a,b, Leading modifiable risk factors for incident
cancer cases by country in 2022, for women (a) and men (b). Credit: Nature Medicine (2026). DOI: 10.1038/s41591-026-04219-7
Nearly 40% of
new cancer cases worldwide in 2022 may be associated with modifiable risk
factors, according to an analysis of 36 cancer types from 185 countries. The
findings suggest that reducing exposures such as tobacco smoking, certain
infections, and alcohol use remains essential for cancer prevention.
The study is published in the journal Nature
Medicine.
Cancer is a leading cause of illness and death around
the world, and its burden varies across regions partly because populations are exposed to different
modifiable risk factors. These include behavioral, environmental, infectious,
and work-related risks—which are potentially preventable. Understanding how the
global cancer burden may relate to these risk factors can help countries to
plan prevention programs suited to their own priorities.
Researcher Hanna Fink and colleagues estimated the
global and national cancer burden that may be attributable to 30 modifiable
risk factors. They combined incidence data from 2022 (from 36 types of cancer
across 185 countries) with how common these exposures were about 10 years
earlier. They then calculated the associations between cases and each risk
factor while acknowledging that some risk factors can occur together.
According to the authors, in total, about 7.1 million
of the 18.7 million new cancer cases (37.8%) in 2022 were potentially
attributable to these modifiable risk factors, including 2.7 million (29.7%) in
women and 4.3 million (45.4%) in men. Tobacco smoking (15.1%), infections
(10.2%), and alcohol consumption (3.2%) were the leading contributors, and
lung, stomach, and cervical cancers were estimated to constitute nearly half of
these potentially preventable cases.
For women across the globe, infections such as those
caused by human papillomavirus (HPV) or Helicobacter pylori appeared to be the
biggest risk factor for cancers, and were associated with 11.5% of cases.
However, for men globally, the biggest risk factor was smoking, which was
associated with 23.1% of cases.
The authors also highlight various geographic trends. For example, women in sub-Saharan Africa appeared to have the highest
burden of cancer associated with modifiable risk factors (38.2% of cases),
while women in Northern Africa and Western Asia had the lowest burden (24.6% of
cases). Meanwhile, 57.2% of cancer cases in men in East Asia were associated
with modifiable risk factors, compared to 28.1% of cases for men in Latin
America and the Caribbean.
The findings highlight potential opportunities for cancer prevention, including tobacco control, preventing infections, and nationally adapted strategies suited to each region. The authors note that data quality and availability vary widely across regions, with particularly large gaps in low and middle income countries where cancer and risk factor data are often limited. Better surveillance and more detailed data would help strengthen future estimates and improve policy guidance, they conclude.
Provided
by Nature
Publishing Group
Source: Two in five cancers worldwide are likely preventable, says new research

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