Monday, December 31, 2018

States vary widely in obesity-related cancers

CANCER DIGEST – Dec. 31, 2018 – Obesity-related cancer varies widely by state with the highest rate of 8.3 percent in the District of Columbia and the lowest rate of 5.9 percent in Hawaii according to a new American Cancer Society study.

Published in Dec. 27, 2018 JAMA Oncology, researchers led by Farhad Islami, MD, PhD, scientific director for Surveillance Research looked at cancer attributed to excess body weight among adults aged 30 and over between 2011 and 2015 in all 50 states and D.C.



They used a calculation called, population attributable fraction, which is the proportional reduction in population disease or mortality that would occur if exposure to a risk factor were reduced to an alternative ideal exposure. This is a complicated calculation that takes into account that many diseases result from multiple risk factors.

The researchers found that the population attributable fraction or PAF for men was lowest at 3.9 percent in Montana compared to 6 percent in Texas. For women, the PAF ranged from 7.1 percent in Hawaii to 11.5 percent in Washington, DC. States with the largest PAFs were mostly located in the South and Midwest, plus Alaska and D.C.

Excess body weight is an established cause of cancer, currently known to be linked to 13 cancers. While much has been known about differences in excess body weight by state,  little was known about the obesity-related cancers by state.


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