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Submitted: 14 Oct 2025
Revision: 12 Dec 2025
Accepted: 31 Dec 2025
ePublished: 26 Jan 2026
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J Prev Epidemiol. Inpress.
doi: 10.34172/jpe.2026.39310
  Abstract View: 46

Original

Gender differences in the incidence of pharynx cancer related to alcohol drinking by socioeconomic status in 2020; an ecological study

Sina Salem Ahim 1 ORCID logo, Faezeh Nesaei 2 ORCID logo, Mohammadreza Azizi 3 ORCID logo, Zahed Karimi 4 ORCID logo, Sara Teihou Jorshari 5 ORCID logo, Peyman Khajehnabi 6 ORCID logo, Parsa Barzegar 7 ORCID logo, Anna Ghorbani Doshantapeh 8 ORCID logo, Shiva Badri 9* ORCID logo

1 Fasa University of Medical Sciences, Fasa, Iran
2 Department of Nursing, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Department of Oral and Maxillofacial Surgery, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Department of Internal Medicine, School of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
5 Hematology-Oncology Department, Iran University of Medical Sciences, Tehran, Iran
6 Department of Pharmacology, Cyprus International University, Lefkosa, North Cyprus
7 Faculty of Medicine, University of Belgrade, Belgrade, Serbia
8 Department of Hematology-Medical Oncology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
9 Department of Nursing, Faculty of Nursing and Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
*Corresponding Author: Email: Shvbdri@gmail.com

Abstract

Introduction: Alcohol consumption is a well-established risk factor for pharyngeal cancer, yet its impact varies across populations depending on gender and socioeconomic context. Understanding these disparities is essential for guiding prevention strategies and public health policies.

Objectives: This study aimed to examine the global burden of alcohol-attributable pharyngeal cancer in 2020 by analyzing age-standardized incidence rates (ASRs) and population attributable fractions (PAFs), stratified by gender and human development index (HDI) categories, to identify patterns of inequality and highlight areas where targeted interventions may be most needed.

Materials and Methods: This ecological study analyzed population-level data from the International Agency for Research on Cancer (IARC) on pharyngeal cancer cases attributable to alcohol consumption in 2020, stratified by gender and HDI categories. The ASR and PAF were extracted to quantify incidence and risk, with PAF calculated from exposure prevalence and relative risk. Descriptive statistics summarized values and uncertainty limits, focusing on gender disparities and socioeconomic gradients, while ecological comparisons highlighted relative differences without inferential testing.

Results: The results indicated that alcohol-related pharyngeal cancer new cases in 2020 revealed a clear gender disparity, with men consistently carrying a heavier burden than women across all socioeconomic contexts. The disparity was most evident in highly developed regions, though it persisted globally and even in lower development settings where overall rates declined.

Conclusion: Alcohol-related pharyngeal cancer shows a pronounced gender imbalance, with men bearing consistently higher incidence across all socioeconomic levels, underscoring the need for male-focused, gender-sensitive prevention and public health strategies.



Citation: Salem Ahim S, Nesaei F, Azizi M, Karimi Z, Teihou Jorshari S, Khajehnabi P, Barzegar P, Ghorbani Doshantapeh A, Badri Sh. Gender differences in the incidence of pharynx cancer related to alcohol drinking by socioeconomic status in 2020; an ecological study. J Prev Epidemiol. 2026;x(x):e39310. doi: 10.34172/ jpe.2026.39310.
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