Oral cancer epidemiology in relation to inter-country disparities in human development in south and Southeast Asia

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology Pub Date : 2024-01-19 DOI:10.1111/cdoe.12941

Muhammad Usman Amanat, Hutcha Sriplung, Duangporn Kerdpon

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引用次数: 0

Abstract

Objectives

South Asia (SA) and Southeast Asia (SEA) are geographically close; however, discrepancies in oral cancer (OC) epidemiology exist between the two regions. Socioeconomic disparities may influence the OC burden. The aim of this study was to assess the epidemiology of OC and its relationship with the Inequality Adjusted Human Development Index (IHDI) and its components in SA and SEA.

Methods

Cancer data for this ecological study was obtained from GLOBOCAN 2020, while the IHDI was obtained from the Human Development Report 2020. Based on data availability, 14 SA and SEA countries were chosen. Poisson log-weighted regression models were employed to examine IHDI and its components in relation to incidence and mortality. Univariate linear regression models were utilized to determine the association between the mortality-to-incidence ratio (MIR) and the IHDI.

Results

Mortality and MIR of OC were negatively correlated with all sub-indices of the IHDI, including education, health and income. However, incidence and mortality of OC were influenced by region and sex.

Conclusions

Higher IHDI countries tended to have lower MIR. SA and males showed higher incidence and mortality. Reducing intra-country inequalities in development may be a pragmatic approach to enhancing the OC burden and prognosis.

查看原文本刊更多论文

口腔癌流行病学与南亚和东南亚国家间人类发展差距的关系。

目的：南亚（SA）和东南亚（SEA）地理位置相近，但两个地区在口腔癌（OC）流行病学方面存在差异。社会经济差异可能会影响口腔癌的负担。本研究旨在评估南亚和东南亚地区口腔癌的流行病学及其与不平等调整后人类发展指数（IHDI）及其组成部分之间的关系：这项生态学研究的癌症数据来自《2020 年全球癌症数据》（GLOBOCAN 2020），而人类发展指数则来自《2020 年人类发展报告》（Human Development Report 2020）。根据数据可用性，选择了 14 个南澳和东南亚国家。研究采用泊松对数加权回归模型来检验 IHDI 及其组成部分与发病率和死亡率的关系。利用单变量线性回归模型确定死亡率与发病率之比（MIR）与 IHDI 之间的关联：结果：OC 的死亡率和 MIR 与 IHDI 的所有分指数（包括教育、健康和收入）均呈负相关。然而，OC 的发病率和死亡率受地区和性别的影响：结论：IHDI较高的国家往往具有较低的MIR。南澳大利亚和男性的发病率和死亡率较高。减少国家内部的发展不平等可能是减轻 OC 负担和改善预后的务实方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.