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Effects of Human Development Index and Its Components on Colorectal Cancer Incidence and Mortality: A Global Ecological Study Publisher Pubmed



Khazaei S1 ; Rezaeian S2 ; Khazaei S1 ; Mansori K4 ; Moghaddam AS5 ; Ayubi E6, 7
Authors
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Authors Affiliations
  1. 1. Department of Biostatistics and Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
  2. 2. Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, 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. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Asian Pacific Journal of Cancer Prevention Published:2016


Abstract

Geographic disparity for colorectal cancer (CRC) incidence and mortality according to the human development index (HDI) might be expected. This study aimed at quantifying the effect measure of association HDI and its components on the CRC incidence and mortality. In this ecological study, CRC incidence and mortality was obtained from GLOBOCAN, the global cancer project for 172 countries. Data were extracted about HDI 2013 for 169 countries from the World Bank report. Linear regression was constructed to measure effects of HDI and its components on CRC incidence and mortality. A positive trend between increasing HDI of countries and age-standardized rates per 100,000 of CRC incidence and mortality was observed. Among HDI components education was the strongest effect measure of association on CRC incidence and mortality, regression coefficients (95% confidence intervals) being 2.8 (2.4, 3.2) and 0.9 (0.8, 1), respectively. HDI and its components were positively related with CRC incidence and mortality and can be considered as targets for prevention and treatment intervention or tracking geographic disparities. © 2016, Asian Pacific Journal of Cancer Prevention.
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