1. Disparities in Health and Economic Burdens of Cancer Attributable to Suboptimal Diet in the United States, 2015‒2018.
- Author
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Wang, Lu, Du, Mengxi, Cudhea, Frederick, Griecci, Christina, Michaud, Dominique S., Mozaffarian, Dariush, and Zhang, Fang Fang
- Subjects
HEALTH equity ,CANCER ,DIET in disease ,MEDICAL economics ,CANCER-related mortality ,FRUIT ,VEGETABLES ,DAIRY products ,MEAT ,ADULTS ,TUMOR risk factors ,FOOD habits ,BEVERAGES ,BLACK people ,DIET ,MEDICAL care costs ,FOOD preferences ,DISEASE prevalence ,ECONOMIC aspects of diseases ,DEATH ,GRAIN ,LONGITUDINAL method - Abstract
Objectives. To quantify disparities in health and economic burdens of cancer attributable to suboptimal diet among US adults. Methods. Using a probabilistic cohort state-transition model, we estimated the number of new cancer cases and cancer deaths, and economic costs of 15 diet-related cancers attributable to suboptimal intake of 7 dietary factors (a low intake of fruits, vegetables, dairy, and whole grains and a high intake of red and processed meats and sugar-sweetened beverages) among a closed cohort of US adults starting in 2017. Results. Suboptimal diet was estimated to contribute to 3.04 (95% uncertainty interval [UI] = 2.88, 3.20) million new cancer cases, 1.74 (95% UI = 1.65, 1.84) million cancer deaths, and $254 (95% UI = $242, $267) billion economic costs among US adults aged 20 years or older over a lifetime. Diet-attributable cancer burdens were higher among younger adults, men, non-Hispanic Blacks, and individuals with lower education and income attainments than other population subgroups. The largest disparities were for cancers attributable to high consumption of sugar-sweetened beverages and low consumption of whole grains. Conclusions. Suboptimal diet contributes to substantial disparities in health and economic burdens of cancer among young adults, men, racial/ethnic minorities, and socioeconomically disadvantaged groups. (Am J Public Health. 2021;111(11):2008–2018. https://doi.org/10.2105/AJPH.2021.306475) [ABSTRACT FROM AUTHOR]
- Published
- 2021
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