Nwafor Jane N, Figueroa Alexander S, Okobi Okelue E, Ojukwu Gift, Fanegan Edamisan J, Nyamekye-Affel Robert, Oyewole Blessing O, Omotunde Oluwatobiloba, Mamah Grace N, Muoghalu Nneka
Internal Medicine, University of the District of Columbia, Washington, DC, USA.
Medicine, University of the East Ramon Magsaysay Memorial Medical Center (UERMMMC) College of Medicine, Quezon City, PHL.
Cureus. 2025 May 22;17(5):e84610. doi: 10.7759/cureus.84610. eCollection 2025 May.
Obesity is a well-established risk factor for various cancers, contributing to significant public health burdens. Disparities in obesity-associated cancer incidence exist across racial, age, and geographic groups, necessitating targeted prevention and intervention strategies.
The aim of this study is to analyze the incidence rates of obesity-associated cancers across different racial, age, and geographic groups in the United States from 2017 to 2021, identifying key disparities to inform public health interventions.
A retrospective analysis of cancer incidence data from national registries was conducted. Age-adjusted incidence rates (per 100,000 population) were calculated across racial/ethnic groups, age cohorts, and US states. Descriptive statistics and confidence intervals were used to assess disparities.
Black, non-Hispanic individuals had the highest obesity-associated cancer incidence (184.8 per 100,000), followed by American Indian/Alaska Native populations (179.3 per 100,000). Incidence rates increased with age, peaking at 75-79 years (788.7 per 100,000 overall). Geographically, Midwestern and Southern states exhibited higher incidence rates, with West Virginia reporting the highest (188.3 per 100,000) and Nevada the lowest (149.5 per 100,000). These findings highlight significant racial, age, and regional disparities.
The study underscores the need for targeted public health strategies, including enhanced screening, culturally tailored interventions, and policy-driven approaches to address obesity and its related cancer risks. Future research should explore individual-level risk factors and effective interventions to promote equitable healthcare access and improved cancer outcomes.
肥胖是多种癌症公认的风险因素,给公共卫生带来了沉重负担。肥胖相关癌症的发病率在种族、年龄和地理区域群体中存在差异,因此需要有针对性的预防和干预策略。
本研究旨在分析2017年至2021年美国不同种族、年龄和地理区域群体中肥胖相关癌症的发病率,确定关键差异以指导公共卫生干预措施。
对国家登记处的癌症发病率数据进行回顾性分析。计算了不同种族/族裔群体、年龄组和美国各州的年龄调整发病率(每10万人)。使用描述性统计和置信区间来评估差异。
非西班牙裔黑人的肥胖相关癌症发病率最高(每10万人中有184.8例),其次是美国印第安人/阿拉斯加原住民(每10万人中有179.3例)。发病率随年龄增长而增加,在75-79岁达到峰值(总体为每10万人中有788.7例)。在地理上,中西部和南部各州的发病率较高,西弗吉尼亚州报告的发病率最高(每10万人中有188.3例),内华达州最低(每10万人中有149.5例)。这些发现突出了显著的种族、年龄和地区差异。
该研究强调了有针对性公共卫生策略的必要性,包括加强筛查、针对不同文化背景定制干预措施以及政策驱动的方法,以应对肥胖及其相关癌症风险。未来的研究应探索个体层面的风险因素和有效的干预措施,以促进公平的医疗保健获取并改善癌症治疗结果。