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

• Published in: BMJ open 2021-04, Vol.11 (4), p.e042006-e042006
• Main Authors: Feng, Xiang, Hua, Zhao-Lai, Zhou, Qin, Shi, Ai-Wu, Song, Tong-Qiu, Qian, Dong-Fu, Chen, Ru, Wang, Gui-Qi, Wei, Wen-Qiang, Zhou, Jin-Yi, Wang, Jie-Jun, Shao, Gang, Wang, Xi
• Format: Article
• Language: English
• Subjects: Body mass index; Cancer; Cross-sectional studies; Data collection; Endoscopy; Epidemiology; Medical diagnosis; Medical screening; Mortality; Overweight; Personal health; Questionnaires; Risk factors; risk management
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2020-042006

ObjectivesTo 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.DesignCross-sectional study.ParticipantsA 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 measuresPrevalence 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.ResultsThe 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.ConclusionsThe 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.