Cancers related to lifestyle and environmental factors in France in 2015
Cancer is a major cause of premature illness and death in France. To quantify how cancer prevention could reduce the burden, we present estimates of the contribution of lifestyle and environmental risk factors to cancer incidence in France in 2015, comparing these with other high-income countries. P...
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| Veröffentlicht in: | European journal of cancer (1990) 2018-12, Vol.105, p.103-113 |
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| creator | Soerjomataram, Isabelle Shield, Kevin Marant-Micallef, Claire Vignat, Jerome Hill, Catherine Rogel, Agnes Menvielle, Gwenn Dossus, Laure Ormsby, Jean-Nicolas Rehm, Jurgen Rushton, Lesley Vineis, Paolo Parkin, Max Bray, Freddie |
| description | Cancer is a major cause of premature illness and death in France. To quantify how cancer prevention could reduce the burden, we present estimates of the contribution of lifestyle and environmental risk factors to cancer incidence in France in 2015, comparing these with other high-income countries.
Prevalences of, and relative risks for tobacco smoking, alcohol consumption, inadequate diet, overweight and obesity, physical inactivity, exogenous hormones, suboptimal breastfeeding, infectious agents, ionising radiation, air pollution, ultraviolet exposure, occupational exposures, arsenic in drinking water and indoor benzene were obtained to estimate the population attributable fraction (PAF) and the number of attributable cancers by the cancer site and sex.
In 2015, 41% (or 142,000 of 346,000) of all new cancers diagnosed in France could be attributed to the aforementioned risk factors. The numbers and PAF were slightly higher in men than in women (84,000 versus 58,000 cases and 44% versus 37%, respectively). Smoking (PAF: 20%), alcohol consumption (PAF: 8%), dietary factors (PAF: 5%) and excess weight (PAF: 5%) were the most important factors. Infections and occupational exposures each contributed to an additional 4% of the cancer cases in 2015.
Today, two-fifths of cancers in France are attributable to preventable risk factors. The variations in the key amenable factors responsible in France relative to other economically similar countries highlight the need for tailored approaches to cancer education and prevention. Reducing smoking and alcohol consumption and the adoption of healthier diet and body weight remain important targets to reduce the increasing number of new cancer patients in France in the decades to follow.
•41% of all new cancers diagnosed in France could have been avoided.•The proportion of avoidable cancer is similar to that in other countries, but variations were seen in the ranking of major risk factors.•In France, smoking, alcohol consumption, unhealthy diet and excess weight were the most important cancer risk factors.•Long latency time of prevention programme warrants prompt action to ensure future reduction in cancer burden. |
| doi_str_mv | 10.1016/j.ejca.2018.09.009 |
| format | Article |
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Prevalences of, and relative risks for tobacco smoking, alcohol consumption, inadequate diet, overweight and obesity, physical inactivity, exogenous hormones, suboptimal breastfeeding, infectious agents, ionising radiation, air pollution, ultraviolet exposure, occupational exposures, arsenic in drinking water and indoor benzene were obtained to estimate the population attributable fraction (PAF) and the number of attributable cancers by the cancer site and sex.
In 2015, 41% (or 142,000 of 346,000) of all new cancers diagnosed in France could be attributed to the aforementioned risk factors. The numbers and PAF were slightly higher in men than in women (84,000 versus 58,000 cases and 44% versus 37%, respectively). Smoking (PAF: 20%), alcohol consumption (PAF: 8%), dietary factors (PAF: 5%) and excess weight (PAF: 5%) were the most important factors. Infections and occupational exposures each contributed to an additional 4% of the cancer cases in 2015.
Today, two-fifths of cancers in France are attributable to preventable risk factors. The variations in the key amenable factors responsible in France relative to other economically similar countries highlight the need for tailored approaches to cancer education and prevention. Reducing smoking and alcohol consumption and the adoption of healthier diet and body weight remain important targets to reduce the increasing number of new cancer patients in France in the decades to follow.
•41% of all new cancers diagnosed in France could have been avoided.•The proportion of avoidable cancer is similar to that in other countries, but variations were seen in the ranking of major risk factors.•In France, smoking, alcohol consumption, unhealthy diet and excess weight were the most important cancer risk factors.•Long latency time of prevention programme warrants prompt action to ensure future reduction in cancer burden.</description><identifier>ISSN: 0959-8049</identifier><identifier>EISSN: 1879-0852</identifier><identifier>DOI: 10.1016/j.ejca.2018.09.009</identifier><identifier>PMID: 30445359</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Air pollution ; Alcohol Drinking - adverse effects ; Alcohol use ; Alcohols ; Arsenic ; Benzene ; Body weight ; Breast feeding ; Cancer ; Cocarcinogenesis ; Developed Countries ; Diet ; Diet - adverse effects ; Drinking behavior ; Drinking water ; Environmental ; Environmental aspects ; Environmental Exposure ; Environmental factors ; Environmental risk ; Exposure ; Female ; France ; France - epidemiology ; Health risks ; Hormones ; Humans ; Indoor air pollution ; Ionizing radiation ; Life Sciences ; Life Style ; Lifestyle ; Lifestyles ; Male ; Middle Aged ; Neoplasms - epidemiology ; Neoplasms - etiology ; Neoplasms - prevention & control ; Neoplasms, Radiation-Induced - epidemiology ; Obesity - epidemiology ; Occupational Exposure ; Overweight ; Prevention ; Risk analysis ; Risk Factors ; Sedentary Behavior ; Smoking ; Smoking - adverse effects ; Tobacco ; Tobacco smoking ; Ultraviolet radiation ; Water pollution</subject><ispartof>European journal of cancer (1990), 2018-12, Vol.105, p.103-113</ispartof><rights>2018</rights><rights>Copyright © 2018. Published by Elsevier Ltd.</rights><rights>Copyright Elsevier Science Ltd. Dec 2018</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-b44ad8ac19364f2de85f3149c77e6698aba3096a9e8f0b8d21ec0f9e9e352b843</citedby><cites>FETCH-LOGICAL-c484t-b44ad8ac19364f2de85f3149c77e6698aba3096a9e8f0b8d21ec0f9e9e352b843</cites><orcidid>0000-0002-0004-0905 ; 0000-0001-8935-4566 ; 0000-0002-6017-741X ; 0000-0002-3261-6366</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejca.2018.09.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,777,781,882,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30445359$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.sorbonne-universite.fr/hal-03871423$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Soerjomataram, Isabelle</creatorcontrib><creatorcontrib>Shield, Kevin</creatorcontrib><creatorcontrib>Marant-Micallef, Claire</creatorcontrib><creatorcontrib>Vignat, Jerome</creatorcontrib><creatorcontrib>Hill, Catherine</creatorcontrib><creatorcontrib>Rogel, Agnes</creatorcontrib><creatorcontrib>Menvielle, Gwenn</creatorcontrib><creatorcontrib>Dossus, Laure</creatorcontrib><creatorcontrib>Ormsby, Jean-Nicolas</creatorcontrib><creatorcontrib>Rehm, Jurgen</creatorcontrib><creatorcontrib>Rushton, Lesley</creatorcontrib><creatorcontrib>Vineis, Paolo</creatorcontrib><creatorcontrib>Parkin, Max</creatorcontrib><creatorcontrib>Bray, Freddie</creatorcontrib><title>Cancers related to lifestyle and environmental factors in France in 2015</title><title>European journal of cancer (1990)</title><addtitle>Eur J Cancer</addtitle><description>Cancer is a major cause of premature illness and death in France. To quantify how cancer prevention could reduce the burden, we present estimates of the contribution of lifestyle and environmental risk factors to cancer incidence in France in 2015, comparing these with other high-income countries.
Prevalences of, and relative risks for tobacco smoking, alcohol consumption, inadequate diet, overweight and obesity, physical inactivity, exogenous hormones, suboptimal breastfeeding, infectious agents, ionising radiation, air pollution, ultraviolet exposure, occupational exposures, arsenic in drinking water and indoor benzene were obtained to estimate the population attributable fraction (PAF) and the number of attributable cancers by the cancer site and sex.
In 2015, 41% (or 142,000 of 346,000) of all new cancers diagnosed in France could be attributed to the aforementioned risk factors. The numbers and PAF were slightly higher in men than in women (84,000 versus 58,000 cases and 44% versus 37%, respectively). Smoking (PAF: 20%), alcohol consumption (PAF: 8%), dietary factors (PAF: 5%) and excess weight (PAF: 5%) were the most important factors. Infections and occupational exposures each contributed to an additional 4% of the cancer cases in 2015.
Today, two-fifths of cancers in France are attributable to preventable risk factors. The variations in the key amenable factors responsible in France relative to other economically similar countries highlight the need for tailored approaches to cancer education and prevention. Reducing smoking and alcohol consumption and the adoption of healthier diet and body weight remain important targets to reduce the increasing number of new cancer patients in France in the decades to follow.
•41% of all new cancers diagnosed in France could have been avoided.•The proportion of avoidable cancer is similar to that in other countries, but variations were seen in the ranking of major risk factors.•In France, smoking, alcohol consumption, unhealthy diet and excess weight were the most important cancer risk factors.•Long latency time of prevention programme warrants prompt action to ensure future reduction in cancer burden.</description><subject>Adult</subject><subject>Air pollution</subject><subject>Alcohol Drinking - adverse effects</subject><subject>Alcohol use</subject><subject>Alcohols</subject><subject>Arsenic</subject><subject>Benzene</subject><subject>Body weight</subject><subject>Breast feeding</subject><subject>Cancer</subject><subject>Cocarcinogenesis</subject><subject>Developed Countries</subject><subject>Diet</subject><subject>Diet - adverse effects</subject><subject>Drinking behavior</subject><subject>Drinking water</subject><subject>Environmental</subject><subject>Environmental aspects</subject><subject>Environmental Exposure</subject><subject>Environmental factors</subject><subject>Environmental risk</subject><subject>Exposure</subject><subject>Female</subject><subject>France</subject><subject>France - epidemiology</subject><subject>Health risks</subject><subject>Hormones</subject><subject>Humans</subject><subject>Indoor air pollution</subject><subject>Ionizing radiation</subject><subject>Life Sciences</subject><subject>Life Style</subject><subject>Lifestyle</subject><subject>Lifestyles</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neoplasms - epidemiology</subject><subject>Neoplasms - etiology</subject><subject>Neoplasms - prevention & control</subject><subject>Neoplasms, Radiation-Induced - epidemiology</subject><subject>Obesity - epidemiology</subject><subject>Occupational Exposure</subject><subject>Overweight</subject><subject>Prevention</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Sedentary Behavior</subject><subject>Smoking</subject><subject>Smoking - adverse effects</subject><subject>Tobacco</subject><subject>Tobacco smoking</subject><subject>Ultraviolet radiation</subject><subject>Water pollution</subject><issn>0959-8049</issn><issn>1879-0852</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRbK3-AQ8S8OQhcfYjyS54KcVaoeBFz8tmM8ENaVI3aaH_3g2tPXqaZXjel9mHkHsKCQWaPdcJ1tYkDKhMQCUA6oJMqcxVDDJll2QKKlWxBKEm5KbvawDIpYBrMuEgRMpTNSWrhWkt-j7y2JgBy2joosZV2A-HBiPTlhG2e-e7doPtYJqoMnboAu7aaOnH6PgKF6S35KoyTY93pzkjX8vXz8UqXn-8vS_m69gKKYa4EMKU0liqeCYqVqJMK06FsnmOWaakKQwHlRmFsoJCloyihUqhQp6yQgo-I0_H3m_T6K13G-MPujNOr-ZrPe6Ay5wKxvc0sI9Hduu7n134k667nW_DeZrRjLJcghopdqSs7_reY3WupaBH0brWo2g9itagdBAdQg-n6l2xwfIc-TMbgJcjgEHG3qHXvXUYhJXOox102bn_-n8B7F-MbQ</recordid><startdate>20181201</startdate><enddate>20181201</enddate><creator>Soerjomataram, Isabelle</creator><creator>Shield, Kevin</creator><creator>Marant-Micallef, Claire</creator><creator>Vignat, Jerome</creator><creator>Hill, Catherine</creator><creator>Rogel, Agnes</creator><creator>Menvielle, Gwenn</creator><creator>Dossus, Laure</creator><creator>Ormsby, Jean-Nicolas</creator><creator>Rehm, Jurgen</creator><creator>Rushton, Lesley</creator><creator>Vineis, Paolo</creator><creator>Parkin, Max</creator><creator>Bray, Freddie</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TO</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-0004-0905</orcidid><orcidid>https://orcid.org/0000-0001-8935-4566</orcidid><orcidid>https://orcid.org/0000-0002-6017-741X</orcidid><orcidid>https://orcid.org/0000-0002-3261-6366</orcidid></search><sort><creationdate>20181201</creationdate><title>Cancers related to lifestyle and environmental factors in France in 2015</title><author>Soerjomataram, Isabelle ; Shield, Kevin ; Marant-Micallef, Claire ; Vignat, Jerome ; Hill, Catherine ; Rogel, Agnes ; Menvielle, Gwenn ; Dossus, Laure ; Ormsby, Jean-Nicolas ; Rehm, Jurgen ; Rushton, Lesley ; Vineis, Paolo ; Parkin, Max ; Bray, Freddie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-b44ad8ac19364f2de85f3149c77e6698aba3096a9e8f0b8d21ec0f9e9e352b843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Air pollution</topic><topic>Alcohol Drinking - adverse effects</topic><topic>Alcohol use</topic><topic>Alcohols</topic><topic>Arsenic</topic><topic>Benzene</topic><topic>Body weight</topic><topic>Breast feeding</topic><topic>Cancer</topic><topic>Cocarcinogenesis</topic><topic>Developed Countries</topic><topic>Diet</topic><topic>Diet - adverse effects</topic><topic>Drinking behavior</topic><topic>Drinking water</topic><topic>Environmental</topic><topic>Environmental aspects</topic><topic>Environmental Exposure</topic><topic>Environmental factors</topic><topic>Environmental risk</topic><topic>Exposure</topic><topic>Female</topic><topic>France</topic><topic>France - epidemiology</topic><topic>Health risks</topic><topic>Hormones</topic><topic>Humans</topic><topic>Indoor air pollution</topic><topic>Ionizing radiation</topic><topic>Life Sciences</topic><topic>Life Style</topic><topic>Lifestyle</topic><topic>Lifestyles</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neoplasms - epidemiology</topic><topic>Neoplasms - etiology</topic><topic>Neoplasms - prevention & control</topic><topic>Neoplasms, Radiation-Induced - epidemiology</topic><topic>Obesity - epidemiology</topic><topic>Occupational Exposure</topic><topic>Overweight</topic><topic>Prevention</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Sedentary Behavior</topic><topic>Smoking</topic><topic>Smoking - adverse effects</topic><topic>Tobacco</topic><topic>Tobacco smoking</topic><topic>Ultraviolet radiation</topic><topic>Water pollution</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soerjomataram, Isabelle</creatorcontrib><creatorcontrib>Shield, Kevin</creatorcontrib><creatorcontrib>Marant-Micallef, Claire</creatorcontrib><creatorcontrib>Vignat, Jerome</creatorcontrib><creatorcontrib>Hill, Catherine</creatorcontrib><creatorcontrib>Rogel, Agnes</creatorcontrib><creatorcontrib>Menvielle, Gwenn</creatorcontrib><creatorcontrib>Dossus, Laure</creatorcontrib><creatorcontrib>Ormsby, Jean-Nicolas</creatorcontrib><creatorcontrib>Rehm, Jurgen</creatorcontrib><creatorcontrib>Rushton, Lesley</creatorcontrib><creatorcontrib>Vineis, Paolo</creatorcontrib><creatorcontrib>Parkin, Max</creatorcontrib><creatorcontrib>Bray, Freddie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>European journal of cancer (1990)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soerjomataram, Isabelle</au><au>Shield, Kevin</au><au>Marant-Micallef, Claire</au><au>Vignat, Jerome</au><au>Hill, Catherine</au><au>Rogel, Agnes</au><au>Menvielle, Gwenn</au><au>Dossus, Laure</au><au>Ormsby, Jean-Nicolas</au><au>Rehm, Jurgen</au><au>Rushton, Lesley</au><au>Vineis, Paolo</au><au>Parkin, Max</au><au>Bray, Freddie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cancers related to lifestyle and environmental factors in France in 2015</atitle><jtitle>European journal of cancer (1990)</jtitle><addtitle>Eur J Cancer</addtitle><date>2018-12-01</date><risdate>2018</risdate><volume>105</volume><spage>103</spage><epage>113</epage><pages>103-113</pages><issn>0959-8049</issn><eissn>1879-0852</eissn><abstract>Cancer is a major cause of premature illness and death in France. To quantify how cancer prevention could reduce the burden, we present estimates of the contribution of lifestyle and environmental risk factors to cancer incidence in France in 2015, comparing these with other high-income countries.
Prevalences of, and relative risks for tobacco smoking, alcohol consumption, inadequate diet, overweight and obesity, physical inactivity, exogenous hormones, suboptimal breastfeeding, infectious agents, ionising radiation, air pollution, ultraviolet exposure, occupational exposures, arsenic in drinking water and indoor benzene were obtained to estimate the population attributable fraction (PAF) and the number of attributable cancers by the cancer site and sex.
In 2015, 41% (or 142,000 of 346,000) of all new cancers diagnosed in France could be attributed to the aforementioned risk factors. The numbers and PAF were slightly higher in men than in women (84,000 versus 58,000 cases and 44% versus 37%, respectively). Smoking (PAF: 20%), alcohol consumption (PAF: 8%), dietary factors (PAF: 5%) and excess weight (PAF: 5%) were the most important factors. Infections and occupational exposures each contributed to an additional 4% of the cancer cases in 2015.
Today, two-fifths of cancers in France are attributable to preventable risk factors. The variations in the key amenable factors responsible in France relative to other economically similar countries highlight the need for tailored approaches to cancer education and prevention. Reducing smoking and alcohol consumption and the adoption of healthier diet and body weight remain important targets to reduce the increasing number of new cancer patients in France in the decades to follow.
•41% of all new cancers diagnosed in France could have been avoided.•The proportion of avoidable cancer is similar to that in other countries, but variations were seen in the ranking of major risk factors.•In France, smoking, alcohol consumption, unhealthy diet and excess weight were the most important cancer risk factors.•Long latency time of prevention programme warrants prompt action to ensure future reduction in cancer burden.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>30445359</pmid><doi>10.1016/j.ejca.2018.09.009</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-0004-0905</orcidid><orcidid>https://orcid.org/0000-0001-8935-4566</orcidid><orcidid>https://orcid.org/0000-0002-6017-741X</orcidid><orcidid>https://orcid.org/0000-0002-3261-6366</orcidid></addata></record> |
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| subjects | Adult Air pollution Alcohol Drinking - adverse effects Alcohol use Alcohols Arsenic Benzene Body weight Breast feeding Cancer Cocarcinogenesis Developed Countries Diet Diet - adverse effects Drinking behavior Drinking water Environmental Environmental aspects Environmental Exposure Environmental factors Environmental risk Exposure Female France France - epidemiology Health risks Hormones Humans Indoor air pollution Ionizing radiation Life Sciences Life Style Lifestyle Lifestyles Male Middle Aged Neoplasms - epidemiology Neoplasms - etiology Neoplasms - prevention & control Neoplasms, Radiation-Induced - epidemiology Obesity - epidemiology Occupational Exposure Overweight Prevention Risk analysis Risk Factors Sedentary Behavior Smoking Smoking - adverse effects Tobacco Tobacco smoking Ultraviolet radiation Water pollution |
| title | Cancers related to lifestyle and environmental factors in France in 2015 |
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