185 个国家 36 种癌症的差异:全球癌症统计数据的二次分析。
Disparities in 36 cancers across 185 countries: secondary analysis of global cancer statistics.
发表日期:2024 Aug 21
作者:
Qianru Li, Changfa Xia, He Li, Xinxin Yan, Fan Yang, Mengdi Cao, Shaoli Zhang, Yi Teng, Siyi He, Maomao Cao, Wanqing Chen
来源:
Frontiers of Medicine
摘要:
癌症是一个主要的公共卫生问题,代表着世界范围内的巨大差异。该研究报告了 185 个国家 36 种癌症的发病率、死亡率、5 年患病率、死亡率与患病率 (MPR) 和死亡率与发病率 (MIR) 的估计值,以检验其与人类发展指数 (HDI) 的关系)和国民总收入(GNI)。数据收集自 GLOBOCAN 2020。MPR 和 MIR 按性别、年龄组、国家和癌症类型计算,然后汇总为总数。 Segi 的人口和全球癌症谱用于计算年龄和类型标准化比率。进行相关性分析来评估关联性。结果显示,乳腺癌是全球诊断最多的癌症。低收入和中等收入国家的 MPR 和 MIR 较高。食道癌、胰腺癌和肝癌的比例最高。男性和老年人口的比例最高。 HDI和GNI与发病率和死亡率呈正相关,但与MPR/MIR呈负相关。 185 个国家的 36 种癌症类型之间的癌症负担存在显着差异。社会经济发展可能有助于缩小这些差距,而量身定制的策略对于特定区域和国家的癌症控制至关重要。© 2024。高等教育出版社。
Cancer is a major public health problem and represents substantial disparities worldwide. This study reported estimates for 36 cancers across 185 countries by incidence, mortality, 5-year prevalence, mortality-to-prevalence ratio (MPR), and mortality-to-incidence ratio (MIR) to examine its association with human development index (HDI) and gross national income (GNI). Data were collected from the GLOBOCAN 2020. MPR and MIR were calculated by sex, age group, country, and cancer type and then summarized into totals. Segi's population and global cancer spectrum were used to calculate age- and type-standardized ratios. Correlation analyses were conducted to assess associations. Results showed that breast cancer was the most diagnosed cancer globally. Low- and middle-income countries had high MPR and MIR. Cancers of esophagus, pancreas, and liver had the highest ratios. Males and the older population had the highest ratios. HDI and GNI were positively correlated with incidence and mortality but negatively correlated with MPR/MIR. Substantial disparities in cancer burden were observed among 36 cancer types across 185 countries. Socioeconomic development may contribute to narrowing these disparities, and tailored strategies are crucial for regional- and country-specific cancer control.© 2024. Higher Education Press.