Blood Transfusion Department, Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Central Laboratory, Wuxi Traditional Chinese Medicine Hospital, Wuxi, China.
Front Public Health. 2022 Feb 1;9:761023. doi: 10.3389/fpubh.2021.761023. eCollection 2021.
Breast cancer is the leading cause of death in women around the world. Its occurrence and development have been linked to genetic factors, living habits, health conditions, and socioeconomic factors. Comparisons of incidence and mortality rates of female breast cancer are useful approaches to define cancer-related socioeconomic disparities.
This was a retrospective observational cohort study on breast cancer of women in several developed countries over 30 years. Effects of socioeconomic factors were analyzed using a path diagram method.
We found a positive, significant association of public wealth on incidence and mortality of breast cancer, and the path coefficients in the structural equations are -0.51 and -0.39, respectively. The unemployment rate (UR) is critical and the path coefficients are all 0.2. The path coefficients of individual economic wealth to the rates of breast cancer are 0.18 and 0.27, respectively.
The influence of social pressure on the incidence and mortality of breast cancer was not typical monotonous. The survival rate of breast cancer determined by the ratio of mortality rate to incidence rate showed a similar pattern with socioeconomic factors.
乳腺癌是全球女性死亡的主要原因。其发生和发展与遗传因素、生活习惯、健康状况和社会经济因素有关。比较女性乳腺癌的发病率和死亡率是确定与癌症相关的社会经济差异的有用方法。
这是一项针对 30 多年来几个发达国家女性乳腺癌的回顾性观察性队列研究。使用路径图方法分析社会经济因素的影响。
我们发现公共财富与乳腺癌发病率和死亡率呈正相关，结构方程中的路径系数分别为-0.51 和-0.39。失业率（UR）是关键，路径系数均为 0.2。个人经济财富对乳腺癌发病率的路径系数分别为 0.18 和 0.27。
社会压力对乳腺癌发病率和死亡率的影响并非典型单调。由死亡率与发病率之比决定的乳腺癌存活率与社会经济因素呈现出相似的模式。
