Differences in cancer rates among adults born between 1920 and 1990 in the USA: an analysis of population-based cancer registry data - The Lancet Public Health

The Nugget

  • Younger generations in the USA are experiencing significantly higher cancer incidence rates for many types compared to their older counterparts, indicating a need to understand and address underlying risk factors.

Make it stick

  • 📈 Cancer incidence is increasing in younger birth cohorts, with rates for the 1990 cohort being two-to-three times higher for certain cancers compared to the 1955 cohort.
  • 🔍 Among 34 cancer types studied, 17 showed increasing trends, highlighting potential links to more carcinogenic exposures during early life.
  • 🍔 Obesity-related cancers notably contributed to rising rates in younger generations, reflecting lifestyle and environmental changes.
  • 🏥 There's an urgent call for targeted public health interventions to prevent further increases in cancer incidence as these cohorts age.

Key insights

Rising cancer rates in younger generations

  • Incidence Increasing: From 1920 to 1990, 17 of 34 cancer types saw increasing incidence rates among younger cohorts.
  • Comparative Statistics: For the 1990 birth cohort, the incident rates are three times higher for pancreatic cancer and over three times for kidney and renal pelvis cancers compared to the 1955 cohort.
  1. Cancers with increased incidence:

    • Small intestine cancer: IRR 3.56
    • Kidney and renal pelvis cancer: IRR 2.92
    • Pancreatic cancer: IRR 2.61
    • Liver cancer in females: IRR 2.05
  2. Reversals in trends:

    • Cancers that previously declined in older cohorts (e.g., colorectal, testicular) are now increasing in younger cohorts.

Correlation with obesity and lifestyle

  • Obesity's Role: Ten of the 17 cancers with rising incidence in younger cohorts are linked to obesity, suggesting lifestyle changes are significant contributors.
  • Underlying risk factors: Lifestyle issues like diet, physical activity, and environmental exposures need examination to better understand cancer trajectories in younger cohorts.

Key quotes

  • "Incidence rates for 17 of the 34 cancer types studied increased in progressively younger birth cohorts."
  • "These findings emphasize the need to identify and tackle underlying risk factors."
  • "The rising cancer incidence for many types suggests increases in the prevalence of carcinogenic exposures."
  • "Improving awareness among health-care providers and the general public about cancer signs and symptoms in young adults is crucial."
  • "Without effective interventions, an overall increase in cancer burden could occur in the future."
This summary contains AI-generated information and may have important inaccuracies or omissions.