Nasopharyngeal Carcinoma Burden and Its Attributable Risk Factors in China: Estimates and Forecasts from 1990 to 2050

Zhang，Ruhao1; He，Yifei1; Wei，Bincai1; Lu，Yongbo2; Zhang，Jingya2; Zhang，Ning2; He，Rongxin3; Xue，Hao4; Zhu，Bin1

2023-02-08

10.3390/ijerph20042926

International journal of environmental research and public health   影响因子和分区

1660-4601

Nasopharyngeal carcinoma (NPC) is an uncommon and aggressive malignant head and neck cancer, which is highly prevalent in southern and southwestern provinces in China. The aim of this study was to examine the disease burden and risk factors of nasopharyngeal carcinoma in China from 1990 to 2019 and to predict the incidence trends from 2020 to 2049. All data were extracted from the 2019 Global Burden of Disease (GBD) study. Joinpoint regression and age-period-cohort (APC) models were chosen to analyze prevalence trends. The temporal trends and age distribution of risk factors were also analyzed descriptively. Bayesian APC models were used to predict the prevalence from 2020 to 2049. The results indicate a higher disease burden in men and older adults. Their attributable risk factors are smoking, occupational exposure to formaldehyde, and alcohol use. We predict that the incidence will be on the rise in all age groups between 2020 and 2049, with the highest incidence in people aged 70 to 89 years. In 2049, the incidence rate is expected to reach 13.39 per 100,000 (50-54 years), 16.43 (55-59 years), 17.26 (60-64 years), 18.02 (65-69 years), 18.55 (70-74 years), 18.39 (75-79 years), 19.95 (80-84 years), 23.07 (85-89 years), 13.70 (90-94 years), and 6.68 (95+ years). The findings of this study might deserve consideration in China's NPC prevention and control policy design.

age-period-cohort model burden of diseases GBD study joinpoint regression nasopharyngeal carcinoma prediction risk factors

英语

第一

2-s2.0-85148964564

Scopus

1.School of Public Health and Emergency Management,Southern University of Science and Technology,Shenzhen,518055,China
2.School of Public Policy and Administration,Xi'an Jiaotong University,Xi'an,710049,China
3.Vanke School of Public Health,Tsinghua University,100084,China
4.Freeman Spogli Institute for International Studies, Stanford University, Stanford, CA 94305, USA

Zhang，Ruhao,He，Yifei,Wei，Bincai,et al. Nasopharyngeal Carcinoma Burden and Its Attributable Risk Factors in China: Estimates and Forecasts from 1990 to 2050[J]. International journal of environmental research and public health,2023,20(4).

Zhang，Ruhao.,He，Yifei.,Wei，Bincai.,Lu，Yongbo.,Zhang，Jingya.,...&Zhu，Bin.(2023).Nasopharyngeal Carcinoma Burden and Its Attributable Risk Factors in China: Estimates and Forecasts from 1990 to 2050.International journal of environmental research and public health,20(4).

Zhang，Ruhao,et al."Nasopharyngeal Carcinoma Burden and Its Attributable Risk Factors in China: Estimates and Forecasts from 1990 to 2050".International journal of environmental research and public health 20.4(2023).