A recent study conducted by the American Cancer Society found that individuals from Generation X and Millennials in the United States are at a significantly higher risk of developing certain types of cancer compared to older generations.
To analyze cancer rates across different generations, the researchers calculated incidence and mortality rate ratios for specific birth cohorts, taking into account age and period effects. These cohorts were defined by five-year birth intervals ranging from 1920 to 1990.
The study’s findings indicate that cancer incidence rates have been increasing in progressively younger generations for 17 out of the 34 types of cancer studied, including breast, pancreatic, and gastric cancers.
Birth cohorts, characterized by people born in the same years, experience distinct social, economic, political, and environmental environments that influence their exposure to cancer risk factors during crucial developmental stages. Despite identifying trends associated with birth years, the exact reasons for these rising rates are still unknown.
The study also discovered an increase in mortality rates corresponding to the incidence of liver cancer (in females only), uterine corpus cancer, gallbladder cancer, testicular cancer, and colorectal cancer.
Further analysis revealed that the incidence rate for eight out of the 34 types of cancer was approximately two to three times higher in the 1990 birth cohort compared to the 1955 birth cohort.
Some of the cancers showing higher incidence rates among individuals born in 1990 compared to those born in 1955 include pancreatic, kidney, and small intestinal cancers in both males and females, as well as liver cancer in females.
In addition, incidence rates increased in younger cohorts for nine other types of cancer, including estrogen-receptor-positive breast cancer, uterine corpus cancer, colorectal cancer, non-cardia gastric cancer, gallbladder cancer, ovarian cancer, testicular cancer, anal cancer in males, and Kaposi sarcoma in males.
Ahmedin Jemal, senior vice president of surveillance and health equity science at the American Cancer Society, expressed concern over the potential future increase in cancer burden if effective population-level interventions are not implemented. This could halt or reverse decades of progress made against the disease.
Given these findings, Jemal emphasized the urgent need to identify and address underlying risk factors present in Generation X and Millennial populations in order to develop informed prevention strategies.
The study suggests that the rising cancer incidence among younger generations may be attributed to changes in exposures during early life or young adulthood. These include potential carcinogenic factors linked to lifestyle, diet, obesity, and environmental exposures. Out of the 17 cancers with increasing incidence, ten are associated with obesity, indicating a possible connection between obesity and emerging cancer trends.
The authors of the study call for further research to investigate the mechanisms contributing to this heightened cancer incidence and to develop interventions that align with the social and cultural contexts of younger generations. They stress the importance of effective prevention strategies in mitigating the future cancer burden.
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