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Prevalence, trend, and sociodemographic association of five modifiable lifestyle risk factors for cancer in Alberta and Canada

Abstract

Objectives

To examine the 12-year trend, in Alberta and Canada, of five modifiable lifestyle risk factors for cancer, and their associations with sociodemographic factors.

Methods

Six surveys collected data from Canadians aged ≥12 years. The prevalence, trends, and sociodemographic association of five lifestyle risk factors (smoking, inactivity, excessive drinking, overweight/obesity, and insufficient fruit/vegetable intake) were examined.

Results

Smoking and inactivity decreased significantly: by 5.4% and 2.7% (Alberta men) and 4.9% and 12.1% (Alberta women); by 7.5% and 8.5% (Canada men) and 7.7% and 11.9% (Canada women). Excessive drinking increased significantly: by 3.6% (men) and 0.9% (women), Alberta; by 2.5% (men) and 0.9% (women), Canada. Overweight/obesity significantly increased by 6.0% (Alberta) and 4.1% (Canada) in women. Being female, single, highly educated, or having higher income decreased the likelihood of exposure to multiple lifestyle risk factors; being middle aged, widowed/separated/divorced, or in poor health condition increased the likelihood.

Conclusions

The downward trends for smoking and physical inactivity were in a direction that may help reduce cancer burden. The excessive drinking and overweight/obesity trends did not change in desired direction and deserve attention. The clustering of the lifestyle risk factors in specific social groups provides useful information for future intervention planning.

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References

  1. Statistics Canada (2007) Mortality, summary list of causes, 2004. Available at http://www.statcan.ca/Daily/English/070427/d070427b.htm

  2. Colditz GA, Samplin-Salgado M, Ryan CT et al (2002) Harvard report on cancer prevention, volume 5: fulfilling the potential for cancer prevention: policy approaches. Cancer Causes Control 13:199–212. doi:10.1023/A:1015040702565

    PubMed  Article  Google Scholar 

  3. Colditz GA, DeJong D, Hunter D, Trichopoulos D, Willett W (1996) Harvard report on cancer prevention, volume 1: causes of human cancer. Cancer Causes Control 7:1–59. doi:10.1007/BF00051890

    Article  Google Scholar 

  4. Stein CJ, Colditz GA (2004) Modifiable risk factors for cancer. Br J Cancer 90:299–303. doi:10.1038/sj.bjc.6601509

    PubMed  Article  CAS  Google Scholar 

  5. Tubiana M (1999) Cancer prevention. Acta Oncol 38:689–694. doi:10.1080/028418699432833

    PubMed  Article  CAS  Google Scholar 

  6. CDC (2002) Annual smoking-attributable mortality, years of potential life lost, and economic costs: United States, 1995–1999. MMWR Morb Mortal Wkly Rep 51:300–303

    Google Scholar 

  7. Doll R, Peto R (1981) The causes of cancer: quantitative estimates of avoidable risks of cancer in the United States today. J Natl Cancer Inst 66:1191–1308

    PubMed  CAS  Google Scholar 

  8. Jemal A, Tiwari RC, Murray T et al (2004) Cancer statistics, 2004. CA Cancer J Clin 54:8–29

    PubMed  Article  Google Scholar 

  9. WHO International Agency for Research on Cancer (2003) World cancer report. In: Stewart BW, Kleihues P (eds) Lyon. IARC Press, France

    Google Scholar 

  10. World Cancer Research Fund/American Institute for Cancer Research (1997) Food, nutrition and the prevention of cancer: a global perspective. American Institute for Cancer Research, Washington, DC

    Google Scholar 

  11. Baan R, Straif K, Grosse Y et al (2007) Carcinogenicity of alcoholic beverages. Lancet Oncol 8:292–293. doi:10.1016/S1470-2045(07)70099-2

    PubMed  Article  Google Scholar 

  12. Seitz HK, Stickel F (2007) Molecular mechanisms of alcohol-mediated carcinogenesis. Nat Rev Cancer 7:599–612. doi:10.1038/nrc2191

    PubMed  Article  CAS  Google Scholar 

  13. Public Health Agency of Canada (2004) Progress report on cancer control in Canada: cancer prevention. Available at http://www.phac-aspc.gc.ca/publicat/prccc-relccc/chap_3_e.html

  14. Canadian Cancer Society and BC Cancer Agency (2005) Risk factor interventions: an overview of their effectiveness. Canadian Cancer Society and BC Cancer Agency, British Columbia

    Google Scholar 

  15. World Cancer Research Fund/American Institute for Cancer Research (2007) Food, nutrition and the prevention of cancer: a global perspective (second expert report). American Institute for Cancer Research, Washington, DC

    Google Scholar 

  16. Stephens M, Siroonian J (1998) Smoking prevalence, quit attempts and successes. Health Rep 9:31–37

    PubMed  CAS  Google Scholar 

  17. Statistics Canada (1999) Personal health practices: smoking, drinking, physical activity and weight. Health Rep 11:83–90

    Google Scholar 

  18. Starky S (2005) The obesity epidemic in Canada. Available at http://www.parl.gc.ca/information/library/prbpubs/prb0511-e.htm#conclusiontxt

  19. Shields M (2005) The journey to quitting smoking. Health Rep 16:19–36

    PubMed  Google Scholar 

  20. Statistics Canada (2005) Population health surveys: National Population Health Survey (NPHS); Canadian Community Health Survey (CCHS). Available at http://www.statcan.ca/english/concepts/hs/index.htm

  21. Sobell LC, Sobell MB, Leo GI, Agrawal S, Johnson-Young L, Cunningham JA (2002) Promoting self-change with alcohol abusers: a community-level mail intervention based on natural recovery studies. Alcohol Clin Exp Res 26:936–948

    PubMed  Google Scholar 

  22. Sulaiman ND, Florey C, Taylor DJ, Ogston SA (1988) Alcohol consumption in Dundee primigravidas and its effects on outcome of pregnancy. BMJ 296:1500–1503

    PubMed  CAS  Article  Google Scholar 

  23. Statistics Canada (2005) Canadian Community Health Survey (CCHS 3.1): Derived Variable (DV) Specifications. Statistics Canada Health Statistics Division, Ottawa, Ont

    Google Scholar 

  24. Ainsworth BE, Haskell WL, Whitt MC et al (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32:S498–S516. doi:10.1097/00005768-200009001-00009

    PubMed  Article  CAS  Google Scholar 

  25. Tu D, Shao J (1995) The jackknife and bootstrap—springer series in statistics. Springer-Verlag, New York, LLC

    Google Scholar 

  26. O’Connell AA (2006) Logistic regression models for ordinal response variables—series: quantitative applications in the social sciences. SAGE Publications, London, p 27

    Google Scholar 

  27. Chaloupka FJ, Hu T, Warner KE, Jacobs R, Yurekli A (2007) Tobacco control in developing countries: the taxation of tobacco products. In: Jha P, Chaloupka TJ (eds) The World Bank. Available at http://www1.worldbank.org/tobacco/tcdc/237TO272.PDF

  28. Division of Population Health & Information ACB (2007) Snapshot of tobacco facts: a resource to guide tobacco control planning in Alberta. Alberta Cancer Board. Available at http://www.cancerboard.ab.ca/NR/rdonlyres/9AE60707-AC51-4C61-8BA1-AAAA54778E2D/0/ACBSnapshot_Tobacco_electronic_LowRes.pdf

  29. Alberta Cancer Board/Alberta Cancer Foundation (2007) Briefing note—RE: evidence supporting tobacco control policies, Alberta Cancer Board/Alberta Cancer Foundation. Available at http://www.cancerboard.ab.ca/NR/rdonlyres/7461AA2C-31EE-4D79-B362-4C6DACBB6066/0/TobaccoBriefingNotesFinalFeb15.pdf

  30. Health Canada (2005) Healthy living: Federal Tobacco Control Strategy. Available at http://www.hc-sc.gc.ca/hl-vs/tobac-tabac/about-apropos/role/federal/strateg/index_e.html

  31. Chen Y, Mao Y (2006) Obesity and leisure time physical activity among Canadians. Prev Med 42:261–265. doi:10.1016/j.ypmed.2006.01.006

    PubMed  Article  Google Scholar 

  32. Saris WHM, Blair SN, van Baak MA et al (2003) How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st Stock Conference and consensus statement. Obes Rev 4:101–114. doi:10.1046/j.1467-789X.2003.00101.x

    PubMed  Article  CAS  Google Scholar 

  33. Engstrom L-M (2004) Social change and physical activity. Scand J Nutr 48:108–113. doi:10.1080/16513860410017674

    Article  Google Scholar 

  34. Donaldson M (2004) Nutrition and cancer: a review of the evidence for an anti-cancer diet. Nutr J 3:19. doi:10.1186/1475-2891-3-19

    PubMed  Article  CAS  Google Scholar 

  35. Brown LM, Swanson CA, Gridley G et al (1995) Adenocarcinoma of the esophagus: role of obesity and diet. J Natl Cancer Inst 87:104–109. doi:10.1093/jnci/87.2.104

    PubMed  Article  CAS  Google Scholar 

  36. Vaughan TL, Davis S, Kristal A, Thomas DB (1995) Obesity, alcohol, and tobacco as risk factors for cancers of the esophagus and gastric cardia: adenocarcinoma versus squamous cell carcinoma. Cancer Epidemiol Biomarkers Prev 4:85–92

    PubMed  CAS  Google Scholar 

  37. Ji BT, Chow WH, Yang G et al (1997) Body mass index and the risk of cancers of the gastric cardia and distal stomach in Shanghai, China. Cancer Epidemiol Biomarkers Prev 6:481–485

    PubMed  CAS  Google Scholar 

  38. Chow WH, Blot WJ, Vaughan TL et al (1998) Body mass index and risk of adenocarcinomas of the esophagus and gastric cardia. J Natl Cancer Inst 90:150–155. doi:10.1093/jnci/90.2.150

    PubMed  Article  CAS  Google Scholar 

  39. Calle EE, Kaaks R (2004) Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms. Nat Rev Cancer 4:579–591. doi:10.1038/nrc1408

    PubMed  Article  CAS  Google Scholar 

  40. Murphy TK, Calle EE, Rodriguez C, Kahn HS, Thun MJ (2000) Body mass index and colon cancer mortality in a large prospective study. Am J Epidemiol 152:847–854. doi:10.1093/aje/152.9.847

    PubMed  Article  CAS  Google Scholar 

  41. Calle E, Rodriguez C, Walker-Thurmond K, Thun MJ (2003) Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med 348:1625–1638. doi:10.1056/NEJMoa021423

    PubMed  Article  Google Scholar 

  42. Thorogood M, Mann J, McPherson K (1993) Alcohol intake and the U-shaped curve: do non-drinkers have a higher prevalence of cardiovascular-related disease? J Public Health Med 15:61–68

    PubMed  CAS  Google Scholar 

  43. Williams GD, DeBakey SF (1992) Changes in levels of alcohol consumption: United States, 1983–1988. Br J Addict 87:643–648. doi:10.1111/j.1360-0443.1992.tb01966.x

    PubMed  Article  CAS  Google Scholar 

  44. Rohan TE, Jain M, Howe GR, Miller AB (2000) Alcohol consumption and risk of breast cancer: a cohort study. Cancer Causes Control 11:239–247. doi:10.1023/A:1008933824645

    PubMed  Article  CAS  Google Scholar 

  45. Doll R (1997) One for the heart. BMJ 315:1664–1668

    PubMed  CAS  Google Scholar 

  46. Thun MJ, Peto R, Lopez AD et al (1997) Alcohol consumption and mortality among middle-aged and elderly U.S. adults. N Engl J Med 337:1705–1714. doi:10.1056/NEJM199712113372401

    PubMed  Article  CAS  Google Scholar 

  47. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ (2006) Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet 367:1747–1757. doi:10.1016/S0140-6736(06)68770-9

    PubMed  Article  Google Scholar 

  48. WHO (2003) The world health report: shaping the future. World Health Organization, Geneva, Switzerland

    Google Scholar 

  49. Backlund E, Sorlie PD, Johnson NJ (1999) A comparison of the relationships of education and income with mortality: the National Longitudinal Mortality Study. Soc Sci Med 49:1373–1384. doi:10.1016/S0277-9536(99)00209-9

    PubMed  Article  CAS  Google Scholar 

  50. Giskes K, Kunst AE, Benach J et al (2005) Trends in smoking behaviour between 1985 and 2000 in nine European countries by education. J Epidemiol Community Health 59:395–401. doi:10.1136/jech.2004.025684

    PubMed  Article  CAS  Google Scholar 

  51. Laaksonen M, Rahkonen O, Karvonen S, Lahelma E (2005) Socioeconomic status and smoking: analysing inequalities with multiple indicators. Eur J Public Health 15:262–269. doi:10.1093/eurpub/cki115

    PubMed  Article  Google Scholar 

  52. CDC (2007) Cigarette smoking among adults–United States, 2006. MMWR Morb Mortal Wkly Rep 56:1157–1161

    Google Scholar 

  53. Regidor E, Gutierrez-Fisac JL, Ronda E, Calle ME, Martinez D, Dominguez V (2008) Impact of cumulative area-based adverse socioeconomic environment on body mass index and overweight. J Epidemiol Community Health 62:231–238. doi:10.1136/jech.2006.059360

    PubMed  Article  CAS  Google Scholar 

  54. Robert SA, Reither EN (2004) A multilevel analysis of race, community disadvantage, and body mass index among adults in the US. Soc Sci Med 59:2421–2434. doi:10.1016/j.socscimed.2004.03.034

    PubMed  Article  Google Scholar 

  55. van Lenthe FJ, Mackenbach JP (2002) Neighbourhood deprivation and overweight: the GLOBE study. Int J Obes Relat Metab Disrod 26:234–240. doi:10.1038/sj.ijo.0801841

    Article  Google Scholar 

  56. Hammond EC, Garfinkel L (1961) Smoking habits of men and women. J Natl Cancer Inst 27:442

    Google Scholar 

  57. Harris JE (1983) Cigarette smoking among successive birth cohorts of men and women in the United States during 1900–80. J Natl Cancer Inst 71:473–479

    PubMed  CAS  Google Scholar 

  58. Tolstrup J, Jensen MK, Tjonneland A, Overvad K, Mukamal KJ, Gronbaek M (2006) Prospective study of alcohol drinking patterns and coronary heart disease in women and men. BMJ 332:1244–1248. doi:10.1136/bmj.38831.503113.7C

    PubMed  Article  Google Scholar 

  59. Martin S (2002) Surprise! Women eat healthier than men. CMAJ 167:913

    PubMed  Google Scholar 

  60. Rust P, Elmadfa I (2005) Attitudes of Austrian adults to the consumption of fruits and vegetables. Forum Nutr 57:91–99. doi:10.1159/000083772

    PubMed  Article  Google Scholar 

  61. Schuit AJ, van Loon AJ, Tijhuis M, Ockθ MC (2002) Clustering of lifestyle risk factors in a general adult population. Prev Med 35:219–224. doi:10.1006/pmed.2002.1064

    PubMed  Article  Google Scholar 

  62. Poortinga W (2007) The prevalence and clustering of four major lifestyle risk factors in an English adult population. Prev Med 44:124–128. doi:10.1016/j.ypmed.2006.10.006

    PubMed  Article  Google Scholar 

  63. Galán I, Tobías A, Díez-Gañán L, Gandarillas A, Zorrilla B (2005) Clustering of behavioural risk factors and their association with subjective health. Gac Sanit 19:370–378. doi:10.1157/13080136

    PubMed  Google Scholar 

  64. CDC (2007) Fruit and vegetable consumption among adults—United States, 2005. MMWR Weekly 56:213–217

    Google Scholar 

  65. Goss J, Grubbs L (2005) Comparative analysis of body mass index, consumption of fruits and vegetables, smoking, and physical activity among Florida residents. J Community Health Nurs 22:37–46. doi:10.1207/s15327655jchn2201_4

    PubMed  Article  Google Scholar 

  66. Ward H, Tarasuk V, Mendelson R (2007) Socioeconomic patterns of obesity in Canada: modeling the role of health behaviour. Appl Physiol Nutr Metab 32:206–216. doi:10.1139/H06-104

    PubMed  Article  Google Scholar 

  67. Chen J, Ng E, Wilkins R (1996) The health of Canada’s immigrants in 1994–95. Health Rep 7:33–45

    PubMed  CAS  Google Scholar 

  68. Georgiades K, Boyle MH, Duku E, Racine Y (2006) Tobacco use among immigrant and nonimmigrant adolescents: individual and family level influences. J Adolesc Health 38:443. doi:10.1016/j.jadohealth.2005.02.007

    PubMed  Article  Google Scholar 

  69. Tremblay MS, Pérez CE, Ardern CI, Bryan SN, Katzmarzyk PT (2005) Obesity, overweight and ethnicity. Health Rep 16:23–34

    PubMed  Google Scholar 

  70. Katzmarzyk PT (2002) The Canadian obesity epidemic: an historical perspective. Obes Res 10:666–674. doi:10.1038/oby.2002.90

    PubMed  Article  Google Scholar 

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Acknowledgment

We wish to express our gratitude to Statistics Canada for granting our access to the Research Data Centre (RDC) where this data analysis was conducted. We would also like to thank Ms. Irene Wong and Shirley Loh at the RDC for their full support and assistance when the data analysis was conducted at the RDC.

Disclaimer

The research and analysis are based on data from Statistics Canada and the opinions expressed do not represent the views of Statistics Canada.

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Correspondence to Feng Xiao Li.

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Li, F.X., Robson, P.J., Chen, Y. et al. Prevalence, trend, and sociodemographic association of five modifiable lifestyle risk factors for cancer in Alberta and Canada. Cancer Causes Control 20, 395 (2009). https://doi.org/10.1007/s10552-008-9254-2

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  • DOI: https://doi.org/10.1007/s10552-008-9254-2

Keywords

  • Prevalence
  • Trend
  • Lifestyle risk factors
  • Sociodemographic factors
  • Cancer