, People`s Hospital of Yangzhong City, Yangzhong, ChinaInstitute of tumour prevention and control, People`s Hospital of Yangzhong City, Yangzhong, ChinaInstitute of tumour prevention and control, People`s Hospital of Yangzhong City, Yangzhong, ChinaSchool of Health Policy & Management, Nanjing Medical University, Nanjing, ChinaNational Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Cancer Registry Office, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaNational Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Cancer Registry Office, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China1 Department of Non-communicable Chronic Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, ChinaChangzheng Hospital, Department of Oncology, Second Military Medical University, Shanghai, ChinaDepartment of Oncology, 903rd Hospital of PLA, Hangzhou, ChinaObjectives To describe the prevalence of modifiable risk factors for upper digestive tract cancer (UDTC) and its coprevalence, and investigate relevant influencing factors of modifiable UDTC risk factors coprevalence among residents aged 40–69 years in Yangzhong city, China.Design Cross-sectional study.Participants A total of 21 175 participants aged 40–69 years were enrolled in the study. 1962 subjects were excluded due to missing age, marital status or some other selected information. Eventually, 19 213 participants were available for the present analysis.Main outcomes measures Prevalence and coprevalence of eight modifiable UDTC risk factors (overweight or obesity, current smoking, excessive alcohol consumption, insufficient vegetables intake, insufficient fruit intake and the consumption of pickled, fried and hot food) were analysed.Results The prevalence of overweight/obesity, current smoking, excessive alcohol consumption, insufficient vegetables intake, insufficient fruit intake and the consumption of pickled, fried and hot food in this study was 45.3%, 24.1%, 16.2%, 66.1%, 94.5%, 68.1%, 36.0% and 88.4%, respectively. Nearly all (99.9%) participants showed one or more UDTC risk factors, 98.6% of the participants showed at least two risk factors, 92.2% of the participants had at least three risk factors and 69.7% of the participants had four or more risk factors. Multivariate logistic regression analysis revealed that men, younger age, single, higher education, higher annual family income and smaller household size were more likely to present modifiable UDTC risk factors coprevalence.Conclusions The prevalence and coprevalence of modifiable UDTC risk factors are high among participants in Yangzhong city. Extra attention must be paid to these groups who are susceptible to risk factors coprevalence during screening progress. Relative departments also need to make significant public health programmes that aim to decrease modifiable UDTC risk factors coprevalence among residents aged 40–69 years from high-risk areas of UDTC.https://bmjopen.bmj.com/content/11/4/e042006.full
spellingShingle Ru Chen
Xi Wang
Xiang Feng
Qin Zhou
Zhao-Lai Hua
Ai-Wu Shi
Tong-Qiu Song
Dong-Fu Qian
Gui-Qi Wang
Wen-Qiang Wei
Jin-Yi Zhou
Jie-Jun Wang
Gang Shao
Prevalence and coprevalence of modifiable risk factors for upper digestive tract cancer among residents aged 40–69 years in Yangzhong city, China: a cross-sectional study
BMJ Open
title Prevalence and coprevalence of modifiable risk factors for upper digestive tract cancer among residents aged 40–69 years in Yangzhong city, China: a cross-sectional study
title_full Prevalence and coprevalence of modifiable risk factors for upper digestive tract cancer among residents aged 40–69 years in Yangzhong city, China: a cross-sectional study
title_fullStr Prevalence and coprevalence of modifiable risk factors for upper digestive tract cancer among residents aged 40–69 years in Yangzhong city, China: a cross-sectional study
title_full_unstemmed Prevalence and coprevalence of modifiable risk factors for upper digestive tract cancer among residents aged 40–69 years in Yangzhong city, China: a cross-sectional study
title_short Prevalence and coprevalence of modifiable risk factors for upper digestive tract cancer among residents aged 40–69 years in Yangzhong city, China: a cross-sectional study
title_sort prevalence and coprevalence of modifiable risk factors for upper digestive tract cancer among residents aged 40 69 years in yangzhong city china a cross sectional study
url https://bmjopen.bmj.com/content/11/4/e042006.full
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