Global incidence and mortality rates in pancreatic cancer and the association with the Human Development Index: decomposition approach
Pancreatic cancer has a lower morbidity yet higher case fatality rates (CFRs) compared with other gastrointestinal cancers. The effects of socio-economic components on pancreatic cancer rates have been acknowledged; however, the effects of the Human Development Index (HDI) inequality are not. In thi...
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| Veröffentlicht in: | Public health (London) 2018-03, Vol.156, p.87-91 |
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| creator | Veisani, Y. Jenabi, E. Khazaei, S. Nematollahi, Sh |
| description | Pancreatic cancer has a lower morbidity yet higher case fatality rates (CFRs) compared with other gastrointestinal cancers. The effects of socio-economic components on pancreatic cancer rates have been acknowledged; however, the effects of the Human Development Index (HDI) inequality are not. In this study, we aimed to determine the contribution of important socio-economic components on pancreatic cancer rates using a decomposition approach.
Global ecological study.
Incidence and mortality rates of pancreatic cancer were obtained for 172 countries from GLOBOCAN and the United Nations Development Program. The World Bank database was also used to obtain the HDI and its gradient for 169 countries. Inequality in pancreatic cancer age-specific incidence and mortality rates was calculated according to the HDI using the concentration index (CI). We decomposed the CI to determine main contributors of the inequality.
The CI for incidence and mortality of pancreatic cancer in both genders according to the HDI was 0.26 (95% confidence interval: 0.21–0.30) and 0.25 (95% confidence interval: 0.21–0.30), respectively, which indicated more concentrated inequality in advantaged countries. About 80% of the inequality sources were predicted by socio-economic component in both rates of pancreatic cancer. The main contributors to inequality were the mean years of schooling, life expectancy at birth, expected years of schooling, and urbanization.
Global inequalities exist in pancreatic cancer incidence and mortality rates according to the HDI; in addition, inequality was more concentrated in countries with higher score of HDI.
•Global inequalities exist in the pancreatic cancer incidence and mortality rates.•Pancreatic cancer is more concentrated in developed countries.•Inequality index for the Human Development Index and all components for pancreatic cancer were positive.•From the Human Development Index components, mean year of schooling had a highest effect on inequality in pancreatic cancer. |
| doi_str_mv | 10.1016/j.puhe.2017.12.015 |
| format | Article |
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Global ecological study.
Incidence and mortality rates of pancreatic cancer were obtained for 172 countries from GLOBOCAN and the United Nations Development Program. The World Bank database was also used to obtain the HDI and its gradient for 169 countries. Inequality in pancreatic cancer age-specific incidence and mortality rates was calculated according to the HDI using the concentration index (CI). We decomposed the CI to determine main contributors of the inequality.
The CI for incidence and mortality of pancreatic cancer in both genders according to the HDI was 0.26 (95% confidence interval: 0.21–0.30) and 0.25 (95% confidence interval: 0.21–0.30), respectively, which indicated more concentrated inequality in advantaged countries. About 80% of the inequality sources were predicted by socio-economic component in both rates of pancreatic cancer. The main contributors to inequality were the mean years of schooling, life expectancy at birth, expected years of schooling, and urbanization.
Global inequalities exist in pancreatic cancer incidence and mortality rates according to the HDI; in addition, inequality was more concentrated in countries with higher score of HDI.
•Global inequalities exist in the pancreatic cancer incidence and mortality rates.•Pancreatic cancer is more concentrated in developed countries.•Inequality index for the Human Development Index and all components for pancreatic cancer were positive.•From the Human Development Index components, mean year of schooling had a highest effect on inequality in pancreatic cancer.</description><identifier>ISSN: 0033-3506</identifier><identifier>EISSN: 1476-5616</identifier><identifier>DOI: 10.1016/j.puhe.2017.12.015</identifier><identifier>PMID: 29408193</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Age ; Age differences ; Cancer ; Childbirth & labor ; Confidence intervals ; Decomposition ; Ecological monitoring ; Ecological studies ; Economics ; Gastrointestinal cancer ; Human development ; Human Development Index ; Incidence ; Inequality ; Life expectancy ; Life span ; Morbidity ; Mortality ; Pancreatic cancer ; Socioeconomic factors ; Socioeconomics ; Urbanization</subject><ispartof>Public health (London), 2018-03, Vol.156, p.87-91</ispartof><rights>2017 The Royal Society for Public Health</rights><rights>Copyright © 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Mar 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-9d0735e4538c75f0949b256fa9afb36b5868097278e0085effea0b2851ba01943</citedby><cites>FETCH-LOGICAL-c384t-9d0735e4538c75f0949b256fa9afb36b5868097278e0085effea0b2851ba01943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.puhe.2017.12.015$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29408193$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Veisani, Y.</creatorcontrib><creatorcontrib>Jenabi, E.</creatorcontrib><creatorcontrib>Khazaei, S.</creatorcontrib><creatorcontrib>Nematollahi, Sh</creatorcontrib><title>Global incidence and mortality rates in pancreatic cancer and the association with the Human Development Index: decomposition approach</title><title>Public health (London)</title><addtitle>Public Health</addtitle><description>Pancreatic cancer has a lower morbidity yet higher case fatality rates (CFRs) compared with other gastrointestinal cancers. The effects of socio-economic components on pancreatic cancer rates have been acknowledged; however, the effects of the Human Development Index (HDI) inequality are not. In this study, we aimed to determine the contribution of important socio-economic components on pancreatic cancer rates using a decomposition approach.
Global ecological study.
Incidence and mortality rates of pancreatic cancer were obtained for 172 countries from GLOBOCAN and the United Nations Development Program. The World Bank database was also used to obtain the HDI and its gradient for 169 countries. Inequality in pancreatic cancer age-specific incidence and mortality rates was calculated according to the HDI using the concentration index (CI). We decomposed the CI to determine main contributors of the inequality.
The CI for incidence and mortality of pancreatic cancer in both genders according to the HDI was 0.26 (95% confidence interval: 0.21–0.30) and 0.25 (95% confidence interval: 0.21–0.30), respectively, which indicated more concentrated inequality in advantaged countries. About 80% of the inequality sources were predicted by socio-economic component in both rates of pancreatic cancer. The main contributors to inequality were the mean years of schooling, life expectancy at birth, expected years of schooling, and urbanization.
Global inequalities exist in pancreatic cancer incidence and mortality rates according to the HDI; in addition, inequality was more concentrated in countries with higher score of HDI.
•Global inequalities exist in the pancreatic cancer incidence and mortality rates.•Pancreatic cancer is more concentrated in developed countries.•Inequality index for the Human Development Index and all components for pancreatic cancer were positive.•From the Human Development Index components, mean year of schooling had a highest effect on inequality in pancreatic cancer.</description><subject>Age</subject><subject>Age differences</subject><subject>Cancer</subject><subject>Childbirth & labor</subject><subject>Confidence intervals</subject><subject>Decomposition</subject><subject>Ecological monitoring</subject><subject>Ecological studies</subject><subject>Economics</subject><subject>Gastrointestinal cancer</subject><subject>Human development</subject><subject>Human Development Index</subject><subject>Incidence</subject><subject>Inequality</subject><subject>Life expectancy</subject><subject>Life span</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Pancreatic cancer</subject><subject>Socioeconomic factors</subject><subject>Socioeconomics</subject><subject>Urbanization</subject><issn>0033-3506</issn><issn>1476-5616</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kcFu1DAQhi0EokvhBTggS1y4JB07cRIjLqiFtlIlLu3ZcpyJ1qvEDrZT6Av0ufHuFg4cerLl-f4Z2x8h7xmUDFhztiuXdYslB9aWjJfAxAuyYXXbFKJhzUuyAaiqohLQnJA3Me4AgLeVeE1OuKyhY7LakMfLyfd6otYZO6AzSLUb6OxD0pNNDzTohDFX6aKdCaiTNdTkLYYDmLY5EKM3Nle8o79s2h4Or9ZZO3qB9zj5ZUaX6LUb8PdnOqDx8-KjPfB6WYLXZvuWvBr1FPHd03pK7r5_uz2_Km5-XF6ff70pTNXVqZAD5AdgLarOtGIEWcuei2bUUo991fSiazqQLW87BOgEjiNq6HknWK-Bybo6JZ-OffPYnyvGpGYbDU6TdujXqJiUMnMN8Ix-_A_d-TW4fDvFGeMcBHQyU_xImeBjDDiqJdhZhwfFQO0tqZ3aW1J7S4pxlS3l0Ien1ms_4_Av8ldLBr4cAcx_cW8xqGjs3s5gA5qkBm-f6_8HmLOkLw</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Veisani, Y.</creator><creator>Jenabi, E.</creator><creator>Khazaei, S.</creator><creator>Nematollahi, Sh</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>ASE</scope><scope>C1K</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20180301</creationdate><title>Global incidence and mortality rates in pancreatic cancer and the association with the Human Development Index: decomposition approach</title><author>Veisani, Y. ; Jenabi, E. ; Khazaei, S. ; Nematollahi, Sh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-9d0735e4538c75f0949b256fa9afb36b5868097278e0085effea0b2851ba01943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Age</topic><topic>Age differences</topic><topic>Cancer</topic><topic>Childbirth & labor</topic><topic>Confidence intervals</topic><topic>Decomposition</topic><topic>Ecological monitoring</topic><topic>Ecological studies</topic><topic>Economics</topic><topic>Gastrointestinal cancer</topic><topic>Human development</topic><topic>Human Development Index</topic><topic>Incidence</topic><topic>Inequality</topic><topic>Life expectancy</topic><topic>Life span</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Pancreatic cancer</topic><topic>Socioeconomic factors</topic><topic>Socioeconomics</topic><topic>Urbanization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Veisani, Y.</creatorcontrib><creatorcontrib>Jenabi, E.</creatorcontrib><creatorcontrib>Khazaei, S.</creatorcontrib><creatorcontrib>Nematollahi, Sh</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>British Nursing Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>British Nursing Index</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Public health (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Veisani, Y.</au><au>Jenabi, E.</au><au>Khazaei, S.</au><au>Nematollahi, Sh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Global incidence and mortality rates in pancreatic cancer and the association with the Human Development Index: decomposition approach</atitle><jtitle>Public health (London)</jtitle><addtitle>Public Health</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>156</volume><spage>87</spage><epage>91</epage><pages>87-91</pages><issn>0033-3506</issn><eissn>1476-5616</eissn><abstract>Pancreatic cancer has a lower morbidity yet higher case fatality rates (CFRs) compared with other gastrointestinal cancers. The effects of socio-economic components on pancreatic cancer rates have been acknowledged; however, the effects of the Human Development Index (HDI) inequality are not. In this study, we aimed to determine the contribution of important socio-economic components on pancreatic cancer rates using a decomposition approach.
Global ecological study.
Incidence and mortality rates of pancreatic cancer were obtained for 172 countries from GLOBOCAN and the United Nations Development Program. The World Bank database was also used to obtain the HDI and its gradient for 169 countries. Inequality in pancreatic cancer age-specific incidence and mortality rates was calculated according to the HDI using the concentration index (CI). We decomposed the CI to determine main contributors of the inequality.
The CI for incidence and mortality of pancreatic cancer in both genders according to the HDI was 0.26 (95% confidence interval: 0.21–0.30) and 0.25 (95% confidence interval: 0.21–0.30), respectively, which indicated more concentrated inequality in advantaged countries. About 80% of the inequality sources were predicted by socio-economic component in both rates of pancreatic cancer. The main contributors to inequality were the mean years of schooling, life expectancy at birth, expected years of schooling, and urbanization.
Global inequalities exist in pancreatic cancer incidence and mortality rates according to the HDI; in addition, inequality was more concentrated in countries with higher score of HDI.
•Global inequalities exist in the pancreatic cancer incidence and mortality rates.•Pancreatic cancer is more concentrated in developed countries.•Inequality index for the Human Development Index and all components for pancreatic cancer were positive.•From the Human Development Index components, mean year of schooling had a highest effect on inequality in pancreatic cancer.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>29408193</pmid><doi>10.1016/j.puhe.2017.12.015</doi><tpages>5</tpages></addata></record> |
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| subjects | Age Age differences Cancer Childbirth & labor Confidence intervals Decomposition Ecological monitoring Ecological studies Economics Gastrointestinal cancer Human development Human Development Index Incidence Inequality Life expectancy Life span Morbidity Mortality Pancreatic cancer Socioeconomic factors Socioeconomics Urbanization |
| title | Global incidence and mortality rates in pancreatic cancer and the association with the Human Development Index: decomposition approach |
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