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MPOWER Tobacco Control Policies’ Effects on Lip and Oral Cavity Cancer Trends in MERCOSUR Countries

Laila Menezes Hagen, Fernanda Joly Macedo, Amanda Ramos da Cunha, Fernando Neves Hugo and José Miguel Amenábar ()
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Laila Menezes Hagen: Department of Stomatology, Federal University of Paraná, Curitiba 80210-170, PR, Brazil
Fernanda Joly Macedo: Department of Stomatology, Federal University of Paraná, Curitiba 80210-170, PR, Brazil
Amanda Ramos da Cunha: Department of Epidemiology, School of Public Health, University of São Paulo, São Paulo 01246-904, SP, Brazil
Fernando Neves Hugo: Department of Epidemiology and Health Promotion, New York University College of Dentistry, New York, NY 10010, USA
José Miguel Amenábar: Department of Stomatology, Federal University of Paraná, Curitiba 80210-170, PR, Brazil

IJERPH, 2025, vol. 22, issue 4, 1-11

Abstract: Background: As tobacco is the main risk factor for oral cancer, it is important to understand the burden of this disease in light of the Framework Convention on Tobacco Control. For MERCOSUR, tobacco control is a topic of interest. The aim of this study was to describe MPOWER measure scores and to evaluate the trends in lip and oral cavity cancer (LOC) incidence, mortality and Disability-Adjusted Life Years (DALYs), from 2005 to 2021, in MERCOSUR countries. Methods: This is an ecological descriptive study, where the MPOWER measure scores were extracted from the Global Health Observatory of World Health Organization, and the Age-standardized Rates (ASRs) of LOC for MERCOSUR countries were obtained from the Global Burden of Diseases 2021 results tool. The trends of LOC ASRs were obtained using the Prais–Winsten method. Results: Paraguay and Venezuela had lower MPOWER scores over time than Argentina, Brazil and Uruguay. These last three countries showed LOC trends decreasing for most indicators among males, while Paraguay and Venezuela showed increasing trends in incidence for both males and females, and no decreasing trends. Conclusion: This study suggests that MERCOSUR countries with a history of more rigorous MPOWER tobacco control policies are exhibiting decreasing trends in LOC burden.

Keywords: oral cancer; tobacco use; tobacco control; MERCOSUR (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
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