Digestive cancer incidence and mortality among young adults worldwide in 2020: A population-based study

Table 1 Estimated new cases, deaths, age-standardized incidence rate, age-standardized mortality rate, and mortality-to-incidence ratio of digestive cancer among 20- to 39-year-olds worldwide in 2020 by world area

World areas	Incidence			Mortality			MIR
	Cases	%	ASIR	Deaths	%	ASMR
Asia
Eastern Asia	40966	31.26	7.70	24006	30.15	4.40	0.59
South-Central Asia	29100	22.20	4.20	20045	25.18	2.90	0.69
South-Eastern Asia	12048	9.19	5.40	7639	9.60	3.40	0.63
Western Asia	3919	2.99	3.90	2123	2.67	2.10	0.54
Americas and Caribbean
Northern America	6690	5.10	6.10	2118	2.66	1.90	0.32
South America	6321	4.82	4.30	3626	4.55	2.50	0.57
Central America	2570	1.96	4.40	1472	1.85	2.50	0.57
Caribbean	485	0.37	3.60	293	0.37	2.20	0.60
Europe
Central and Eastern Europe	3374	2.57	3.60	2136	2.68	2.20	0.63
Western Europe	2513	1.92	4.70	549	0.69	0.97	0.22
Southern Europe	1344	1.03	3.20	441	0.55	1.00	0.33
Northern Europe	1356	1.03	4.40	400	0.50	1.30	0.29
Africa
Eastern Africa	7378	5.63	5.80	5724	7.19	4.50	0.78
Northern Africa	3722	2.84	4.70	2328	2.92	3.00	0.63
Western Africa	4751	3.62	4.40	3686	4.63	3.40	0.78
Middle Africa	2483	1.89	5.20	2037	2.56	4.30	0.82
Southern Africa	1092	0.83	4.50	691	0.87	2.80	0.63
Oceania
Australia and New Zealand	721	0.55	7.80	165	0.21	1.80	0.23
Melanesia	227	0.17	6.60	132	0.17	3.80	0.58
Polynesia	5	0.00	2.70	3	0.00	1.80	0.60
Micronesia	3	0.00	2.00	0	0.00	0.00	0.00

ASIR: Age-standardized incidence rate; ASMR: Age-standardized mortality rate; MIR: Mortality-to-incidence ratio.

Table 2 Estimated new cases, deaths, age-standardized incidence rate, age-standardized mortality rate, and mortality-to-incidence ratio of digestive cancer among 20- to 39-year-olds worldwide in 2020 by country

Country	Incidence			Mortality			MIR	HDI	HDI ranking
	Cases	%	ASIR	Deaths	%	ASMR
China	36723	28.02	7.8	22345	28.07	4.6	0.61	0.761	87
India	17819	13.60	3.8	12166	15.28	2.6	0.68	0.645	130
United States of America	6069	4.63	6.2	1900	2.39	1.9	0.31	0.926	17
Pakistan	3811	2.91	5.4	2520	3.17	3.6	0.66	0.557	154
Bangladesh	3779	2.88	6.4	2795	3.51	4.7	0.74	0.632	134
Indonesia	3462	2.64	3.8	1645	2.07	1.8	0.48	0.718	110
Viet Nam	3440	2.62	9.9	2953	3.71	8.3	0.86	0.704	118
Brazil	3398	2.59	4.6	1801	2.26	2.4	0.53	0.765	84
Ethiopia	1966	1.50	5.9	1516	1.90	4.6	0.77	0.485	174
Mexico	1826	1.39	4.3	975	1.22	2.3	0.53	0.779	76
Russian Federation	1736	1.32	3.7	1193	1.50	2.4	0.69	0.824	49
Egypt	1647	1.26	5.1	1203	1.51	3.7	0.73	0.707	117
Philippines	1540	1.17	4.4	773	0.97	2.2	0.50	0.718	111
Iran, Islamic Republic of	1520	1.16	4.6	1003	1.26	3	0.66	0.783	70
Turkey	1445	1.10	5.2	775	0.97	2.8	0.54	0.82	54
Japan	1440	1.10	4.7	541	0.68	1.7	0.38	0.919	20
Korea, Republic of	1404	1.07	8.7	342	0.43	2.1	0.24	0.916	22
Thailand	1322	1.01	6.4	864	1.09	4.1	0.65	0.777	80
Germany	1212	0.92	5.3	195	0.24	0.79	0.16	0.947	4
Congo, Democratic Republic of	1171	0.89	5.1	965	1.21	4.2	0.82	0.48	174
Myanmar	1143	0.87	6.4	768	0.96	4.2	0.67	0.583	148
Ghana	1106	0.84	11.7	841	1.06	8.9	0.76	0.611	138
Nigeria	1001	0.76	1.8	719	0.90	1.3	0.72	0.539	161
South Africa	993	0.76	4.6	630	0.79	2.9	0.63	0.709	115
United Kingdom	985	0.75	4.9	300	0.38	1.5	0.30	0.932	14
Uganda	922	0.70	7.5	730	0.92	6	0.79	0.544	160
Colombia	889	0.68	5.1	550	0.69	3.2	0.62	0.767	83
Mozambique	812	0.62	9.6	649	0.82	7.7	0.80	0.456	181
Algeria	772	0.59	4.9	364	0.46	2.4	0.47	0.748	91
Tanzania, United Republic of	749	0.57	4.5	615	0.77	3.7	0.82	0.529	164
France	738	0.56	4.3	259	0.33	1.4	0.35	0.901	26
Malawi	663	0.51	12.6	548	0.69	10.4	0.83	0.483	174
Australia	644	0.49	8.1	140	0.18	1.8	0.22	0.944	7
Kenya	625	0.48	3.7	440	0.55	2.6	0.70	0.601	141
Canada	621	0.47	5.4	218	0.27	1.9	0.35	0.929	14
Argentina	593	0.45	4.2	291	0.37	2.1	0.49	0.845	46
Cameroon	572	0.44	7.3	473	0.59	6.1	0.83	0.563	153
Saudi Arabia	542	0.41	3.7	264	0.33	1.8	0.49	0.854	40
Morocco	528	0.40	4.3	293	0.37	2.4	0.55	0.686	121
Iraq	504	0.38	4.1	289	0.36	2.4	0.57	0.674	123
Uzbekistan	491	0.37	4.1	363	0.46	3	0.74	0.72	107
Madagascar	490	0.37	6.2	374	0.47	4.7	0.76	0.528	163
Ukraine	487	0.37	3.4	326	0.41	2.2	0.67	0.779	78
Burkina Faso	486	0.37	8.6	432	0.54	7.7	0.89	0.452	183
Afghanistan	484	0.37	4.4	368	0.46	3.3	0.76	0.511	169
Sudan	467	0.36	3.8	316	0.40	2.6	0.68	0.51	171
Peru	465	0.35	4.1	356	0.45	3.2	0.77	0.777	78
Mali	465	0.35	9.2	349	0.44	6.9	0.75	0.434	184
Italy	425	0.32	2.6	138	0.17	0.87	0.32	0.892	29
Spain	417	0.32	3.3	80	0.10	0.56	0.19	0.904	25

ASIR: Age-standardized incidence rate; ASMR: Age-standardized mortality rate; HDI: Human development index; MIR: Mortality-to-incidence ratio.