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Human Development Inequality Index and Cancer Pattern: A Global Distributive Study Publisher Pubmed



Rezaeian S1 ; Khazaei S2 ; Khazaei S2 ; Mansori K4 ; Moghaddam AS5 ; Ayubi E6, 7
Authors
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Authors Affiliations
  1. 1. Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
  2. 2. Department of Biostatistics and Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
  3. 3. Rafsanjan University of Medical Sciences, Rafsanjan, Iran
  4. 4. Department of Epidemiology, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
  5. 5. School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  6. 6. School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  7. 7. School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Asian Pacific Journal of Cancer Prevention Published:2016


Abstract

This study aimed to quantify associations of the human development inequality (HDI) index with incidence, mortality, and mortality to incidence ratios for eight common cancers among different countries. In this ecological study, data about incidence and mortality rates of cancers was obtained from the Global Cancer Project for 169 countries. HDI indices for the same countries was obtained from the United Nations Development Program (UNDP) database. The concentration index was defined as the covariance between cumulative percentage of cancer indicators (incidence, mortality and mortality to incidence ratio) and the cumulative percentage of economic indicators (country economic rank). Results indicated that incidences of cancers of liver, cervix and esophagus were mainly concentrated in countries with a low HDI index while cancers of lung, breast, colorectum, prostate and stomach were concentrated mainly in countries with a high HDI index. The same pattern was observed for mortality from cancer except for prostate cancer that was more concentrated in countries with a low HDI index. Higher MIRs for all cancers were more concentrated in countries with a low HDI index. It was concluded that patterns of cancer occurrence correlate with care disparities at the country level. © 2016, Asian Pacific Journal of Cancer Prevention.
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