Burden and mortality of breast cancer attributed to diabetes and smoking in women: a secondary analysis based on Global Burden of Disease 2019 in North Africa and the Middle East

Background Breast cancer (BC) is the second most common cancer in the world. This study aimed to investigate the burden of BC due to some risk factors in the Middle East and North Africa (MENA) countries from 1990 to 2019.Methods This study is a secondary analysis based on the Global Burden of Disea...

Full description

Saved in:
Bibliographic Details
Main Authors: Fatemeh Khosravi Shadmani, Ali Jafari-Khounigh, Leili Abedi Gheshlaghi, Leila Rezakhani, Mozafar Khazaei
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/1/e087178.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823864557620166656
author Fatemeh Khosravi Shadmani
Ali Jafari-Khounigh
Leili Abedi Gheshlaghi
Leila Rezakhani
Mozafar Khazaei
author_facet Fatemeh Khosravi Shadmani
Ali Jafari-Khounigh
Leili Abedi Gheshlaghi
Leila Rezakhani
Mozafar Khazaei
author_sort Fatemeh Khosravi Shadmani
collection DOAJ
description Background Breast cancer (BC) is the second most common cancer in the world. This study aimed to investigate the burden of BC due to some risk factors in the Middle East and North Africa (MENA) countries from 1990 to 2019.Methods This study is a secondary analysis based on the Global Burden of Disease 2019 data. In this study, we used data for disability-adjusted life years (DALYs) and mortality of BC in MENA countries. Also, we presented data for DALYs and mortality attributed to diabetes, smoking and passive smoking among women with BC.Results The age-standardised DALY due to BC in women increased slowly from 395 (95% CI: 357 to 458) per 100 000 in 1990 to 473 (95% CI: 409 to 544) per 100 000 in 2019. But Kuwait, Bahrain, Jordan and Turkey saw a decrease in age-standardised DALY trends between 1990 and 2019. In 1990, the age-standardised mortality rate was 12.3 (95% CI: 11.0 to 14.2) per 100 000 people, and by 2019, it had increased to 15.2 (95% CI: 13.3 to 17.3) per 100 000. The rate in 2019 varied between countries. Diabetes, smoking and passive smoking contribute significantly to the burden of disease and mortality from BC, with diabetes playing a more impactful role than the other risk factors. Across the MENA region, the burden and mortality attributed to diabetes vary among countries.Conclusion In the MENA region, the attributable fraction of risk factors such as diabetes, smoking and secondary smoking over BC deaths and DALY has increased in recent years.
format Article
id doaj-art-294bdc64d07341b1b485be460e4739e4
institution Kabale University
issn 2044-6055
language English
publishDate 2025-01-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-294bdc64d07341b1b485be460e4739e42025-02-08T20:10:10ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-087178Burden and mortality of breast cancer attributed to diabetes and smoking in women: a secondary analysis based on Global Burden of Disease 2019 in North Africa and the Middle EastFatemeh Khosravi Shadmani0Ali Jafari-Khounigh1Leili Abedi Gheshlaghi2Leila Rezakhani3Mozafar Khazaei4Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran (the Islamic Republic of)Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran (the Islamic Republic of)Trauma Research Center, Bam University of Medical Sciences, Bam, Iran (the Islamic Republic of)Fertility and Infertility Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, IranFertility and Infertility Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, IranBackground Breast cancer (BC) is the second most common cancer in the world. This study aimed to investigate the burden of BC due to some risk factors in the Middle East and North Africa (MENA) countries from 1990 to 2019.Methods This study is a secondary analysis based on the Global Burden of Disease 2019 data. In this study, we used data for disability-adjusted life years (DALYs) and mortality of BC in MENA countries. Also, we presented data for DALYs and mortality attributed to diabetes, smoking and passive smoking among women with BC.Results The age-standardised DALY due to BC in women increased slowly from 395 (95% CI: 357 to 458) per 100 000 in 1990 to 473 (95% CI: 409 to 544) per 100 000 in 2019. But Kuwait, Bahrain, Jordan and Turkey saw a decrease in age-standardised DALY trends between 1990 and 2019. In 1990, the age-standardised mortality rate was 12.3 (95% CI: 11.0 to 14.2) per 100 000 people, and by 2019, it had increased to 15.2 (95% CI: 13.3 to 17.3) per 100 000. The rate in 2019 varied between countries. Diabetes, smoking and passive smoking contribute significantly to the burden of disease and mortality from BC, with diabetes playing a more impactful role than the other risk factors. Across the MENA region, the burden and mortality attributed to diabetes vary among countries.Conclusion In the MENA region, the attributable fraction of risk factors such as diabetes, smoking and secondary smoking over BC deaths and DALY has increased in recent years.https://bmjopen.bmj.com/content/15/1/e087178.full
spellingShingle Fatemeh Khosravi Shadmani
Ali Jafari-Khounigh
Leili Abedi Gheshlaghi
Leila Rezakhani
Mozafar Khazaei
Burden and mortality of breast cancer attributed to diabetes and smoking in women: a secondary analysis based on Global Burden of Disease 2019 in North Africa and the Middle East
BMJ Open
title Burden and mortality of breast cancer attributed to diabetes and smoking in women: a secondary analysis based on Global Burden of Disease 2019 in North Africa and the Middle East
title_full Burden and mortality of breast cancer attributed to diabetes and smoking in women: a secondary analysis based on Global Burden of Disease 2019 in North Africa and the Middle East
title_fullStr Burden and mortality of breast cancer attributed to diabetes and smoking in women: a secondary analysis based on Global Burden of Disease 2019 in North Africa and the Middle East
title_full_unstemmed Burden and mortality of breast cancer attributed to diabetes and smoking in women: a secondary analysis based on Global Burden of Disease 2019 in North Africa and the Middle East
title_short Burden and mortality of breast cancer attributed to diabetes and smoking in women: a secondary analysis based on Global Burden of Disease 2019 in North Africa and the Middle East
title_sort burden and mortality of breast cancer attributed to diabetes and smoking in women a secondary analysis based on global burden of disease 2019 in north africa and the middle east
url https://bmjopen.bmj.com/content/15/1/e087178.full
work_keys_str_mv AT fatemehkhosravishadmani burdenandmortalityofbreastcancerattributedtodiabetesandsmokinginwomenasecondaryanalysisbasedonglobalburdenofdisease2019innorthafricaandthemiddleeast
AT alijafarikhounigh burdenandmortalityofbreastcancerattributedtodiabetesandsmokinginwomenasecondaryanalysisbasedonglobalburdenofdisease2019innorthafricaandthemiddleeast
AT leiliabedigheshlaghi burdenandmortalityofbreastcancerattributedtodiabetesandsmokinginwomenasecondaryanalysisbasedonglobalburdenofdisease2019innorthafricaandthemiddleeast
AT leilarezakhani burdenandmortalityofbreastcancerattributedtodiabetesandsmokinginwomenasecondaryanalysisbasedonglobalburdenofdisease2019innorthafricaandthemiddleeast
AT mozafarkhazaei burdenandmortalityofbreastcancerattributedtodiabetesandsmokinginwomenasecondaryanalysisbasedonglobalburdenofdisease2019innorthafricaandthemiddleeast