Secondary Analysis of NCD Risk Factors in Northeast India: Insights from the National Cancer Registry Program
Abstract
Background: The Northeastern Region (NER) of India faces a high cumulative cancer risk, with elevated incidence and mortality rates reported by the National Cancer Registry Program (NCRP). Population-Based Cancer Registries (PBCRs) are crucial in providing essential cancer data for the region. Aims: The study aimed to analyze the distribution of major cancer-associated behavioural and metabolic risk factors at the population level. Its purpose was to support PBCRs in developing a cancer risk factor surveillance program. Methodology: This study adapted the National NCD Monitoring Study (NNMS) cross-sectional, multistage cluster random sampling method, tailoring it to the unique cancer profile of 12 PBCR areas across eight NER states. Results: The survey achieved a 97% response rate. Current tobacco use prevalence (smoke or smokeless) was 45.7% (95% CI: 40.7-50.7), higher in men (61.8%) than women (28.0%). Current alcohol use was 22.3% overall, with men (35.2%) and urban areas (28.7%) showing higher prevalence. Insufficient physical activity was reported by 43.7% in urban areas and 52.5% in women. Conclusion: Insights from the study will aid policymakers in addressing the rising cancer burden through multipronged approaches, including behaviour modification and communication campaigns, to develop locally relevant preventive strategies.
How strong is the evidence?
Evidence Hub reads this as a secondary / pooled analysis, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence.
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