The Epidemiology of Breast Cancer and Its Relationship with Inequality Adjusted-Human Development Index in Asia 2018

Publish Year: 1398
نوع سند: مقاله کنفرانسی
زبان: English
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WHMED08_052

تاریخ نمایه سازی: 4 دی 1398

Abstract:

Background: Breast cancer is the most common cancer and the leading cause of cancer related death in women worldwide, as well as in Asia. The Inequality Adjusted-Human Development Index (IHDI) combines a country’s average achievements in health, education and income with how those achievements are distributed among country’s population by discounting each dimension’s average value according to its level of inequality. The present study was conducted to investigate the epidemiology of women breast cancer and its relationship with IHDI in Asian countries 2018. Methods: This ecological study was conducted based on cancer data abstracted from GLOBOCAN projections and UNDP data on IHDI, using SPSS software. Results: A total of 911014 incidences of and 310577 deaths from breast cancer were recorded in Asian countries in 2018. The 5 countries with the highest SIR were Lebanon (97.6 per 100,000), Cyprus (81.7 per 100,000), Israel (78.5 per 100,000), Syrian Arab Republic (67.3 per 100,000), and Singapore (64 per 100,000). The 5 countries with the highest SMR for breast cancer were Syrian Arab Republic (26.9 per 100,000), Lebanon (25.3 per 100,000), Pakistan (23.9per100,000), Gaza Strip and West Bank (21.7 per 100,000), and Armenia (20.6 per 100,000. Correlation between IHDI and SIR was 0.57 P (0.00), the correlation between IHDI and SMR was -0.07 P (0.67) and the correlation between IHDI and MIR was -0.75 P (0.00).Conclusions: a noticeably high incidence rate of breast cancer was observed in Lebanon. This study also revealed a positive correlation between IHDI and SIR. The correlation between IHDI and MIR was negative and SMR was not significantly correlated with IHDI.Massage for policymakers: IHDI and its indicators are global measures of ecologic epidemiological studies which are directly resulted from health policies and inactions at national level and reflect countries level of advance in terms of human development. In a community, level of human development is associated with level of health. So the IHDI and its trend across countries, can reflect priorities in terms of making health policies and inactions at national and international levels.

Keywords:

breast cancer , inequality- adjusted human development index , Asia

Authors

Behnam Khodadoost

Department of epidemiology, Iran University of Medical Sciences, Tehran, Iran.

Marzieh Eslahi

Department of biostatics and epidemiology, Kerman University of Medical Sciences,Kerman, Iran.