Department of Public Health and Social Sciences, Kazakhstan Medical University Higher School of Public Health, Almaty, Kazakhstan.
Department of Epidemiology, Biostatistics and Evidence Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan.
Sci Rep. 2024 Sep 4;14(1):20536. doi: 10.1038/s41598-024-71449-5.
Globally, cancer is the second leading cause of death, with a growing burden also observed in Kazakhstan. This study evaluates the burden of common cancers in Almaty, Kazakhstan's major city, from 2017 to 2021, utilizing data from the Information System of the Ministry of Health. In Kazakhstan, most common cancers among men include lung, stomach, and prostate cancer, while breast, cervical, and colorectal cancers are predominant among women. Employing measures like disability-adjusted life years (DALYs), we found that selected cancer types accounted for a total DALY burden of 25,016.60 in 2021, with mortality contributing more than disability (95.2% vs. 4.7%) with the ratio of non-fatal to fatal outcomes being 1.4 times higher in women than in men. The share of non-fatal burden (YLD) proportion within DALYs increased for almost all selected cancer types, except stomach and cervical cancer over the observed period in Almaty. Despite the overall increase in cancer burden observed during the time period, a downward trend in specific cancers suggests the efficacy of implemented cancer control strategies. Comparison with global trends highlights the significance of targeted interventions. This analysis underscores the need for continuous comprehensive cancer control strategies in Almaty and Kazakhstan, including vaccination against human papillomavirus, stomach cancer screening programs, and increased cancer awareness initiatives.
全球范围内,癌症是第二大死亡原因,在哈萨克斯坦,其负担也在不断增加。本研究利用哈萨克斯坦卫生部信息系统的数据,评估了 2017 年至 2021 年期间哈萨克斯坦主要城市阿拉木图常见癌症的负担。在哈萨克斯坦,男性中最常见的癌症包括肺癌、胃癌和前列腺癌,而乳腺癌、宫颈癌和结直肠癌在女性中更为常见。通过使用残疾调整生命年(DALY)等措施,我们发现,2021 年,部分癌症类型的 DALY 总负担为 25016.60,其中死亡率的贡献超过残疾(95.2%对 4.7%),女性非致命性与致命性结果的比例比男性高 1.4 倍。除了胃癌和宫颈癌,在观察期间,阿拉木图的几乎所有选定癌症类型的非致命性负担(YLD)比例在 DALY 中均有所增加。尽管在此期间观察到癌症负担总体增加,但特定癌症的下降趋势表明实施的癌症控制策略是有效的。与全球趋势的比较突出了有针对性的干预措施的重要性。该分析强调了在阿拉木图和哈萨克斯坦需要持续综合癌症控制策略,包括人乳头瘤病毒疫苗接种、胃癌筛查计划和提高癌症意识的倡议。