亚洲地区食管癌的发病率和死亡率及其与发展的关系。
The incidence and mortality of esophageal cancer and their relationship to development in Asia.
机构信息
1 Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran ; 2 Epidemiologist, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran ; 3 Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran ; 4 Department of Microbiology, Medical School, Ilam University Of Medical Sciences, Ilam, Iran ; 5 Clinical Microbiology Research Center, Ilam University of Medical Sciences, Ilam, Iran ; 6 Deputy of Health, Isfahan University of Medical Sciences, Isfahan, Iran ; 7 Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran ; 8 Students' Scientific Research Center, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran ; 9 Qom University of Medical Sciences, Qom, Iran.
出版信息
Ann Transl Med. 2016 Jan;4(2):29. doi: 10.3978/j.issn.2305-5839.2016.01.11.
BACKGROUND
Esophageal cancer is the most common cancer in less developed countries. It is necessary to understand epidemiology of the cancer for planning. The aim of this study was to evaluate the incidence and mortality of esophageal cancer, and its relationship with Human Development Index (HDI) and its components in Asia in 2012.
METHODS
This study was an Ecological study, which conducted based on GLOBOCAN project of WHO for Asian counters. We assess the correlation between standardized incidence rates (SIR) and standardized mortality rates (SMR) of esophageal cancer with HDI and its components with using of SPSS18.
RESULTS
A total of 337,698 incidence (70.33% were males and 29.87% females. Sex ratio was 2.37) and 296,734 death (69.45% in men and 30.54% in women. The sex ratio was 2.27) esophageal cancer was recorded in Asian countries in 2012. Five countries with the highest SIR and SMR of esophageal cancer were Turkmenistan, Mongolia and Tajikistan, Bangladesh and China respectively. Correlation between HDI and SIR was -0.211 (P=0.159), in men -0.175 (P=0.244) and in women -0.231 (P=0.123). Also between HDI and SMR -0.250 (P=0.094) in men -0.226 (P=0.131) and in women -0.251 (P=0.037).
CONCLUSIONS
The incidence of esophageal cancer is more in less developed and developing countries. Statistically significant correlation was not found between standardized incidence and mortality rates of esophageal cancer, and HDI and its dimensions, except for life expectancy at birth.
背景
食管癌是欠发达国家最常见的癌症。为了进行规划，有必要了解癌症的流行病学。本研究旨在评估 2012 年亚洲食管癌的发病率和死亡率，以及其与人类发展指数（HDI）及其组成部分的关系。
方法
本研究为生态研究，根据世界卫生组织全球癌症监测项目，对亚洲国家进行了分析。我们使用 SPSS18 评估了食管癌标准化发病率（SIR）和标准化死亡率（SMR）与 HDI 及其组成部分之间的相关性。
结果
2012 年亚洲国家共记录食管癌发病 337698 例（70.33%为男性，29.87%为女性。男女比例为 2.37）和死亡 296734 例（69.45%为男性，30.54%为女性。男女比例为 2.27）。食管癌 SIR 和 SMR 最高的五个国家分别是土库曼斯坦、蒙古和塔吉克斯坦、孟加拉国和中国。HDI 与 SIR 之间的相关性为-0.211（P=0.159），男性为-0.175（P=0.244），女性为-0.231（P=0.123）。HDI 与 SMR 之间的相关性在男性中为-0.250（P=0.094），在女性中为-0.226（P=0.131）。
结论
食管癌的发病率在欠发达和发展中国家更高。除了出生时预期寿命外，食管癌的标准化发病率和死亡率与 HDI 及其维度之间没有发现统计学上的显著相关性。
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