Ahadinezhad Bahman, Maleki Aisa, Amerzadeh Mohammad, Mohtashamzadeh Bahareh, Safdari Mahdi, Khosravizadeh Omid
Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran.
Curr Health Sci J. 2023 Jan-Mar;49(1):85-95. doi: 10.12865/CHSJ.49.01.85. Epub 2023 Mar 31.
Cancer is the second important cause of death worldwide. Cancer is one of the top health priorities in Iran. We aimed to study the socio-economic inequality of cancer incidence in Iran provinces. We conducted this cross-sectional study using provincial data. We obtained the required data from the statistical yearbook report, the Statistics Center Report and the National Cancer Registration Program Report of Iran's Ministry of Health and Medical Education (MoHME) for 2018. Socio-economic inequality of cancer incidence was analyzed by estimating the concentration index and extracting the concentration curve. Statistical analyzes were performed using STATA 14. Our findings revealed that cancer incidence was unequally distributed in terms of the socio-economic status in Iranian provinces. Cancer incidence is slightly concentrated in the provinces with higher than average literacy, per capita income and insurance coverage and household size below average. The concentration of cancer incidence has been to the detriment of the provinces that have a slightly better ranking in terms of the socio-economic index. The employment rate did not significantly affect cancer's distribution burden. We recommend policymakers facilitate early cancer detection by providing insurance coverage for screening services, payment exemptions, and public awareness.
癌症是全球第二大重要死因。癌症是伊朗首要的健康问题之一。我们旨在研究伊朗各省癌症发病率的社会经济不平等情况。我们利用省级数据开展了这项横断面研究。我们从伊朗卫生和医学教育部（MoHME）2018年的统计年鉴报告、统计中心报告以及国家癌症登记计划报告中获取了所需数据。通过估算集中指数并绘制集中曲线来分析癌症发病率的社会经济不平等情况。使用STATA 14进行统计分析。我们的研究结果显示，伊朗各省的癌症发病率在社会经济地位方面分布不均。癌症发病率略微集中在识字率、人均收入和保险覆盖率高于平均水平且家庭规模低于平均水平的省份。癌症发病率的集中情况对那些在社会经济指数方面排名略高的省份不利。就业率对癌症的分布负担没有显著影响。我们建议政策制定者通过为筛查服务提供保险覆盖、费用减免以及提高公众意识来促进癌症的早期检测。
