Cancer Risk and Behavioral Factors, Comorbidities, and Functional Status in the US Elderly Population
Author(s) -
Igor Akushevich,
Julia Kravchenko,
Lucy Akushevich,
Svetlana Ukraintseva,
Konstantin G. Arbeev,
Anatoliy I. Yashin
Publication year - 2011
Publication title -
isrn oncology
Language(s) - English
Resource type - Journals
eISSN - 2090-567X
pISSN - 2090-5661
DOI - 10.5402/2011/415790
Subject(s) - medicine , behavioral risk , prostate cancer , population , incidence (geometry) , cancer , gerontology , breast cancer , risk factor , demography , environmental health , physics , sociology , optics
About 80% of all cancers are diagnosed in the elderly and up to 75% of cancers are associated with behavioral factors. An approach to estimate the contribution of various measurable factors, including behavior/lifestyle, to cancer risk in the US elderly population is presented. The nationally representative National Long-Term Care Survey (NLTCS) data were used for measuring functional status and behavioral factors in the US elderly population (65+), and Medicare Claims files linked to each person from the NLTCS were used for estimating cancer incidence. The associations (i.e., relative risks) of selected factors with risks of breast, prostate, lung and colon cancers were evaluated and discussed. Behavioral risk factors significantly affected cancer risks in the US elderly. The most influential of potentially preventable risk factors can be detected with this approach using NLTCS-Medicare linked dataset and for further deeper analyses employing other datasets with detailed risk factors description.
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