Trends of head and neck cancers in urban and rural India.

dc.contributor.authorElango, J Kalavathyen_US
dc.contributor.authorGangadharan, Pen_US
dc.contributor.authorSumithra, Sen_US
dc.contributor.authorKuriakose, M Aen_US
dc.date.accessioned2009-05-27T17:33:50Z
dc.date.available2009-05-27T17:33:50Z
dc.date.issued2006-01-25en_US
dc.descriptionAsian Pacific Journal of Cancer Prevention.en_US
dc.description.abstractBACKGROUND: The sub-site predilection of head and neck squamous cell carcinoma (HNSCC) reflects the risk profile of a community and there are suggestions that these are changing over time. OBJECTIVE: To determine the change in head and neck cancer in rural and urban populations in India. METHODS: Cancer registry data of an urban and a rural population were reviewed over a period of 13 and 11 years, respectively. Age adjusted rates (AAR) and age specific incidence rates were used for data analysis. RESULTS: Oral cancers formed the majority of the head and neck cancers with a predilection for tongue, except in rural males, in whom the pharynx was the predominant sub-site. Overall there was a reduction in the incidence of HNSCC, which was more pronounced in urban females and rural males (p< .001). Among the sub-sites, oral cavity cancers showed a decreasing trend in urban females (p< .01) and rural males (p< .01). However, the trend was towards increase of incidence of tongue cancers. Pharyngeal cancer showed reduction in urban females (p< .01), whereas it increased in rural females. The recent increase in incidence of young adults with HNSCC reported in developed countries was not observed. CONCLUSIONS: Overall, incidence of HNSCC is reducing. This may be attributed to the decreased prevalence of tobacco use.The increase in incidence of tongue cancer may suggest factors other than tobacco and alcohol in its genesis.en_US
dc.description.affiliationHead and Neck Institute, Amrita Institute of Medical Sciences and Research Center (Deemed University) Cochin, Kerala, India-682026. gangadharanp@aimshospital.orgen_US
dc.identifier.citationElango JK, Gangadharan P, Sumithra S, Kuriakose MA. Trends of head and neck cancers in urban and rural India. Asian Pacific Journal of Cancer Prevention. 2006 Jan-Mar; 7(1): 108-12en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/37412
dc.language.isoengen_US
dc.source.urihttps://www.apocp.orgen_US
dc.subject.meshAdulten_US
dc.subject.meshAge Distributionen_US
dc.subject.meshAgeden_US
dc.subject.meshCarcinoma, Squamous Cell --diagnosisen_US
dc.subject.meshFemaleen_US
dc.subject.meshHead and Neck Neoplasms --diagnosisen_US
dc.subject.meshHumansen_US
dc.subject.meshIncidenceen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshLaryngeal Neoplasms --diagnosisen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshMouth Neoplasms --diagnosisen_US
dc.subject.meshPharyngeal Neoplasms --diagnosisen_US
dc.subject.meshRegistriesen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshRural Populationen_US
dc.subject.meshSex Distributionen_US
dc.subject.meshSmoking --adverse effectsen_US
dc.subject.meshSurvival Rateen_US
dc.subject.meshTongue Neoplasms --diagnosisen_US
dc.subject.meshUrban Populationen_US
dc.titleTrends of head and neck cancers in urban and rural India.en_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
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