Effectiveness of public health measures in reducing the incidence and lethality of cancer: A systematic review and meta-analysis

Amine EL MATHARI 1, *, Houda ALI OUQASSOU 2, Mohamed Amine SEHHAR 1, Tarik CHMITAH 1, Salaheddine SOLTANI 1, Karim SBAI IDRISSI 1 and Larbi EL BOUAITI 1

1 Educational and Research Unit of Social and Preventive Medicine, Legal Medicine and Occupational Medicine -Faculty of Medicine and Pharmacy of Rabat, Mohammed V, Morocco.
2 Abulcasis International University of Health Sciences, Rabat, Morocco.
 
Review Article
World Journal of Advanced Research and Reviews, 2024, 23(02), 371–393
Article DOI: 10.30574/wjarr.2024.23.2.2354
 
Publication history: 
Received on 23 June 2024; revised on 02 August 2024; accepted on 04 August 2024
 
Abstract: 
Cancer constitutes a real public health problem, and its burden is expected to increase national health systems. The future burden is likely to be much greater due to the increasing prevalence of factors that increase risk, such as smoking, alcoholism, unhealthy diet, physical inactivity, sedentary lifestyle, etc.
The objective of this work is to evaluate, through a systematic review, the impact of public health measures on the incidence and lethality of cancers.
51 studies met the inclusion criteria in this review. High adherence to established public health cancer control guidelines for nutrition and physical activity was consistently and significantly associated with reductions of 10% to 61% in overall cancer incidence colorectal cancer in men and women (27%-52%), the incidence of breast cancer (19-60%) and prostate cancer (5 -10%), Significant reductions in the incidence and lung cancer mortality after tobacco control measures. The human papilloma vaccine has shown excellent safety and close to 100% effectiveness in preventing persistent infections and precancerous lesions of the cervix due to types 16 and 18.
Through this study, we were able to know the influence of public health measures on the incidence and lethality of cancers.
 
Keywords: 
Colorectal cancer; Lung cancer; Cervical cancer; Breast cancer; Incidence; Smoking; Vaccination; Nutrition; Public health.
 
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