Ghoncheh Mahshid, Mohammadian-Hafshejani Abdollah, Salehiniya Hamid
Department of Epidemiology and Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran E-mail :
Asian Pac J Cancer Prev. 2015;16(14):6081-7. doi: 10.7314/apjcp.2015.16.14.6081.
This study aimed to investigate the incidence and mortality of breast cancer, and its relationship with human development index (HDI) and its components in Asia in 2012.
This study was an ecologic study in Asia for assessment of the correlation between age-specific incidence rate (ASIR) and age-specific mortality rate (ASMR) with HDI and its details that include: life expectancy at birth, mean years of schooling and gross national income (GNI) per capita. Data about SIR and SMR for every Asian country for the year 2012 were obtained from the global cancer project. We used a bivariate method for assessment of the correlation between SIR and SMR and HDI and its individual components. Statistical significance was assumed if P<0.05. All reported P-values are two-sided. Statistical analyses were performed using SPSS (Version 15.0, SPSS Inc.).
In 2012, 639,824 cases of breast cancer were recorded in Asian countries. Countries with the highest standardized incidence rate (ASIR) (per 100,000) were Israel (80.5), Lebanon (78.7), Armenia (74.1) and the highest standard mortality rate (ASMR) was observed in Pakistan (25.2), Armenia (24.2), and Lebanon (24). There was a positive correlation between the ASIR of breast cancer and HDI (r = 0.556, p <0.001), whereas there was a negative correlation between the ASMR of breast cancer and HDI (r = -0.051).
Breast cancer incidence in countries with higher development is greater, while mortality is greatest in countries with less development. There was a positive and significant relationship between the ASIR of breast cancer and HDI and its components. Also there was a negative but non significant relationship between the ASMR of breast cancer and HDI.
本研究旨在调查2012年亚洲乳腺癌的发病率和死亡率，及其与人类发展指数（HDI）及其组成部分的关系。
本研究是一项在亚洲开展的生态学研究，旨在评估特定年龄发病率（ASIR）和特定年龄死亡率（ASMR）与HDI及其详细组成部分（包括：出生时预期寿命、平均受教育年限和人均国民总收入（GNI））之间的相关性。2012年每个亚洲国家的SIR和SMR数据来自全球癌症项目。我们采用双变量方法评估SIR和SMR与HDI及其各个组成部分之间的相关性。若P<0.05，则认为具有统计学意义。所有报告的P值均为双侧。使用SPSS（版本15.0，SPSS公司）进行统计分析。
2012年，亚洲国家共记录了639,824例乳腺癌病例。标准化发病率（ASIR）（每10万）最高的国家是以色列（80.5）、黎巴嫩（78.7）、亚美尼亚（74.1），而标准化死亡率（ASMR）最高的国家是巴基斯坦（25.2）、亚美尼亚（24.2）和黎巴嫩（24）。乳腺癌的ASIR与HDI之间存在正相关（r = 0.556，p <0.001），而乳腺癌的ASMR与HDI之间存在负相关（r = -0.051）。
发展水平较高的国家乳腺癌发病率更高，而发展水平较低的国家死亡率最高。乳腺癌的ASIR与HDI及其组成部分之间存在显著正相关。此外，乳腺癌的ASMR与HDI之间存在负相关，但不显著。
